your symptoms
at 2am.
Poor sleep. Mood swings.
You don't feel sick.
You just don't feel like you.
built for this.
Available Monday–Friday.
Message your provider when symptoms change —
and get a real, structured response.
treatment can often begin
within 24 hours.
If treatment is appropriate and membership is complete, care can move quickly.
We message back with a plan.
less care.
Every response based on your history,
your labs, your goals.
actually listened.
the night again.
at work.
the people they love.
themselves — finally.
is supposed to feel like.
are treatable.
You don't have to wait them out.
When you're ready, the first visit is where we begin.
like yourself again?
If treatment is appropriate, membership is how care continues.
If you saw yourself in any of that — this is what comes next.
Membership
Responsive perimenopause & menopause care on your schedule.
Your first visit is where we understand your symptoms, history, goals, and treatment options. Membership is how care continues after that — with provider review, medication guidance, refill support, lab review when needed, and treatment adjustments as your body responds.
Specialty menopause care with Crystal Burke, FNP-C, MSCP — a Menopause Society Certified Practitioner.
Already had your visit? Email us to start membership →
Available to patients physically located in Louisiana.
What changes when you have this.
Not just a list of features. A different experience of getting care.
You stop starting over.
When something shifts at week 5 or month 4, you do not re-explain your history to a stranger. You send an update to the clinician who already knows your full picture.
Many problems can be solved quickly.
Many common medication questions, refill issues, side effects, and dose-adjustment needs can usually be reviewed and solved within 24 business hours, Monday–Friday, when clinically appropriate.
Visits are available — but usually optional.
Because perimenopause and menopause are all we do, we know which symptoms can be fully evaluated through structured updates and which genuinely need a visit — so you are not taking time off work for questions that do not require one. You can always schedule a visit when you want a longer conversation. The one exception is the required annual in-person visit for testosterone care.
When membership starts, care can move quickly.
If treatment is appropriate and you decide to continue, membership is required before prescriptions, lab orders related to treatment, refill management, or medication adjustments can begin.
1. Complete your first visit.
Your visit is focused on symptoms, medical history, risks, goals, and treatment options. It is not a rushed prescription-only appointment.
2. Start membership if treatment is right for you.
Once membership is started and required forms are complete, treatment can often begin within 24 hours, Monday–Friday, when clinically appropriate.
3. Use care between visits.
You keep us updated through structured symptom updates and portal messages so we can review medication response and guide next steps.
Timing depends on clinical appropriateness, completion of required forms, pharmacy availability, required labs or records, and whether an in-person visit is required. Testosterone cannot be prescribed until the in-person requirement and all other clinical requirements are complete.
Strong outcomes happen when care keeps moving.
Hormone care works best when we can see how your body is responding. You do not need a visit every time something changes — but symptom updates, follow-up, and medication response review help us adjust your plan more thoughtfully.
of patients report significant symptom improvement within 3 months.
of patients remain in care after 1 year of treatment.
come from staying engaged — completing symptom updates, telling us what changes, and giving us the information needed to guide your next step.
Based on internal patient-reported outcomes and retention data from The Menopause Clinic. Individual results vary, and no outcome can be guaranteed.
Care between visits, on your schedule.
Many questions and adjustments can be handled through the patient portal, so you do not have to take time off work for every concern. Visits are always available to schedule, but they are optional unless clinically needed — except for the required annual in-person testosterone visit.
You notice a change
Sleep gets worse, hot flashes return, spotting starts, libido is still low, side effects show up, or you are not sure your dose is right.
You complete an update
Your symptom update captures symptoms, timing, medication use, side effects, refills, labs when relevant, and what has changed.
Your clinician reviews it
We review your symptoms in context — medication response, treatment timeline, safety considerations, and care goals.
We guide next steps
That may mean reassurance, a timing change, a dose adjustment, a refill, labs, or a recommendation to schedule a visit.
Portal review is for appropriate non-emergency care during business hours. Some concerns require a video visit, in-person exam, labs, imaging, urgent care, or referral.
Membership Pricing
Higher-touch care first, lower-cost once you're stable.
Membership moves through two phases, in order. Everyone starts in Active Care while we get your treatment working; once it is stable — usually around 4 months — you move to Maintenance Care at the lower monthly rate. Month-to-month, with 10 days' notice to cancel.
Your first visit
A full 60-minute evaluation of your symptoms, history, goals, and options. No commitment beyond this visit.
