Perimenopause
The transition before menopause.
Learn more →Care · California
Care for adults in California after menopause. Long-term symptom support, hormone therapy when appropriate, and follow-up for bone, cardiovascular, and genitourinary health.
Adults in California who have completed the transition through perimenopause and are looking for ongoing care, including hormone therapy management, vaginal and urinary symptom support, and bone or metabolic monitoring.
Schedule a next-day appointment.
Share menopause timing, current treatments, and history.
Review symptoms and options with a clinician.
Ongoing follow-up, prescriptions when appropriate, lab coordination.
Telehealth works well for menopause follow-up, treatment review, and ongoing management. Some patients may need in-person evaluation for specific concerns such as bleeding after menopause.
Telehealth is not a substitute for emergency care. Call 911, go to the nearest emergency room, or for mental health crises call or text 988.
Treatment depends on symptoms and goals. May include hormone therapy, vaginal estrogen, non-hormonal medication, lifestyle support, bone-density monitoring, and cardiovascular risk review.
This service is cash pay. Current pricing is shown in the patient portal at booking. We can provide a superbill for possible out-of-network reimbursement on request.
No. Bleeding after a year without periods always needs evaluation. Please seek in-person care.
Sometimes. Decisions depend on age, time since menopause, and your health profile.
Vaginal estrogen is a localized treatment with a different risk profile from systemic HRT and may be appropriate for many adults.
Often not for diagnosis, but labs may help with planning treatment or monitoring.
Yes, for adults located in California. Some concerns may need in-person care.
Clinical review by Sophia Nairima, FNP-BC, PMHNP-C. Last reviewed May 2026. This page is intended for adult patients located in California and does not replace individualized medical advice.
The transition before menopause.
Learn more →HRT evaluation and management.
Learn more →Genitourinary symptom support.
Learn more →Book a California telehealth visit in the patient portal.