Perimenopause + Menopause Care for Women 35+
Finally feel like yourself again.
With specialty care that keeps up with you — between visits, not just at them. Statewide telehealth in Louisiana, in-person care in New Orleans, and treatment that adjusts when your symptoms do.
No chaos. No dismissal. Just answers.
60 minutes with a menopause specialist · Telehealth statewide in Louisiana · In-person in New Orleans
Our Standard
If you're not improving, we'll tell you.
We don't just see you once every few months and hope it's working. You have direct messaging access to your provider — and we adjust your treatment whenever it needs to change. If something isn't working at week three or week six, we change it then. We don't wait.
At three months, we make a different kind of call: is the overall treatment plan working? That means real improvement in your priority symptoms — sleep, mood, brain fog, hot flashes, libido, or vaginal symptoms.
If it's not working, we don't ignore it. We have a direct conversation and adjust your plan, refer you if needed, or stop care. We don't keep patients in treatment that isn't helping them.
To date, that conversation has been needed with about 1 in 100 patients.
Perimenopause & Menopause Care in Louisiana
Why You Feel This Way
Hormone shifts can begin up to 10 years before menopause — long before periods change. That’s why so many women feel “off” even when everything looks normal on paper.
Brain & Mood
- Brain fog
- Irritability
- Anxiety or depression
- Mood swings
Sleep & Energy
- Trouble falling asleep
- Night sweats
- Fatigue
Sexual Health & Hormones
- PMS changes
- Irregular cycles
- Low libido
- Pain with sex
- Vaginal dryness
- Difficulty achieving orgasm
Also common: bloating, weight gain, hot flashes, hair thinning, feeling overwhelmed, low motivation.
Not sure if this is perimenopause? Start here.
Real Outcomes
Real outcomes. Not guesses.
Most members start noticing meaningful changes in the first weeks of treatment. The pace looks different for everyone, but here's what we typically see:
- Sleep improves within 4–12 weeks as hormone levels stabilize and treatment is adjusted
- Hot flashes reduce in frequency and intensity within the first weeks of treatment
- Brain fog & mood improve gradually as treatment is adjusted to what's actually working
Every woman responds differently. We adjust your treatment based on how you're actually feeling — not just what labs show.
What This Looks Like In Practice
Adjustments happen in weeks, not months.
A new member starts treatment. Three weeks in, she messages us:
Sleep is a little better, but I'm still waking up at 3am.
We review her tracker, adjust her progesterone that week. By her next check-in, she's sleeping through the night.
This is how care works here. Direct message access. Real-time adjustments. No waiting until your next appointment to feel better.
Why Specialized Care
Hormone therapy isn't one-size-fits-all.
A prescription is a starting point, not a treatment plan. Perimenopause and menopause symptoms shift over months and years. Hormone therapy works best when it's adjusted to what you're actually experiencing — which means careful follow-through, not a single visit and a refill.
That's what specialty care is for. The Menopause Clinic is structured around this stage of life specifically: symptom-based decisions, ongoing monitoring, and dose adjustments as your needs change. We work alongside your PCP or OB-GYN — but the hormone treatment plan lives here. That's all we do.
Meet Your Team
Specialists who stay with you.
Crystal Burke, FNP-C, MSCP
Co-founder & Clinical Director
Steven Youngblood, MD
Co-founder & Medical Director
The Menopause Clinic is led by clinicians with focused training in perimenopause, menopause, hormone therapy, and women's sexual health. We don't rush visits. We don't dismiss symptoms. And we don't disappear after the first prescription.
Read full bios →How Care Works
Most of the care happens between visits.
The visit is where care starts. Membership is where it actually happens — because perimenopause and menopause aren't one-and-done. Treatment needs ongoing follow-through, and your symptoms don't wait for the next available appointment.
- Direct messaging access to your clinician — questions answered in days, not weeks
- Structured assessments anytime when something changes, you submit one, we review and adjust treatment in days
- No waiting for the next appointment to feel better — adjustments happen between visits, not just during them
- Follow-up visits when you want them telehealth statewide or in-person in New Orleans, on your schedule
- Treatment that adapts with you hormone therapy, sexual health care, and ongoing follow-through, all in one place
- A clinician who stays with you same provider through perimenopause, menopause, and beyond
This is what specialty care should look like — designed for the way perimenopause and menopause actually work, not the way the calendar does.
See how membership works →Ready when you are
You don't have to keep feeling this way.
Care that finally makes sense — and actually helps you feel like yourself again. Start with a $50 video visit with a menopause specialist.
No chaos. No dismissal. Just answers.
60 minutes with a menopause specialist · Statewide telehealth in Louisiana · In-person in New Orleans