Menopause Care

Menopause Specialist in Dallas, TX

Hormone therapy for menopause, from a provider who gives you the actual numbers instead of the version you were told in 2005. Estradiol, micronized progesterone, vaginal estrogen, testosterone and thyroid, read line by line against a full metabolic panel. In Dallas, or by video across nine states, often the same week.

Book a Consultation (469) 653-3124
$199
To start,
labs provided
No Pellets
Doses we can
actually adjust
9 States
Virtual care
available
No Insurance
Published pricing,
no surprise bills

Why You Were Not Offered This

One Study Was Misread, and a Generation Went Untreated.

In 2002 the Women's Health Initiative was reported in a way that frightened women and their doctors out of hormone therapy almost overnight. Prescribing fell by more than three quarters and never fully recovered.

The reporting left out the parts that mattered. The average participant was sixty-three and more than a decade past menopause, which is not who typically starts treatment. Risks were published as relative rather than absolute, which turned small numbers into frightening ones. And the arm of the study using estrogen alone, in women who had a hysterectomy, showed no increase in breast cancer at all.

The result is that women in their fifties are still being told to wait it out. You do not have to. What you need is someone willing to go through your own risk factors with you instead of repeating a headline.

Hormone therapy remains the most effective treatment available for hot flashes, night sweats and genitourinary symptoms, and it prevents bone loss. That is the position of the Menopause Society, not a fringe view.

What We Treat

Hot flashes and night sweats
Sleep that breaks and will not return
Vaginal dryness or painful intimacy
Recurrent urinary tract infections
Brain fog and word-finding trouble
Mood changes, anxiety or low motivation
Weight settling around the middle
Joint aches and stiffness
Bone density loss
Hair thinning and skin changes
Low libido
Fatigue that sleep does not fix

Free · No Account Needed

Score your symptoms before your visit.

Most online quizzes are marketing. Ours uses the Menopause Rating Scale, the same validated instrument used in clinical research, covering vasomotor, sleep, mood and genitourinary symptoms. Takes three minutes, results are immediate, and you can bring them with you so nothing gets forgotten in the room.

What Gets Tested

Standard Testing vs. What We Run.

Menopause is a clinical diagnosis rather than a lab one, so testing is not there to prove it. It is there to find what else is contributing and to make treatment safe.

Standard Testing
What Most Providers Run
  • FSH
  • TSH
  • CBC and metabolic panel

Enough to confirm what you already suspected.

Navara Health Full Panel
What We Run
  • Estradiol, FSH and LH
  • Total and free testosterone, DHEA-S, SHBG
  • Full thyroid: TSH, free T3, free T4, antibodies
  • Fasting insulin, A1c and a full lipid panel
  • Ferritin, vitamin D and metabolic panel
  • Bone and cardiovascular risk reviewed

Reviewed with you line by line, not emailed as a PDF.

Treatment Options

What Treatment Actually Looks Like.

Built from your symptoms, your risk factors and what you are willing to take. Not a protocol everyone gets.

Estradiol

The most effective treatment available for hot flashes and night sweats, and it prevents bone loss. Route is chosen deliberately, because it changes the risk profile.

Micronized progesterone

Protects the uterine lining for anyone with a uterus, and helps sleep on its own. Not the same molecule as the synthetic progestin used in the WHI.

Vaginal estrogen

For dryness, painful intimacy and recurrent urinary infections. Very little reaches the bloodstream, so it is considered separately from systemic therapy.

Testosterone

For libido, energy and muscle. Used in women more often than most practices are comfortable doing, and monitored closely.

Thyroid and metabolic

Thyroid disease and insulin resistance mimic and worsen menopause symptoms. Both get addressed rather than blamed on age.

Non-hormonal options

For women who cannot or prefer not to take hormones. Declining hormone therapy does not mean going without treatment.

How We Approach It

What Makes This Different.

Four things we do differently from most clinics offering menopause hormone therapy in Dallas.

01
Timing is discussed honestly

The benefit-to-risk balance is most favourable under sixty or within ten years of menopause. Outside that window it is an individual calculation, and we will make it with you rather than refuse on principle.

02
No pellets

A pellet cannot be adjusted or removed once inserted, and levels often run higher than intended. We use routes we can change the same week.

03
We will talk to your oncologist

If you have a breast cancer history and want to discuss hormone therapy, we will have that conversation, involve your oncologist directly, and tell you plainly where it sits against standard guidance.

04
Published pricing

Every price is on the website. No insurance billing, no prior authorisation, no surprise bills, and no referral needed to book.

Pricing

Menopause Care Pricing.

Everyone begins the same way. Full history, your panel reviewed line by line, and a plan you actually understand before you leave.

Bring lab work from the last ninety days and it is $199. If you need the panel run, it is $349 with everything included.

