Hormone Therapy for Women — Los Angeles & California Telehealth

Q: Why no pellets and no compounding?

Pellet implants and compounded hormone blends are not FDA-approved, deliver unpredictable hormone levels, and cannot be removed or easily adjusted once placed. FDA-approved patches, gels, tablets, and creams provide tested, adjustable, consistent dosing.

Q: Do you take insurance?

This is a direct-pay practice with published prices. A superbill is available for PPO out-of-network claims, and HSA/FSA cards work for medical care. Prescriptions go to a regular pharmacy where drug coverage often applies. The practice is not enrolled in Medicare or Medi-Cal.

Q: Do you offer telehealth?

Yes, for patients located in California. In-person visits are available in the San Fernando Valley.

Stage one

Perimenopause

Cycles change, sleep breaks, anxiety arrives — often years before your last period, and usually while every lab reads "normal."

Stage two

Menopause

Twelve months without a period. Hot flashes, night sweats, brain fog and mood shifts are physiology, and physiology responds to treatment.

Stage three

After

The symptoms that don't fade on their own — genitourinary, musculoskeletal, metabolic — and the long game of bone and heart health.

What we treat

Care for the years nobody prepared you for.

Ages 35–55 · often missed

Perimenopause

The transition begins years before your last period, and it is where most women are told everything looks normal. Estrogen doesn't fade smoothly — it spikes and crashes, and those swings drive the symptoms.

Cycles that changed — closer, farther apart, heavier, lighter
3 a.m. waking and unrefreshing sleep
New anxiety or irritability, out of proportion
Brain fog, joint aches, migraines behaving differently

A single blood test catches one moment of a moving target, which is why "normal labs" rule nothing out. We diagnose on the pattern and treat without waiting for your final period.

Menopause

Hot flashes, night sweats, broken sleep, mood changes and brain fog are physiology — and physiology responds to treatment. We cover the full toolkit and choose with you.

Systemic hormone therapy — the most effective option for vasomotor symptoms
Non-hormonal prescriptions for women who can't or prefer not to take hormones
Local therapy for genitourinary symptoms
Strength, sleep and bone-health work that carries real weight

Hormone replacement therapy

Estradiol as a patch, gel or tablet, with micronized progesterone for every woman with a uterus. Individualized dosing, honest risk counselling, and a follow-up schedule built in.

We explain what the FDA's November 2025 removal of the boxed warnings did and didn't change — including the endometrial-cancer warning that remains on estrogen-only products.

What we don't do: pellet implants and compounded hormone blends. Neither is FDA-approved, and neither can be adjusted or stopped once it's in you.

Physiologic dosing · monitored

Testosterone for women

There is one indication the global evidence supports — distressing low sexual desire after menopause — and a great deal of marketing that runs well ahead of the data. We practise on the evidence side of that line.

Doses that restore the normal premenopausal range, never above it
Baseline and follow-up levels, with a planned off-ramp if it isn't working
Off-label status explained before you start, not buried

We do not implant pellets, for testosterone or anything else.

The musculoskeletal syndrome of menopause

Joint pain & hormones

Frozen shoulder, new joint aches and stubborn tendon problems cluster around the transition for a reason: estrogen receptors sit throughout cartilage, tendon, ligament, muscle and bone.

More than 70% of women report musculoskeletal symptoms across the transition. We treat the hormonal context — and when a joint needs treating directly, our sibling practice The Injection Clinic does that under published pricing.

Metabolic care · GLP-1 management

Weight in midlife

Estrogen decline shifts fat storage toward the abdomen, muscle drifts down and insulin resistance drifts up — with your habits unchanged. That isn't a discipline problem.

When GLP-1 therapy is appropriate, we provide the clinical management and you obtain the medication through a licensed pharmacy or the manufacturer's own program. We don't sell, stock or compound it, and starting care is never a guarantee of a prescription.

Vaginal estrogen

Dryness, painful sex, urinary urgency and UTIs that keep returning. Unlike hot flashes, GSM does not resolve on its own — untreated, it slowly progresses.

Low-dose vaginal estrogen treats the tissue itself with minimal absorption into the bloodstream, which is what makes it appropriate for many women who aren't candidates for systemic therapy. It can be used alone or alongside HRT.

Consult, labs, plan, ongoing care.

1

Consultation

A full visit — not fifteen minutes. Your history, your symptoms, your goals, and what treatment can and cannot do.

2

Labs

Targeted lab work where it changes decisions — and honesty about where it doesn't. No 60-marker panels sold by the vial.

3

Your plan

FDA-approved medication at the lowest effective dose when clinically appropriate, plus the non-hormonal options where they fit.

4

Ongoing care

Scheduled follow-ups, dose adjustments, and a clinician you can actually reach. Midlife care is management, not a one-time script.

Transparent cash-pay pricing

You'll know the cost before you book.

Consultation, membership, and lab pricing published in full — the same way our injection clinic has always done it.

New-patient consultationIn person or California telehealth

$325

Ongoing care membershipVisits, messaging, and dose management

from $99/mo

See the full fee schedule →

Who treats you

A physician-owned practice. A clinician who listens.

Sona Terjanyan, MSN, RN, FNP-BC

Nurse Practitioner

A board-certified Family Nurse Practitioner (ANCC) with a decade in acute and specialty medicine — cardiac ICU, hospitalist practice, and high-volume specialty care. She leads the hormone care program.

Evgeny I. Tsimerinov, MD, PhD

Medical Director

Board-certified in Neurology and Clinical Neurophysiology (ABPN), Dr. Tsimerinov owns and directs the practice and oversees its clinical protocols.

Meet the clinicians →

Questions

The honest answers.

Do I need to stop having periods before I can be treated?

No. Perimenopause — the years of hormonal change before your final period — is often when symptoms are worst, and it is treatable. Many of our patients still have cycles.

Is hormone therapy safe?

For most healthy women who start within about ten years of menopause, current evidence supports hormone therapy as a reasonable, effective option — and in late 2025 the FDA removed its broad boxed warnings from these products. It is still real medicine with real considerations, which is exactly why we start with a full consultation rather than a questionnaire. Medication is prescribed only when clinically appropriate after evaluation by a licensed clinician.

Why no pellets and no compounding?

Pellet implants and compounded "bioidentical" blends are not FDA-approved, deliver unpredictable hormone levels, and can't be removed or easily adjusted once placed. FDA-approved patches, gels, tablets, and creams do the same job with tested, adjustable, consistent dosing.

Do you take insurance?

We are a direct-pay practice with published prices; we can provide a superbill for PPO out-of-network claims, and HSA/FSA cards work for medical care. Your prescriptions go to a regular pharmacy, where your drug coverage often applies. We are not enrolled in Medicare or Medi-Cal and cannot treat members of those programs.

Do you offer telehealth?

Yes — for patients located in California. In-person visits are available in the San Fernando Valley.

By appointment · Los Angeles & San Fernando Valley · California telehealth

Book a consultation.

Call or text and we'll find your slot. Online scheduling is coming soon.

Call (818) 949-2041 Text us Email

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