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Clinical Services

Specialized care for
every stage of your
menopause transition.

From your first perimenopause symptom to long-term hormone management, thorough, evidence-based care built around you as an individual.

01 · 🌿 Hormone Therapy 02 · 💊 Non-Hormonal Treatment 03 · ⚡ GLP-1 04 · 🌱 Lifestyle & Wellness 05 · 🔬 Lab Work
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Hormone Therapy
Estrogen therapy (systemic and local)
Progesterone therapy
Testosterone therapy
Combination hormone regimens
Vaginal hormone therapy
Ongoing monitoring and adjustment

Hormone Therapy ,
evidence-based, personalized.

Hormone therapy remains the most effective treatment for menopause symptoms and is appropriate for the majority of healthy women under 60 or within 10 years of menopause. At The Next Chapter Clinic, we practice using current evidence, not the outdated fears that have kept millions of women from getting the relief they deserve.

We evaluate your full health history, symptoms, and goals before recommending any treatment, and we take time to explain your options clearly so you can make an informed decision.

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Systemic Estrogen & Progesterone Available in multiple delivery forms, pills, patches, gels, sprays, and rings, built around your lifestyle and preferences
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Local / Vaginal Hormone Therapy For vaginal dryness, discomfort, and urinary symptoms, highly effective with minimal systemic absorption
Testosterone Therapy For low libido, energy, and cognitive symptoms, an often overlooked but important part of women's hormonal health

Good for: Hot flashes, night sweats, vaginal symptoms, sleep disruption, mood changes, brain fog, low libido, and bone health maintenance.

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Non-Hormonal Treatment
Prescription non-hormonal medications
FDA-approved alternatives to HRT
Evidence-based symptom management
Tailored to your health history
Safe for women who can't use hormones

Effective options for women
who prefer not to use hormones.

Hormone therapy isn't right for every woman, whether due to personal preference, medical history, or other factors. Non-hormonal options have come a long way, and several prescription medications are now FDA-approved specifically for menopause symptom management.

We don't push hormones on anyone. If non-hormonal treatment is the right fit for you, we'll build a plan around that with the same level of care and attention.

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Medications for Hot Flashes & Mood Several classes of prescription medication are highly effective for vasomotor symptoms and mood-related concerns without using hormones
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Sleep Support Targeted approaches for sleep disruption that address the underlying hormonal drivers rather than just masking symptoms
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Vaginal & Urinary Symptom Treatment Non-hormonal prescription options for vaginal dryness, discomfort, and urinary symptoms with strong clinical evidence behind them

Good for: Women with hormone-sensitive cancer history, personal preference for non-hormonal care, or those who haven't responded well to hormone therapy.

GLP-1 Weight Management
Zepbound (tirzepatide) prescribing
Wegovy (semaglutide) prescribing
Dose titration and monitoring
Lab monitoring throughout treatment
Integrated with your menopause care

GLP-1 therapy, integrated with
your menopause care.

Weight changes during perimenopause and menopause are real and frustrating — and they're not just about calories. The hormonal shifts of menopause directly affect metabolism, fat distribution, and appetite regulation. For many women, GLP-1 medications are a meaningful part of addressing this.

Because we're already managing your hormonal health, we can prescribe and monitor GLP-1 therapy as part of your overall care plan — not as a separate program you have to find elsewhere.

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GLP-1 Prescribing Zepbound (tirzepatide) and Wegovy (semaglutide) prescribed and sent directly to your pharmacy — brand name medications through standard pharmacy channels
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Titration and Monitoring Regular follow-up visits to assess your response, manage side effects, and adjust your dose — the clinical oversight that makes treatment safe and effective
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Cash Pricing Guidance We help you find the most affordable cash-pay option — LillyDirect offers Zepbound starting at $299/month, and GoodRx can reduce costs at your local pharmacy

On medication cost: GLP-1 medications are filled at your pharmacy separately from your visit fee. We help you find the most affordable cash-pay option — LillyDirect offers Zepbound starting at $299/month, and GoodRx can reduce costs at your local pharmacy.

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Whole-Person Care
Nutrition's role in menopause
Movement & strength for midlife
Sleep & stress support
Bone & heart health awareness

Menopause care is about
more than hormones.

Hormone therapy and medication are powerful tools, but they work best alongside the foundations of good health. Nutrition, movement, sleep, and stress management all play a meaningful role in how you feel during this stage of life.

While I don't provide specialized nutrition or fitness programming, I believe in caring for the whole person. The research is clear that strength training, quality sleep, balanced nutrition, and stress management all directly affect how you feel during the menopause transition — and how well your treatment works.

We'll talk about lifestyle factors that are relevant to your symptoms and care plan. I'll share what the evidence actually says and help you think through realistic changes that make sense for your life.

The goal: a complete picture of your health, not just a prescription. You deserve care that recognizes how all the pieces of midlife wellness fit together.

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Lab Ordering & Review
Hormone panel (estradiol, FSH, LH, testosterone)
Thyroid function
Vitamin D and metabolic markers
Cardiovascular and lipid panel
Treatment monitoring over time

Lab ordering and review
built into your care.

Labs are an essential part of menopause care — for diagnosis, treatment monitoring, and ongoing health screening. We order through Labcorp and Quest, billed directly to your insurance or available at self-pay rates.

Every lab result is reviewed thoroughly and communicated to you with a clear explanation of what it means for your care — never just a portal notification with no context.

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Diagnostic Labs Ordered at your initial visit or when clinically indicated — hormone panels, thyroid, metabolic markers, vitamin D, and more
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Treatment Monitoring Ongoing hormone level and safety monitoring to ensure your treatment is working optimally over time

What we do treat

Hot flashes and night sweats
Sleep disruption related to menopause
Vaginal dryness and discomfort
Mood changes and anxiety
Brain fog and cognitive changes
Low libido and sexual health
Irregular cycles in perimenopause
Urinary symptoms related to menopause
Bone health monitoring and prevention
Metabolic changes in midlife
GLP-1 weight management therapy

Outside our scope

Primary care or general medicine
OB/GYN care (prenatal, delivery)
Urgent or emergency care
Mental health therapy or counseling
Oncology or cancer treatment
Chronic disease management (diabetes, heart disease)
In-person procedures or exams

Ready to get the care you deserve?

Book your initial consultation and leave with a real plan, not just a pamphlet.

Scheduling Opening January 2027 →