Follow-up labs and visits are included. Initial labs are $150 once at intake.
Estradiol therapy at Pause and Power Health is designed for women navigating perimenopause and menopause who want real, sustained relief from hot flashes, night sweats, sleep disruption, mood shifts, and the broader cardiovascular and bone health benefits of well-managed estrogen replacement. Our NP prescribes bioidentical estradiol based on your symptoms, labs, and preferences for delivery method.
Several delivery methods are available depending on your preference and clinical fit. Our NP will walk you through the options on your initial consult and help you choose.
Starting dose depends on your menopausal status, symptom severity, and labs. We start low and adjust upward based on how you feel and your follow-up labs.
Women with an intact uterus typically take progesterone alongside estradiol for endometrial protection. Our NP can co-prescribe both as part of a combined hormone plan.
Telehealth removes the parts of traditional wellness care that waste your time. Here's how the journey starts.
Most hormone programs charge separately for follow-up labs and visits. We bundle them in.
$149 per month covers your estradiol subscription, all follow-up video visits (6 weeks, 3 months, 6 months, annual in Year 1; annual after that), and all routine follow-up lab panels. Initial labs are $150 once at intake. Initial consult is free. A flat $25 monthly shipping fee covers delivery.
Estradiol therapy is well-supported for symptom management and long-term health protection in the right patients. Our NP takes time to walk you through the benefits and risks based on your specific history.
The bioidentical estradiol we prescribe is compounded by a California-licensed 503A pharmacy specifically for you based on your clinical visit. Compounded medications are not separately approved by the FDA as finished pharmaceutical products. They are legal under federal and California law when prescribed for a specific patient based on a clinical evaluation. Commercially-manufactured FDA-approved options are also available if you prefer; Our NP will discuss both with you.
Hormone therapy involves real benefits and real risks. Our NP takes time on your initial consult to walk through your personal and family history, weigh the considerations, and make sure starting therapy is the right call for you. We aren’t here to push hormone therapy on anyone; we’re here to help you make an informed decision.
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Most women with an intact uterus need progesterone alongside estradiol for endometrial protection. Women who have had a hysterectomy typically take estradiol alone. Our NP will discuss this with you on your initial consult and co-prescribe both medications if needed.
Hormone therapy is typically continued as long as the benefits outweigh the risks, which for most women is many years. We re-evaluate annually and adjust the plan based on your symptoms, labs, and current research.
Yes. The initial 30 to 45 minute video consult with our NP is free. You only pay if you decide to start the program. There’s no obligation and no pressure if it turns out this service isn’t right for you.
No. Pause and Power Health is a telehealth program licensed in California. Patients can be located anywhere in the state, from San Diego to the Bay Area. Your video visit happens wherever you have a private space and an internet connection, and your medication ships to your home.
After your consult, our NP sends the prescription to a California-licensed pharmacy. The pharmacy ships your monthly supply directly to your home with everything you need. A flat $25 monthly shipping fee covers delivery.
Pause and Power Health is a cash-pay practice. We don’t bill insurance directly. On request, we can provide an itemized superbill that you may submit for possible out-of-network reimbursement. Most patients use HSA or FSA funds toward consultations and medications.