Our services
Menopause care, one visit at a time
Explore menopause and perimenopause care, hormone therapy consultations, vaginal and urinary concerns, and testing. Start with a 60-minute Initial Consultation.
Skip to content
Perimenopause & Menopause Care
Make time to talk through the changes you are noticing during perimenopause or menopause. Your 60-minute initial consultation with Marisa includes a review of your history, concerns, and priorities, with space for your questions. Together, you will discuss your options and possible next steps, including follow-up care.
Hormone Therapy (MHT/HRT)
Have you been told birth control pills are your only option for perimenopause symptoms? Menopausal hormone therapy may be another option. It supplements estrogen as your natural levels change and decline during the menopause transition, with progesterone or a similar medication added when needed to protect the uterine lining. Different forms and doses allow treatment to be tailored to your symptoms, health history, and preferences, with adjustments based on your response. Marisa will help you explore what is appropriate for you. Menopausal hormone therapy does not prevent pregnancy.
Vaginal & Urinary Health
Discuss vaginal or urinary changes in a private, judgment-free setting. You can bring questions about comfort, intimacy, or changes in your bladder habits, even if they feel difficult to talk about. Symptoms may include vaginal dryness, burning or irritation, discomfort during sex, and needing to urinate more often or more urgently.
Labs & Testing
Testing is considered in the context of your history, concerns, and care needs. Marisa will discuss whether labs are appropriate, what they may help clarify, and how the results could inform your next steps. Outside labs bill you directly; we can provide an estimate before testing, but the lab determines the final cost. Results are reviewed together, with care-plan adjustments discussed when needed.
Bone Health
Understand your bone health as part of your menopause care. Marisa will order a DXA scan, review your results alongside your medical history and risk factors, and discuss what they mean for your next steps. Your conversation may include nutrition, physical activity, and whether further evaluation or treatment is appropriate for you.
Lifestyle Support
Build everyday habits that fit your life with support through Ongoing-care Membership. Conversations may explore movement, nutrition, sleep, and managing stress, with practical goals shaped around your priorities. Regular check-ins provide space to talk about what is working, what feels challenging, and how to take your next step.