Frequently Asked Questions

We provide comprehensive, evidence-based care for women in perimenopause, menopause, and midlife.
Our care includes:

• Hormone therapy
• Non-hormonal options
• Sexual health support
• Pelvic floor & GSM care
• Thyroid and metabolic health
• Weight management support
• Lifestyle and wellness counseling

We focus on individualized, relationship-based care — not rushed, transactional visits.

Your first visit is a 60 minute comprehensive appointment.
During this time we:

• Review your full health history
• Discuss your symptoms and goals
• Review any labs or records you upload
• Create a personalized treatment plan together
   

This visit sets the foundation for safer, more effective long-term care, even if you feel your current regimen is “working fine.”

This is why all new patients pay the $325 new patient fee — it ensures we have the time needed to understand you.

We are an out-of-network, cash-pay practice.
Here’s why:

Insurance severely limits time with patients and restricts treatment options.
Our model allows us to provide:

• Longer, more thorough visits
• Evidence-based hormone therapy
• Personalized care without rushed appointments
• Transparent, predictable pricing

We provide a superbill you may submit to your insurance for possible reimbursement depending upon your policy.

Yes. We provide virtual visits for established patients across North Carolina when appropriate.
Some care (such as pelvic floor concerns, procedures, or new patient visits) may require in-clinic appointments.

Your visit includes:

• A dedicated appointment with a board certified nurse practitioner who specializes in midlife women's care
• Full review of labs, imaging, and medical records
• Personalized treatment planning
• Direct and clear follow-up instructions
• Secure patient messaging during business hours
• Evidence-based education relevant to your symptoms
• Updating imaging, such as mammograms, and labs as needed

Labs are billed separately by the lab where you choose to have these services performed, such as LabCorp. Your prescriptions are sent to your preferred pharmacy.

We prescribe:

• FDA-approved estradiol (patch, gel, oral)
• FDA-approved micronized progesterone and progestins 
• Testosterone therapy, when appropriate
• Non-hormonal medications when indicated

We do not use pellet therapy.

Many women begin feeling relief within:

• 2–6 weeks on the correct hormone regimen
• Weeks to months for metabolic and weight concerns
• Immediately to weeks for sleep and mood changes
• Consistently over time with a layered, personalized approach

Our goal is always for you to feel like yourself again - safely and sustainably.

Yes. We address the full spectrum of midlife health, including:

• Thyroid dysfunction
• Perimenopause-related weight gain
• Insulin resistance
• GLP-1 therapy when appropriate
• Nutrition, movement, and lifestyle support
• High cholesterol, hypertension
• Mood disorders, such as anxiety

We treat the whole woman, not just the hormones.

Women deserve care that is:

• Up-to-date
• Evidence-based and evidence-informed
• Personalized
• Compassionate

Our nurse practitioners have strong backgrounds in primary care, specialize in midlife women's care, are highly trained and deeply relational.
We don’t rush.
We listen.
We build trust with every woman who walks through our doors.

This is care the way it should be.

Yes — we see women:

• In their late 30s
• Throughout perimenopause
• Fully menopausal
• Post-hysterectomy
• Surgical menopause
• Breast cancer survivors (individualized plans)
   

If you are experiencing symptoms, you are welcome here.

You can schedule directly through our website or call our offices.
Our team will help you choose the provider and appointment type that best fits your needs.

Call our Fuquay clinic at 984-265-2101 or our Raleigh clinic at 919-341-5402.