How It Is Given
Getting Started
Most Common
Our fee
Three things get billed on this pathway and they come from three different places: our consultation, the laboratory for any bloodwork, and the pharmacy for the prescription. Only the first is ours. Quoted in writing before you commit, in Las Vegas.
What the fee covers
Everything in this list sits inside the single Las Vegas consultation fee rather than appearing later as separate charges. A full symptom and cycle history, a review of your medical and family history, blood pressure, and a discussion of whether hormone therapy is appropriate for you. Where it is, a prescription is issued.
It also covers the reasoning: which form, why that one for you, what the alternatives are and what to expect over the first three months. That is the part that distinguishes an assessment from an order form.
If hormone therapy is not appropriate, the appointment covers what else helps. You are not charged for a prescription you did not receive and you are not sent away without a plan. Worth reading next: what to expect first, hormone therapy cost and what it costs for the rest of it. Some women are told no, and that answer is as much a result of the Las Vegas assessment as a prescription would have been.
Billed separately
Billed by the laboratory. Thyroid function and a blood count are usually covered when clinically indicated; broader panels vary.
Filled and billed by your pharmacy, and covered according to your plan formulary rather than by us.
If your history needs input from a gynecologist, oncologist or cardiologist, that appointment is billed by them.
A shorter appointment than the first. Priced separately and quoted when it is booked.
Follow-up
A first appointment in Las Vegas is the start of a schedule, not a single transaction, and the three-month review is the next fixed point. The three-month review is part of the treatment rather than an upsell. It checks whether symptoms have shifted, whether side effects have settled and whether the dose or form needs changing.
After that, annual review is usually enough unless something changes. A question between appointments does not require a new booking; that is what the phone is for. Worth reading next: mood changes and anxiety, hair and skin changes and side effects for the rest of it. Nothing between those points requires a new booking, and a Las Vegas patient with a question can call rather than wait.
More on cost
Price, coverage, public programs and what our fee includes.
Common questions
What is covered, what is separate and what follow-up costs.
Patient reviews
I had been waking three or four times a night for two years and had been told it was just stress. The consultation actually went through my cycle history. Six weeks on a patch and I am sleeping through.
What I wanted was someone who would talk about the risks honestly rather than sell me something. They walked through the clot data and why a patch suited me better than tablets.
The brain fog was the part nobody warned me about. Having a clinician tell me it was a recognized symptom and not early dementia was worth the appointment on its own.
It took two dose changes before things settled, which they had told me upfront might happen. The three-month review was booked before I left the first appointment.
From the blog
Next step
Ask what the consultation costs, what bloodwork is likely to add and what the review will be. We will answer all three before you book.
Consultations are by appointment. Prescriptions are issued only where clinically appropriate.