Midlife Hormone Care

Perimenopause and menopause can affect far more than your menstrual cycle. Changes in your menstrual cycle, sleep, mood, energy, weight, cognition, libido, body composition, and how you feel day to day can emerge gradually, overlap, and change over time.

Hormonal transition may be part of the picture, but it is not always the whole picture.

Perimenopause & Menopause Care in Texas

You Might Be Experiencing...

Weight gain around your midsection



Night sweats or hot flashes



Mood swings, irritability or anxiety



Brain fog and forgetfulness



Sleep disturbances or waking throughout the night



Irregular, heavier or unpredictable cycles

At ReviveHer Health, we evaluate perimenopause and menopause symptoms alongside your menstrual and reproductive history, health history, life stage, medications, risk factors, relevant clinical findings, and goals. This helps us determine what may be contributing to how you feel and what care makes sense for you.

Fatigue that sleep does not fully fix



Low libido or changes in intimacy


Difficulty concentrating



Hair thinning or changes in skin


Joint discomfort or body aches



Reduced exercise tolerance

If you are ready to better understand your health and what deserves attention next, Discovery is where we begin.

You will receive a comprehensive clinical evaluation, thoughtful interpretation of your findings, and clear recommendations so you can understand what deserves attention and what comes next.

$597

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Please note: Medical care is currently available to adult women in Texas.

Midlife symptoms can overlap, which is why we look at the broader clinical picture rather than evaluating each concern in isolation.


What We May Evaluate

Depending on your symptoms, health history, life stage, risks, and previous testing, your evaluation may include:

MENSTRUAL & REPRODUCTIVE HEALTH

MENOPAUSE-RELATED SYMPTOMS

Changes in cycle length, bleeding patterns, menstrual symptoms, reproductive history, contraception, and where you may be in the menopause transition.

Hot flashes, night sweats, sleep changes, mood changes, brain fog, vaginal or urinary symptoms, sexual health concerns, and other symptoms that may occur during the menopause transition.

THYROID HEALTH

METABOLIC HEALTH

Thyroid function and relevant thyroid history when symptoms or clinical circumstances warrant evaluation.

Glucose regulation, insulin resistance, body composition or weight changes, and other metabolic factors that may influence long-term health.

CARDIOVASCULAR RISK

NUTRITIONAL & OTHER CONTRIBUTORS

Blood pressure, cholesterol and other lipid-related markers, family history, and additional risk factors that become increasingly important through midlife.

Nutritional status and other clinical factors that may contribute to concerns such as fatigue, hair changes, cognition, or how you feel overall.

Not every patient needs the same testing. Laboratory evaluation is selected based on your individual clinical picture and interpreted alongside your symptoms and health history.

What Care May Include

Depending on your individual needs, care may include:

MENOPAUSAL HORMONE THERAPY
When appropriate, hormone therapy may be considered for symptoms related to the menopause transition. We will discuss potential benefits, risks, treatment options, and whether hormone therapy makes sense for you.

NON-HORMONAL TREATMENT OPTIONS
Hormone therapy is not the only option. Non-hormonal medications and other evidence-based approaches may be considered based on your symptoms, medical history, preferences, and treatment goals.

VAGINAL & URINARY HEALTH
Treatment options may be considered for vaginal dryness, discomfort, painful sex, urinary symptoms, and other concerns associated with genitourinary syndrome of menopause.

METABOLIC & CARDIOVASCULAR HEALTH
Care may address weight and body-composition changes, glucose and insulin regulation, blood pressure, cholesterol, and other factors that influence long-term health through midlife.

NUTRITION, LIFESTYLE & TARGETED SUPPORT
Nutrition, movement, sleep, stress, and targeted supplementation may be incorporated when appropriate as part of your overall treatment strategy.

MONITORING & FOLLOW-UP
Treatment is not simply started and forgotten. We monitor your response, symptoms, safety, and progress and make thoughtful adjustments when needed.

Your treatment plan is individualized based on your symptoms, health history, risks, preferences, and goals.


Midlife Hormone Care May Be Right for You If...

  • You are noticing changes in your health during perimenopause or menopause and want to better understand what may be contributing.
  • Your symptoms affect how you feel, function, sleep, work, exercise, or experience daily life.
  • You want to explore whether hormone therapy, non-hormonal treatment, or another approach may be appropriate for you.
  • You want your metabolic, cardiovascular, thyroid, and overall health considered alongside your menopause-related concerns.
  • You value evidence-based recommendations tailored to your individual health picture, risks, preferences, and goals.
  • You want ongoing follow-up and the ability to adjust care as your needs change.

PATIENT EXPERIENCES

I felt like someone looked at the full picture — my symptoms, labs, history, and goals. I left with clarity instead of confusion.