Your first-visit fee is credited toward your first month of membership. Enroll within 2 weeks of your visit and we apply what you paid to your first month of Active Care — so you pay just the difference: $79 after a video visit, $29 after an in-person visit.
Active Care
Where everyone starts. The first few months of treatment, when symptoms, medications, refills, labs, side effects, and dose adjustments need closer review.
- Secure portal messaging with your clinician
- Structured symptom updates and medication response review
- Medication adjustments when clinically appropriate
- Prescription and refill management
- Lab guidance and lab review when needed
- Help navigating pharmacy issues and medication options
- Up to 2 optional video visits during Active Care
First-visit fee credited toward your first month when you enroll within 2 weeks of your visit. Additional patient-requested video visits $50.
Maintenance Care
Where you move once stable. Ongoing care after your plan settles — because symptoms, refills, labs, and hormone needs can still change over time.
- Continued secure portal messaging with your clinician
- Ongoing prescription and refill management
- Dose review when symptoms change
- Lab review when needed
- Long-term hormone therapy planning
- Safety monitoring and annual care review
- Up to 1 optional video visit per membership year
Additional patient-requested video visits $50.
Testosterone Support
For patients using testosterone therapy or testosterone-only treatment, due to additional monitoring, refill oversight, lab review, and controlled-substance requirements. It is added on top of whichever phase you are in — not a separate plan you pick instead.
- Testosterone-specific dose review
- Lab guidance and monitoring
- Controlled-substance refill oversight
- Side effect and safety review
- Annual in-person testosterone review included and required
- Required in-person visit before testosterone can be prescribed
Added to Active Care or Maintenance Care. Testosterone-only patients follow the same Active → Maintenance structure.
Weight & Metabolic Care (GLP-1)
Menopause-informed weight care using GLP-1 medication when it is clinically appropriate for you. This is not guaranteed — eligibility is determined by a medical assessment. It begins only after your hormone therapy is established, and it is evaluated as its own separate workup, not as part of your initial visit.
- Medical assessment for GLP-1 eligibility
- GLP-1 prescribing when clinically appropriate
- Dose titration and response monitoring
- Side-effect management and check-ins
- Lab review related to metabolic care
- Pharmacy and supply navigation
Add-on fee covers clinical management only; medication is billed separately by the pharmacy. Begins after hormone therapy is established and is contingent on medical assessment — not guaranteed.
Everyone begins with Active Care for the first 4 months, then moves to Maintenance Care at the lower rate once stable. If your treatment still needs closer adjustment, your clinician may recommend staying in Active Care a little longer. Members who enrolled under earlier pricing keep their existing rate unless specifically notified by the clinic.
Important membership details.
Please review these details before booking or enrolling so expectations are clear from the start.
No one-time prescriptions
We do not provide one-time hormone prescriptions from the initial visit alone. Ongoing prescribing requires active membership.
Louisiana location required
You must be physically located in Louisiana during every interaction with your provider, including video visits, phone visits, and portal messaging.
Medicare & Medicaid
Due to federal regulations, our clinic cannot enter into private membership agreements with patients enrolled in Medicare or Medicaid, even if you wish to pay out-of-pocket.
Is this care right for you?
This is probably right for you if:
- You want a specialist who works in perimenopause and menopause every day
- You want responsive care between visits, without taking off work for every medication question
- You want visits available when you need them, but not required for every adjustment
- You want treatment adjusted based on response, not just the calendar
- You are tired of feeling rushed, dismissed, or told your labs are “normal”
- You value continuity with one provider who knows your full picture
This may not be the right fit if:
- You are looking for a one-time visit or quick prescription without follow-up
- You prefer care handled only through traditional, insurance-based appointments
- You are currently pregnant, trying to conceive, or need fertility or obstetric care
- You want one practice to take over all of your general primary care, including ongoing management of conditions unrelated to the menopause transition
- You are not comfortable communicating through a secure portal between visits
- You are not physically located in Louisiana
For many women, this focused model is exactly what has been missing. For others, traditional care may be a better fit — and that is okay.
Common questions.
I just had my visit. Can I take time to decide?
If I start membership, how quickly can treatment begin?
Do I have to schedule visits for every problem?
Do I have to commit long-term?
What if I just want to refill my prescription occasionally?
How does care between visits work?
Can I still book a visit if I want one?
How does this compare to insurance-based care?
What if I'm not in Louisiana?
Ready to start?
Book your first visit. If treatment is appropriate and you choose to continue, membership is how we manage your care after that.
Already had your visit? Email us to start membership →