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.
is another month of symptoms
you don't have to have.
Spots are limited by provider capacity.
like yourself again?
If treatment is appropriate, membership is how care continues.
Current $70/$95 membership pricing is available for patients who enroll before June 17. Beginning June 17, new members will start in Active Care for the first 4 months, then move into Maintenance Care once the treatment plan is more stable.
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.
You can always schedule a visit when you want one or when a longer conversation is needed. Most day-to-day adjustments do not require a visit. The 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.
Current Pricing
Current tiers are available until June 17.
If you enroll before June 17, you may choose from the current membership tiers below after your first visit, if treatment is appropriate. Month-to-month, with 10 days’ notice to cancel.
Essential
Best for: patients who want ongoing care, medication management, and portal-based support without scheduled visits included.
- Secure portal messaging with your clinician
- Structured symptom updates and treatment guidance
- Prescription management and refill support
- Lab guidance and lab review when clinically appropriate
- Treatment adjustments when clinically appropriate
- Visits always available to schedule when needed or preferred
Not available for testosterone therapy. Testosterone requires Comprehensive Care under the current pricing model.
Comprehensive
Best for: patients actively dialing in treatment, recently adjusted, using testosterone, or wanting included check-in visits.
- Everything in Essential
- Up to 3 optional video visits per year
- Quarterly symptom check-ins by video or questionnaire
- Priority messaging
- 1 annual in-person visit required if using testosterone
Required for testosterone therapy under current pricing. Optional additional visits: video $50 · in-person $100.
Concierge
Best for: patients who want maximum access, more frequent visits, and premium flexibility.
- Tailored communication and access
- More frequent visits when appropriate
- Premium scheduling flexibility
- Set up by request after your visit
Current tiers are being replaced for new enrollments beginning June 17. Existing members are not automatically changed unless specifically notified by the clinic.
New Pricing
Starting June 17: higher-touch care first, lower-cost maintenance once stable.
Beginning June 17, new members will move through two phases of care: Active Care while treatment is being started and adjusted, then Maintenance Care once the plan is more stable.
Active Care
Best for: the first few months of treatment, when symptoms, medications, refills, labs, side effects, and dose adjustments often 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
Additional patient-requested video visits are available for $50.
Maintenance Care
Best for: ongoing care once your treatment plan is more stable — 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 are available for $50.
Testosterone Support
For: patients using testosterone therapy or testosterone-only treatment, due to additional monitoring, refill oversight, lab review, and controlled-substance requirements.
- 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
Testosterone support is added to Active Care or Maintenance Care. Testosterone-only patients still follow the same Active Care → Maintenance Care structure.
Most new treatment plans begin with Active Care for the first 4 months. If your plan is stable after that, you transition to Maintenance Care at the lower monthly rate. If symptoms or medications still need closer adjustment, your clinician may recommend extending Active Care before moving to Maintenance.
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 are seeking general primary care, such as blood pressure, diabetes, or cholesterol management
- 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 →