Hormone therapy for women navigating perimenopause and menopause, prescribed and monitored by a licensed Family Nurse Practitioner. Individualized to your symptoms, your history, and your goals.
Not every woman wants or needs hormone therapy, and we respect that. We start by listening.
Menopause is a transition, not a single moment
A scientific definition of menopause is the absence of menstrual periods for twelve consecutive months. But the years leading up to it, perimenopause, can be long and turbulent and bring significant symptoms of their own. Because the typical age range spans the mid-thirties to mid-fifties, many women are at the peak of their productive years when these changes begin, and the disruptions can affect physical health, emotional wellbeing, and quality of life. Pamela W. Smith, MD, an expert in women’s health and functional medicine, captures how women describe this season in her book What You Must Know About Women’s Hormones (2022):- “I think that I am about losing my mind.”
- “I feel like my body is divorcing itself.”
- “I have lost the ability to spell.”
- “I may be getting Alzheimer’s disease.”
Symptoms women bring to us
Menopausal and perimenopausal changes can show up in many ways. Some of the more common ones include:- Hot flashes and night sweats
- Sleep disruption and insomnia
- Mood swings, anxiety, and irritability
- Vaginal dryness and discomfort with intimacy
- Reduced sexual interest
- Recurrent urinary tract infections and urinary changes
- Brain fog and memory lapses
- Aching joints, headaches, and migraines
- Weight changes and bloating
- Thinning hair and skin changes
How care works
- Provider exam, first visit ($100). We talk through your symptoms, your medical and family history, and your goals. The $100 fee covers the visit and the interpretation of your labs.
- Laboratory testing (you choose your lab). When testing is appropriate, you obtain your labs through a low-cost direct-access lab such as JustLabs or DirectLabs, or a lab of your choice. We provide the order and review the results with you. Direct-access labs are usually far less expensive than insurance-billed testing.
- Your individualized plan. Together we decide whether hormone therapy, non-hormonal support, or a combination fits you best. If hormone therapy is right for you, we prescribe it and explain exactly how to use it.
- Follow-up and adjustment. We see how you are responding, adjust as needed, and keep your care under regular review. Hormone therapy is a relationship over time, not a one-time prescription.
Pricing
Provider exam, first visit
$100
Laboratory testing is a separate cost you arrange through a direct-access lab such as JustLabs or DirectLabs, usually far less than insurance-billed labs. Any prescribed medication is filled at your pharmacy and priced separately. No insurance billing.
What we prescribe
When hormone therapy is the right choice, we prescribe FDA-approved hormone therapy using estradiol and micronized progesterone. These are molecularly identical to the estrogen and progesterone your own body produces, and they are FDA-approved, manufactured products. Estrogen and progesterone are balanced together, the same way they are balanced during your younger years.Is hormone therapy right for you?
The decision to start hormone therapy is an individual one, made together after a full conversation and informed consent. Research supports starting hormone therapy within about ten years of your final period, or before age sixty, when the balance of benefits and risks is most favorable for relieving symptoms and protecting bone. In November 2025, the FDA removed the long-standing black box warning from hormone therapy packaging, citing contemporary evidence that risks are markedly lower when therapy begins in this window. Starting much later carries a less favorable balance. Hormone therapy also carries real risks that we review honestly with you, and it is not appropriate for every woman. Certain medical histories call for caution or make hormone therapy inappropriate, which is exactly why the evaluation and the conversation come first.What hormone therapy can help with
Where hormone therapy is appropriate, the well-established benefits are:- Relief of hot flashes, night sweats, and other menopausal symptoms
- Relief of vaginal dryness and genitourinary discomfort
- Protection of bone density and reduced risk of fracture
Why choose Wellness & Longevity in Roseville
Our Old Roseville clinic at 805 Douglas Blvd is led by Olga Bealessio, a licensed Family Nurse Practitioner, who partners with Medical Director Dr. Victor Nava, MD. We treat hormone care as the medical care it is. Time, listening, and labs come before prescriptions. We serve women from Roseville, Rocklin, Granite Bay, Lincoln, Loomis, Citrus Heights, and the surrounding Placer and Sacramento County communities. Learn more about our team.Frequently Asked Questions
Tap any question to expand. If you do not see your question, give us a call at (916) 839-7740.
How much does a hormone consultation cost in Roseville?
The provider fee for your initial consultation, which covers the visit and the interpretation of your labs, is $100. Laboratory testing is a separate cost you arrange through a direct-access lab such as JustLabs or DirectLabs, usually far less than insurance-billed labs. Any prescribed medication is filled at your pharmacy and priced separately.
Do I have to use hormone therapy?
No. Not every woman wants or needs hormone therapy, and we respect that completely. For some women, targeted supplements, stress reduction, exercise, and a healthy weight are enough to ease the transition. We help you weigh your options and choose what fits you.
What kind of hormones do you prescribe?
When hormone therapy is appropriate, we prescribe FDA-approved hormone therapy using estradiol and micronized progesterone, which are molecularly identical to the hormones your body makes. Estrogen and progesterone are balanced together as part of your plan.
Is there a best time to start?
Research supports starting hormone therapy within about ten years of your final period, or before age sixty, when the balance of benefits and risks is most favorable for relieving symptoms and protecting bone. Starting much later carries a less favorable balance. We talk through where you are and what makes sense for you.
Is this covered by insurance?
This practice operates as a cash-pay practice for hormone services. Some patients use HSA or FSA funds toward the fees. Laboratory testing is arranged directly through a low-cost direct-access lab such as JustLabs or DirectLabs and paid to the lab, not billed to insurance. The provider fee for the consultation is $100.
Ready to talk?
Call us. We will answer your questions, explain your options, and help you decide whether a consultation is the right next step.Continue your care with us
Many of our hormone patients explore other services as part of their overall plan:
- Hormone Optimization for Men Testosterone replacement therapy, lab-guided and monitored.
- Weight Management Medical guidance with FDA-approved injectable therapies.
- Microneedling Skin rejuvenation that pairs well with broader wellness goals.
- Botox Preventative and aesthetic neuromodulator injections.
The content on this page is provided for general educational purposes and is not a substitute for medical evaluation by a licensed provider. Hormone therapy is prescribed only after evaluation and informed consent, and only when clinically appropriate. Hormone therapy carries both benefits and risks, which your provider will review with you. Individual results vary. By scheduling an appointment, you agree to our Practice Policies. References: Carlson K, Vadakekut ES. Menopause. StatPearls, 2026; The 2022 Hormone Therapy Position Statement of The North American Menopause Society, Menopause 2022;29(7):767-794; Zeeshan F, Saqlain A. FDA’s 2025 removal of black box warnings on menopausal hormone therapy. Ann Med Surg (Lond). 2026;88(2):2222-2223.