For the first time,

Not Ready To Book Yet?

If you’re interested in ReviveHer Health but aren’t ready to begin Discovery, you have two simple ways to learn more first.

This complimentary 10-minute call is an opportunity to ask general questions about ReviveHer Health, how care works, and whether our approach may be a good fit for what you’re looking for.

The Clarity Call is not a medical consultation and does not include individualized medical advice, lab review, diagnosis, or treatment recommendations.

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Learn more about common women’s health concerns and the way ReviveHer Health approaches evaluation and care.

Our educational webinars are designed to help you better understand relevant health topics, learn how we think about the full clinical picture, and decide whether Discovery feels like the right next step for you.

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Frequently Asked Questions

Do I need to know if I am in perimenopause or menopause before booking?

No. Many women come to ReviveHer Health because they are experiencing changes but are not sure where they are in the menopause transition.

We consider your symptoms, menstrual and reproductive history, health history, age and life stage, and risk factors, with laboratory testing used when clinically appropriate to evaluate other potential contributors or clarify specific clinical questions.

What if my labs have been normal?

That is common. Perimenopause is usually evaluated based on the overall clinical picture, and hormone levels can fluctuate throughout the menopause transition, so a single laboratory result may not explain what you are experiencing.

We consider your symptoms, menstrual history, medical history, life stage, risk factors, and clinically appropriate laboratory findings together rather than relying on one number alone.

Is this only for women who want hormone therapy?

No. Hormone therapy may be appropriate for some women, but it is not the only treatment option.

Depending on your individual needs, care may include hormone therapy, non-hormonal prescription options, nutrition and lifestyle strategies, metabolic health support, targeted supplementation, and ongoing monitoring.

 How do you decide if hormone therapy is safe for me?

Before recommending hormone therapy, we review your symptoms, personal and family health history, medications, risk factors, goals, and factors that may affect whether hormone therapy is appropriate or safe for you.

If hormone therapy may be appropriate, we’ll discuss the potential benefits, risks, available options, and monitoring so you can participate in an informed decision about your care.

Can you help if I am still having periods?

Yes. Perimenopause can begin years before your final menstrual period.

Many women seek care while their periods are still regular or while cycles are becoming irregular, heavier, lighter, or less predictable. You do not need to have stopped having periods to begin an evaluation.

Can you help with weight gain during perimenopause or menopause?

Yes. Changes in weight and body composition during midlife can be influenced by multiple factors, including the menopause transition, sleep, metabolic health, thyroid function, changes in muscle mass and body composition, medications, nutrition, physical activity, and other health factors.

We evaluate the broader clinical picture rather than assuming that every midlife weight change has the same cause or requires the same treatment.

What if I am not a candidate for hormone therapy?

You may still have other treatment options.

If hormone therapy is not appropriate for you, we can discuss non-hormonal medications and other clinically appropriate strategies based on your symptoms, health history, risks, preferences, and goals.

How much does treatment cost after Discovery?

The Discovery Health Assessment is the required first step for new patients and is $597.

If ongoing care is recommended and you choose to continue, treatment programs range from $997 to $3,997, depending on the level of care and support included.

We will explain the treatment pathway and level of support recommended for you, along with the associated investment, before you decide whether to enroll.

What is the difference between perimenopause and menopause?

Perimenopause is the transition leading up to menopause, when ovarian hormone patterns and menstrual cycles begin to change. Symptoms can occur during this transition even while periods are still happening. Menopause is reached after 12 consecutive months without a menstrual period, when there is no other explanation for the absence of periods.
At ReviveHer Health, we look at your symptoms, menstrual history, overall health, and relevant clinical information together rather than relying on a single symptom or lab result.

Can perimenopause cause symptoms even when my periods are still regular?

Yes. Symptoms can begin during perimenopause before periods become noticeably irregular. Changes in sleep, mood, temperature regulation, energy, cognition, sexual health, and other areas may occur while menstrual cycles are still present.
If you're experiencing changes that are affecting how you feel or function, a comprehensive evaluation can help determine what may be contributing and what deserves attention next.

Do I need hormone testing to know if I am in perimenopause?

Not necessarily. For many women in the typical age range with a compatible menstrual history and symptoms, perimenopause is primarily a clinical diagnosis. Hormone levels can fluctuate substantially during the transition, so a single hormone measurement may not provide a complete picture.
Testing may still be appropriate when the clinical picture is unclear, when another condition needs to be considered, or when additional information would change the evaluation or treatment plan.

You Don’t Have to Keep Guessing

If something has changed in how you feel, the next step is understanding the full picture.

Your Discovery Health Assessment brings your symptoms, health history, life stage, and clinical findings together so you can understand what may be contributing and what makes sense to do next.
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Discovery Health Assessment | $597