Hormone Therapy

Hormone Therapy & (Peri)Menopause Care

Having symptoms of perimenopause or menopause? You’re not alone—and you don’t have to navigate it without support.

Perimenopause and menopause symptoms can range from annoying to life-disrupting, yet most medical providers receive very little training in menopause care. That’s why I became a Menopause Society Certified Practitioner—so I could provide women with access to informed, evidence-based, compassionate treatment.

Women deserve to be heard, respected, and empowered to make decisions about their bodies. Hormone therapy is effective, but it is not one-size-fits-all. Bioidentical hormone replacement therapy (BHRT) can be life-changing for many women, but it isn’t the best choice for everyone. My role is to help you understand the evidence, evaluate your symptoms and goals, and partner with you to find the safest, most effective treatment plan.

If labs are needed or desired, we’ll start there—then we’ll create a personalized plan together.

Get started

Last updated: June 4, 2026. Medically reviewed by Suzette Iverson, PA-C, MPH, MSHS, CHC, MSCP.

At a glance

Best fit: Women in perimenopause or menopause seeking more time, nuance, and shared decision-making.
Visit options: Telehealth for appropriate patients in Washington and Utah, with in-person access in Gig Harbor.
Care may include: Hormone therapy education, non-hormonal options, lifestyle support, and lab review.
Fee model: Cash-pay visits with transparent pricing and superbills available for possible reimbursement.

Common Symptoms of Perimenopause & Menopause

Symptoms vary widely and may include:

Mood changes, anxiety, depression, irritability
Brain fog, difficulty concentrating
Sleep disruption or insomnia
Hot flashes, night sweats
Decreased libido or sexual discomfort
Irregular periods, breast tenderness
Headaches, dizziness, heart palpitations
Weight gain, bloating, digestive changes
Joint pain, muscle tension, decreased strength
Hair loss, brittle nails, itchy or dry skin
Tinnitus, burning mouth, tingling sensations
Vaginal dryness, urinary urgency or frequency

Treatment Options

Your treatment plan may include:

Bioidentical hormone replacement therapy (BHRT)
Other forms of menopausal hormone therapy (MHT)
Non-hormonal medication options
Supplements and evidence-based lifestyle strategies tailored to your needs

Together, we’ll build a plan that supports your symptoms, goals, and overall well-being—so you can feel like yourself again.

Frequently asked questions

Who is menopausal hormone therapy for?

This service is for women in perimenopause or menopause who want an individualized discussion of symptoms, goals, medical history, risk factors, and hormonal and non-hormonal treatment options.

Do I need lab testing before starting care?

Not always. Labs can be helpful in select situations, but menopause care often starts with symptoms, menstrual history, health risks, and treatment goals rather than a single hormone level.

Is telehealth available?

Yes. Telehealth visits are available for appropriate patients located in Washington and Utah, with in-person access available through the Gig Harbor practice location when needed.

Does Awaken Women's Health accept insurance?

Awaken Women's Health is a cash-pay practice. You may use your HSA funds, and you can still use insurance for many labs and medications. A superbill can be provided for possible out-of-network reimbursement.

Clinical grounding

Care discussions are informed by clinical training, patient goals, and current guidance from menopause-focused organizations.

Fees

To provide the personalized, unrushed care I believe every patient deserves, I do not accept insurance at this time. You can still use your insurance for lab tests and medications, and I will provide a superbill that you can submit to your insurance for reimbursement if you wish.

Initial Visit: $325 (up to 60 minutes)
Follow-up Visit: $175 (up to 30 minutes)

Disclaimer: Unfortunately, due to Medicare laws, I am unable to treat women age 65+.

Menopause care by location

Awaken Women's Health serves women in perimenopause and menopause through telehealth in Washington and Utah.