Perimenopause, Menopause, & Hormone Imbalance Support

Modern midlife medicine. Private access. Precision care.

The Comprehensive
Longevity Consultation 

$400 | A 60–75 minute private medical evaluation.

This consultation is a deep, strategic assessment of your hormonal, metabolic, and cognitive health. It is designed to uncover the root contributors to fatigue, brain fog, weight gain, sleep disruption, mood changes, libido concerns, and long-term cardiometabolic risk.

Your visit includes a detailed symptom and medical history review, full hormone evaluation planning, iron and ferritin optimization strategy, thyroid and metabolic assessment, neuro-informed review of cognition and stress response, personalized longevity roadmap, discussion of hormone therapy options, weight management strategy when appropriate, and medication review and adjustment.

Labs are ordered separately and typically range from $200–$350 depending on the depth of testing required.

We focus on optimization — not simply being “within normal limits.” Hormone levels, thyroid function, and iron stores are evaluated with an emphasis on symptom resolution and physiologic balance.

True optimization is a process. Treatment plans are refined over time to ensure safety, effectiveness, and sustainability.

The Concierge Longevity Membership 

$375/Month | Premium medical access and ongoing
support at your fingertips.

Designed for women who value convenience, priority access, and consistent medical oversight throughout perimenopause and menopause.

Membership includes priority scheduling, expedited appointments, direct messaging access for non-emergent needs, ongoing follow-up care as clinically appropriate, medication management and adjustments, lab ordering at any time, hormone and thyroid refinement, iron optimization monitoring, weight and metabolic plan adjustments, and support for acute needs such as UTIs, yeast infections, cold sores, sleep concerns, and anxiety management but not limited to.

Labs are not included in membership pricing.

Hormone and longevity medicine require thoughtful adjustments over time. This model ensures you are supported and never navigating changes alone. You have a dedicated medical provider guiding your health consistently.

Precision Follow-Up Appointments

$150 | Follow-up visits are focused, intentional sessions designed to refine and elevate your care plan.

These appointments include advanced lab interpretation, hormone titration and adjustment, iron level monitoring and optimization, thyroid refinement, metabolic recalibration, medication management, and ongoing symptom evaluation.

Midlife physiology shifts — and your treatment evolves accordingly.

Comprehensive Medication Management

Your care extends beyond hormones.

As your midlife medical provider, Dannielle offers comprehensive prescribing support including estrogen, progesterone, and testosterone therapy, thyroid medications, GLP-1 and metabolic medications, anxiety and mood support when appropriate, sleep support prescriptions, cold sore and yeast infection treatment, UTI management, acne and dermatologic prescriptions, perimenopausal migraine support, and iron deficiency treatment and monitoring.

Your care is integrated, responsive, and convenient.

Advanced Lab & Longevity Panels

Testing may include comprehensive hormone panels, iron and ferritin optimization, thyroid panels, cardiovascular risk markers, insulin resistance evaluation, lipid particle analysis, inflammatory markers, vitamin and nutrient optimization, and cortisol or stress markers.

We interpret labs through the lens of midlife physiology — aiming for functional optimization, not minimum reference range thresholds.

Perimenopause and menopause can feel like an overhaul — physically, emotionally, and metabolically. What once worked may no longer work. Energy shifts. Recovery shifts. Resilience shifts.

This is the time to recalibrate with intention and expert guidance.

Women’s Health HRT & Longevity Medicine provides elevated, supportive, and convenient care for women ready to optimize long-term vitality. San Diego–based and serving women throughout California via secure telehealth.

If you are ready to feel clear, strong, metabolically resilient, and fully supported during this transition, schedule your consultation today. Experience modern midlife medicine with concierge-level access and personalized care designed to maximize your potential.

Partner Testosterone &
Metabolic Optimization

While our primary focus is women’s midlife health, we also offer selective testosterone and metabolic optimization services for men  particularly partners of established patients seeking coordinated care. Midlife changes affect men as well. Fatigue, reduced muscle mass, weight gain, mood changes, decreased motivation, brain fog, and lowered libido are often related to hormonal and metabolic shifts. Our approach includes comprehensive lab evaluation, including total and free testosterone, metabolic markers, thyroid function, iron levels, lipid risk assessment, and cardiovascular screening. We prioritize safety, proper dosing, and ongoing monitoring  not quick prescriptions.

Testosterone therapy, when clinically indicated, is thoughtfully managed with careful follow-up and lab review to ensure physiologic balance and long-term health protection. We also provide support for erectile dysfunction, metabolic health, thyroid concerns, and lifestyle optimization as part of our longevity-focused model. This is not a high-volume testosterone clinic. It is selective, monitored, medical optimization delivered within our concierge-style framework.

If you and your partner are ready to approach midlife with strategy and intention, we offer coordinated care designed to support strength, vitality, and long-term wellness for both of you.