I provide menopause and perimenopause care for adult women typically from their mid-30s through their 60s and beyond. Many of my patients are experiencing changes during perimenopause, the transition leading up to menopause, while others are navigating symptoms after menopause.

Menopause is not a single moment in time — it is a process that can impact many areas of health and quality of life, including sleep, mood, energy, cognition, sexual health, bone health, and overall well-being. My goal is to help women understand what is happening in their bodies and create an individualized plan based on their symptoms, health history, and goals.

Yes. I provide virtual menopause and hormone therapy care to women throughout New Mexico through secure telemedicine visits.

Virtual care can be especially valuable for women who live in rural communities or areas where access to menopause specialists is limited. Whether you live in Albuquerque, Santa Fe, Las Cruces, Farmington, Roswell, or a smaller New Mexico community, you can access personalized menopause care without the burden of frequent long-distance travel.

When appropriate, labs, imaging, prescriptions, and other recommended healthcare services can often be completed locally.

This practice may be a good fit if you are looking for personalized menopause or perimenopause care that takes the time to understand your symptoms, health history, concerns, and goals.

Many women seek care because they are experiencing symptoms such as hot flashes, night sweats, sleep changes, mood changes, brain fog, vaginal dryness, painful intercourse, changes in libido, or simply a feeling that their body is changing and they want guidance.

My approach is not to assume that every woman needs hormone therapy. Instead, we take the time to understand what is happening and discuss options that make sense for your individual situation, whether that includes hormone therapy, non-hormonal approaches, additional evaluation, or lifestyle recommendations.

Hormone therapy is not the right choice for every woman, and my goal is always to provide care that is safe, evidence-based, and personalized to your individual health history and goals.

Some women may not be good candidates for hormone therapy because of certain medical conditions, health risks, or other factors that require a different approach. During your consultation, we will carefully review your medical history, symptoms, and risk factors to determine whether hormone therapy is appropriate for you.

This practice may also not be the best fit for women who are looking for a quick prescription without a thorough evaluation, prefer in-person-only visits, or need a level of care that requires ongoing management by a local healthcare team or specialist.

Menopause care is about more than prescribing hormones. Sometimes the best plan includes hormone therapy, while other times it may include non-hormonal options, additional evaluation, lifestyle recommendations, or coordination with your existing healthcare providers.

If you are unsure whether this type of care is right for you, I encourage you to schedule a consultation so we can discuss your individual situation and determine the best next step.

Absolutely. I believe menopause care works best as part of a collaborative healthcare approach.

My role is to provide specialized menopause and hormone therapy guidance while supporting the relationship you already have with your primary care provider, gynecologist, or other healthcare professionals.

Your other healthcare providers remain important partners in your overall health, including preventive screenings, management of chronic conditions, and other aspects of your medical care.

Scheduling is simple. You can schedule your consultation directly through my website by choosing an appointment time that works best for you.

After scheduling, you will receive information about your upcoming visit, including instructions for completing your intake paperwork and connecting through the secure telemedicine platform.

Before your first appointment, you will complete a detailed health history and intake questionnaire so that I can better understand your symptoms, medical history, concerns, and goals before we meet.

My goal is to make the process as straightforward as possible while ensuring that we have the information needed to make your consultation meaningful and personalized.

The frequency of visits depends on your individual needs, symptoms, treatment plan, and goals.

Typically, we begin with a comprehensive initial consultation where we review your health history, symptoms, concerns, and treatment options. Depending on your situation, we may schedule follow-up visits to review testing, evaluate how your treatment plan is working, and make adjustments as needed.

Once your care plan is established and you are doing well, follow-up visits are usually spaced out based on your individual needs.

Menopause care is an ongoing process, and my goal is to provide the appropriate amount of support while helping you feel confident managing your health.

Communication between visits is an important part of personalized care.

You will have access to secure methods of communication for questions related to your care. Details about how to contact the practice and expectations for communication are reviewed when you begin care.

Because menopause care often involves adjusting to changes over time, having a way to ask questions and share updates helps us make thoughtful decisions together.

My practice is a direct-pay (cash-pay) menopause care clinic, which means I do not bill insurance for visits. This allows me to provide longer, more personalized appointments focused on your individual concerns, symptoms, health history, and goals without the limitations of traditional insurance-based visit structures.