After that, ongoing management is $149 a month using your own pharmacy, or $275 a month with your hormones included and shipped to you.

Book Your Start Visit
Start visit, labs provided
Full evaluation and plan, using lab work from the last 90 days
$199
Start visit with full panel
Everything above, with the complete hormone, thyroid and metabolic panel included
$349
Monthly management, own pharmacy
All follow-ups, direct messaging, and your baseline panel with a six-month repeat
$149
Monthly management, medication included
Everything above, plus your compounded hormones delivered to your door
$275
Founding 50 rate, medication included
First 50 members, held for 24 months while your membership stays active. Closes November 30.
$225

Common Questions

What Patients Ask Most

Who treats menopause in Dallas? ▾
Navara Health treats menopause in Dallas, led by Jessica Boggs, MSN, APRN, FNP-C, ENP-C, under the medical direction of Simal Patel, MD. Care covers systemic and vaginal estrogen, micronized progesterone, testosterone and thyroid, with your own risk factors reviewed rather than an average applied to you. We see patients in the Dallas clinic and by video across nine states, we publish our pricing, and we do not bill insurance.
Am I too old to start hormone therapy? ▾
Age matters less than how long it has been since your last period. The benefit-to-risk balance is most favourable for women under sixty, or within ten years of menopause. Past that window the calculation changes and needs to be made individually rather than by a blanket rule. If you are outside it and still symptomatic, that is a conversation, not an automatic no.
Does hormone therapy cause breast cancer? ▾
The honest answer is more specific than yes or no. In the Women's Health Initiative, women who took estrogen alone after a hysterectomy did not show an increase in breast cancer. Women who took estrogen with a synthetic progestin showed a small increase that appeared after about five years. The absolute numbers were far smaller than the headlines suggested, and route and formulation both matter. We go through your own risk factors rather than quoting an average at you.
What actually happened with the WHI study? ▾
It was reported in a way that frightened a generation of women and their doctors. The average participant was sixty-three and more than a decade past menopause, which is not who typically starts hormone therapy. The findings were reported as relative risk rather than absolute, which made small numbers sound enormous. Prescribing collapsed, and women stopped being offered treatment that would have helped them.
Is vaginal estrogen safe? ▾
Yes, for the large majority of women. Low-dose vaginal estrogen treats dryness, painful intimacy and recurrent urinary infections with very little absorbed into the bloodstream. It is considered separately from systemic hormone therapy, and it is often appropriate for women who cannot or choose not to take systemic estrogen.
I had a hysterectomy. Do I still need progesterone? ▾
Usually not. Progesterone protects the uterine lining, so without a uterus it is generally unnecessary and estrogen alone is used. Some women feel better with it for sleep and mood, which is a separate decision we can make together.
How long can I stay on hormone therapy? ▾
There is no arbitrary stop date. The old advice to use the lowest dose for the shortest time has been softened, because for many women symptoms return when treatment ends and the protective effects on bone stop with it. We review the benefit and the risk at least annually and keep treating as long as that balance holds.
I have had breast cancer. Will you see me? ▾
We will have the conversation, which is more than many practices will do. Systemic hormone therapy after breast cancer sits outside standard oncology guidance and we say so plainly. If you want to explore it, we involve your oncologist, and we give you a document to take to that appointment so the two sides of your care are talking. If your oncologist advises against it, we may decline to prescribe, and that is us respecting their judgment rather than refusing you care.
Do you use hormone pellets? ▾
No. A pellet cannot be adjusted or removed once inserted, levels often run higher than intended, and a side effect means waiting months for it to wear off. We use routes that can be changed the same week.
What does menopause care cost? ▾
A Start visit is $199 if you bring lab work from the last ninety days, or $349 with the full panel included. Ongoing care is $149 a month using your own pharmacy, or $275 a month with your hormones included and delivered. Pricing is published and we do not bill insurance, so there are no surprise bills.
Can I be seen by video? ▾
Yes. Menopause care is managed virtually for patients located in Texas, Arizona, Colorado, Florida, Iowa, New Mexico, Oklahoma, Vermont and Washington. Video appointments are often available the same week, including evenings and weekends.
What if I do not want to take hormones? ▾
Then we treat you anyway. There are real non-hormonal options for hot flashes, sleep and mood, and the metabolic and bone consequences of menopause can be addressed directly. Declining hormone therapy does not mean going without care.
Do I need a referral? ▾
No. Book directly. We are a direct-pay practice, so there is no referral, no prior authorisation and no insurance approval to wait on.

Ready to Start?

Get the real numbers.

$199 to start if you have recent labs, or $349 with the full panel. In Dallas, or by video across nine states, often the same week.

Book a Consultation (469) 653-3124

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Menopause Care
$199 to start · nine states

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