Many patients choose this model because they value having more time with their provider, a thorough evaluation, and a collaborative approach to their menopause care.

Although visits are not billed through insurance, you may still be able to use your insurance for certain services when appropriate, such as prescription medications, laboratory testing, imaging, mammograms, or other recommended screenings. I will help guide you on what may be needed as part of your care plan.

For many women experiencing symptoms related to perimenopause and menopause, hormone therapy can be a safe and effective treatment option when it is prescribed appropriately and individualized to their needs.

A lot of the fear surrounding hormone therapy comes from older studies and from the way those findings were interpreted and communicated over time. We now understand that the safety of hormone therapy depends on many factors, including a woman's age, timing of treatment, personal health history, family history, the type of hormones used, the dose, and the route of administration.

Hormone therapy is not a one-size-fits-all treatment. The right approach for one woman may not be the right approach for another. During your consultation, we take the time to review your symptoms, health history, risk factors, and goals so that we can determine whether hormone therapy is appropriate for you and what options may best fit your situation.

My goal is not to prescribe hormones to every woman. My goal is to help you understand your options, weigh the potential benefits and risks, and make a thoughtful decision about the care that is right for you.

Hormone therapy, like any medical treatment, has potential risks that should be discussed as part of a shared decision-making process. The risks are not the same for every woman and depend on factors such as your age, when you start therapy, your personal and family health history, the type of hormones used, the dose, and the route of administration.

Some potential risks that may be considered when evaluating hormone therapy include changes in bleeding patterns, breast tenderness, and other side effects that can occur when starting or adjusting therapy. More serious risks, such as blood clots, stroke and cancer related risks depend on individual risk factors and the specific type of hormone therapy being used.

During your consultation, we will review your personal health history, discuss any risk factors, and talk through the potential benefits and risks so you can make an informed decision about whether hormone therapy is right for you.

The goal is not to eliminate all risk—because no medical treatment is completely without risk—but to understand your individual situation and choose the safest and most appropriate approach for your health goals.

Depending on your individual situation, we may review or discuss:

• Breast cancer screening recommendations, such as making sure mammograms are up to date when appropriate

• Cervical cancer screening recommendations based on your age and screening history

• Any abnormal or unexplained vaginal bleeding, which should be evaluated before starting hormone therapy

• Cardiovascular health factors, including blood pressure, cholesterol, smoking history, and personal or family history of cardiovascular disease

• Symptoms or concerns that may require additional evaluation before starting treatment

Laboratory testing is not automatically required for every woman before starting hormone therapy. In many cases, your symptoms, menstrual history, age, and overall health history provide the most important information for guiding treatment decisions. When additional testing is recommended, we will discuss the purpose of the testing and how it helps guide your care.

The goal is to make sure hormone therapy is being used safely, thoughtfully, and in a way that fits your individual health needs.

Not every woman needs laboratory testing before starting hormone therapy.

Menopause care is primarily guided by your symptoms, health history, age, menstrual history, and individual goals. For many women in the typical age range for perimenopause and menopause, these factors provide the most useful information when deciding whether hormone therapy may be appropriate.

Hormone levels naturally fluctuate during perimenopause, which means a single hormone level does not always tell the complete story of what is happening in your body. In many cases, listening carefully to your symptoms and understanding your overall health provides more meaningful information than relying only on laboratory results.

There are situations where testing may be helpful, such as when symptoms are unclear, there is concern about another medical condition, or additional information is needed to guide treatment decisions.

If testing is recommended, we will discuss why it is being ordered and how the results will help guide your care. The goal is to use testing thoughtfully—not to order unnecessary tests, but to gather the information needed to create the safest and most effective plan for you.

The amount of time it takes to notice improvement with hormone therapy varies from woman to woman and depends on the symptoms being treated.

Some women notice improvement within a few weeks, while other symptoms may take longer to improve. For example, hot flashes and night sweats may respond relatively quickly for some women, while changes related to sleep, mood, vaginal symptoms, sexual health, or overall well-being may take more time.

Finding the right treatment plan is often a process. It may involve adjusting the dose, changing the type of hormone therapy, or addressing other factors that may be affecting your symptoms.

Follow-up visits are an important part of menopause care because they allow us to evaluate how you are responding, discuss what is improving, and make thoughtful adjustments when needed.

The goal is not simply to start medication—it is to find the approach that helps you feel your best while keeping your care safe and personalized.

Hormone therapy is an important option for many women, but it is not the right choice for everyone.

If hormone therapy is not recommended because of your health history, personal preferences, or individual risk factors, there are still many ways to address menopause symptoms and support your well-being.

Depending on your symptoms and goals, we may discuss options such as:

• Non-hormonal medications for specific menopause symptoms

• Vaginal therapies for genitourinary symptoms

• Lifestyle strategies that support sleep, energy, bone health, and overall wellness

• Pelvic health support when appropriate

• Other individualized approaches based on your needs

My goal is not to promote one treatment option over another. The goal is to understand what is happening in your body, discuss the available options, and create a plan that fits your health, preferences, and lifestyle.

Yes. When appropriate, I often use FDA-approved bioidentical hormone therapy as part of an individualized menopause care plan.

"Bioidentical" means that the chemical structure of the hormone is identical to hormones naturally produced by the human body. Many FDA-approved hormone therapy options, including certain forms of estradiol and micronized progesterone, are bioidentical.

However, there is no single hormone therapy option that is right for every woman. My approach is to use the full range of evidence-based treatment options available, including bioidentical hormones, other hormone therapy options, and non-hormonal treatments when appropriate.

For some women, a different hormonal option, such as a contraceptive approach during perimenopause, may be the best choice depending on factors such as age, need for pregnancy prevention, bleeding patterns, symptoms, health history, and individual goals.

During your consultation, we will discuss the benefits and considerations of different options and work together to determine the approach that best fits your health, preferences, and lifestyle.

The goal is not simply to choose a specific type of hormone—the goal is to choose the right treatment plan for you.

Yes, testosterone therapy may be an appropriate option for some women when specific symptoms and clinical criteria are present.

Testosterone therapy is most commonly considered for women experiencing persistent low sexual desire that causes personal distress, after other contributing factors have been evaluated.

When testosterone therapy is considered, I follow evidence-based recommendations and carefully evaluate each woman's symptoms, health history, goals, and potential benefits and risks.

The goal of testosterone therapy is not to increase testosterone levels simply because a laboratory value is low. The goal is to address specific symptoms and improve quality of life when treatment is appropriate.

If testosterone therapy is part of your care plan, we will discuss the available options, expected benefits, monitoring, and what to expect throughout treatment.

Yes. For many women, virtual menopause care can be an effective and convenient way to receive high-quality, personalized care, especially when specialized menopause expertise may not be available locally.

Many aspects of menopause care can be successfully provided through secure telemedicine, including reviewing your symptoms and health history, discussing treatment options, creating a personalized care plan, prescribing appropriate medications, and providing ongoing follow-up and support.

Virtual care can also make specialized menopause care more accessible for women throughout New Mexico, including those who live in communities where menopause-focused providers may be limited.

However, safe menopause care is about much more than the location of the visit. It requires taking the time to understand your individual situation, reviewing your health history, identifying appropriate screenings, discussing risks and benefits, and creating a treatment plan that fits your needs.

When additional evaluation, testing, imaging, or collaboration with another healthcare provider is needed, those services can often be coordinated locally.

The goal is to provide thoughtful, evidence-based menopause care while making access easier and more convenient for women across New Mexico.

Providing safe menopause care through telehealth requires the same level of thoughtful evaluation and clinical decision-making as any other healthcare visit.

Before recommending hormone therapy, I take the time to review your medical history, symptoms, health goals, risk factors, and any relevant preventive screenings. Your care plan is based on your individual situation—not a one-size-fits-all approach.

Your initial consultation includes a comprehensive evaluation where we discuss your concerns, review your health history, and determine whether hormone therapy or another treatment approach is appropriate.

When needed, I may recommend additional testing, screening, or coordination with your existing healthcare providers before starting treatment.

Follow-up care is also an important part of safe hormone therapy. These visits allow us to evaluate your response, discuss any concerns, and make adjustments to your treatment plan when needed.

Telehealth does not mean less personal care. My goal is to provide the same thoughtful, individualized menopause care you would expect from an in-person visit while making it more accessible for women throughout New Mexico.