Perimenopause Care

Perimenopause and Bioidentical Hormone Therapy in Dallas, TX

For women who were told their labs are normal and still feel awful. Perimenopause can begin ten years before your last period, and standard ranges were built to catch disease, not a transition. We run the full picture, explain every number, and treat what we find. In Dallas, or by video across nine states.

Book a Consultation (469) 653-3124
$199
To start,
labs provided
Same Week
Evenings and
weekends
9 States
Virtual care
available
No Insurance
Published pricing,
no surprise bills

Why It Gets Missed

You Are Not Too Young, and You Are Not Imagining It.

Perimenopause commonly starts in the late thirties and early forties. Most women are told they are too young, or handed an antidepressant, or sent away because the bloodwork came back normal.

The bloodwork often does look normal. Hormones fluctuate during this transition rather than falling steadily, so a single draw on a single day frequently lands inside the range. That does not mean nothing is happening. It means one test on one day cannot describe a moving target.

And the symptoms rarely arrive labelled. Sleep breaks first for many women. Then the anxiety, the brain fog, the weight that will not move. Each one gets treated separately by a different provider, and nobody stands back and looks at the pattern. We have written about normal labs that do not match how you feel, perimenopause mistaken for depression, and the overlap with ADHD.

Perimenopause is a transition, not a disease. Reference ranges were built to catch disease. That gap is where most women get lost.

Symptoms We Evaluate

Cycles getting shorter, longer, or skipping
Waking at 3am and not getting back to sleep
Brain fog, word-finding trouble, or memory slips
Anxiety or irritability that feels unlike you
Weight settling around the middle despite no change
Hot flashes and night sweats
Low libido or discomfort with intimacy
Joint aches and stiffness
Fatigue that sleep does not fix
Heavier or unpredictable bleeding
Hair thinning and skin changes
Migraines tied to your cycle

Free · No Account Needed

Not sure if this is perimenopause? Score it in three minutes.

Our free assessment walks through the symptoms clinicians actually score, from sleep and mood to cycle changes and brain fog. You get your results immediately, and you can bring them to your visit so nothing gets forgotten in the room.

What Gets Tested

Standard Testing vs. What We Run.

Timing matters as much as the list. If you are still cycling, hormones are drawn on day nineteen to twenty-one, because any other day makes progesterone uninterpretable.

Standard Primary Care Testing
What Most Providers Run
  • TSH
  • FSH, sometimes
  • CBC and metabolic panel

Drawn on whatever day you happen to come in.

Navara Health Full Panel
What We Run
  • Estradiol, progesterone, FSH and LH
  • Total and free testosterone, DHEA-S, SHBG
  • Full thyroid: TSH, free T3, free T4, antibodies
  • Ferritin and iron studies
  • Fasting insulin, A1c and lipids
  • Vitamin D and metabolic panel

Timed to your cycle, and reviewed with you line by line.

Treatment Options

What Treatment Actually Looks Like.

Not everyone needs hormones, and not everyone who needs them needs all of them. Treatment is built from what the panel shows and what is bothering you most.

Progesterone

Often the first thing that helps, because it usually falls first. Taken at night, it addresses sleep, anxiety and cycle changes together.

Estradiol

For hot flashes, night sweats, brain fog and genitourinary symptoms. Route is chosen deliberately, and anyone with a uterus receives progesterone alongside it.

Testosterone

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

Thyroid

Thyroid disease mimics perimenopause almost exactly. If it is contributing, treating it may resolve more than you expect.

Metabolic support

Insulin resistance drives the midsection weight and the energy crashes. It gets addressed directly rather than blamed on age, and where it is warranted we use GLP-1 therapy alongside hormone care rather than instead of it.

Non-hormonal options

For women who cannot or prefer not to take hormones, there are real alternatives for sleep, mood and vasomotor symptoms.

How We Approach It

What Makes This Different.

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

01
No pellets

A pellet cannot be adjusted or removed once it is in. Levels frequently run higher than intended, and a side effect means waiting months. We use routes we can change the same week.

02
Published pricing

Every price is on the website. We do not bill insurance, which means no surprise bills and no coverage games. You know the cost before you book.

03
One provider who knows you

You see Jessica Boggs, APRN every visit. Not a rotating panel and not a queue. Your history stays in one head.

04
Straight answers about compounding

Bioidentical is a marketing word, and we will tell you that. Estradiol and micronized progesterone are available as FDA-approved products, and we use them unless there is a real reason not to.

Pricing

Perimenopause Care Pricing.

Everyone begins with a Perimenopause Start. That is your full history, your panel reviewed line by line, and a plan you understand.

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 if you use your own pharmacy, or $275 a month with your compounded hormones included and shipped to you.

Book Your Perimenopause Start
Perimenopause Start, labs provided
Full evaluation and plan, using lab work from the last 90 days
$199
Perimenopause Start 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 up to three 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

Am I too young for perimenopause? ▾
Probably not. Perimenopause commonly begins in the late thirties and early forties, and it can start up to ten years before your final period. Being in your thirties or early forties does not rule it out. If your cycles are changing, your sleep broke, or your mood and memory feel different, that is worth evaluating now rather than waiting.
What is perimenopause? ▾
Perimenopause is the transition leading up to menopause, when estrogen and progesterone fluctuate rather than decline smoothly. It ends twelve months after your final period. The fluctuation is why symptoms come and go, and why a single blood test on a single day often looks unremarkable.
My doctor said my labs were normal. Can you still help? ▾
Yes, and this is the most common reason women come to us. Standard reference ranges are population averages built to catch disease, not to catch a transition. A result inside the range does not mean nothing is happening. We run a fuller panel, we time it to your cycle when that matters, and we read it against your symptoms rather than in isolation.
What does it cost to get started? ▾
A Perimenopause Start is $199 if you bring lab work from the last ninety days, or $349 with a full panel included. Ongoing care is $149 a month using your own pharmacy, or $275 a month with your compounded hormones included and delivered. All pricing is published. We do not bill insurance, so there are no surprise bills.
Are bioidentical hormones safe? ▾
Bioidentical is a marketing term rather than a scientific one, and both the FDA and the Menopause Society have said so. What actually matters is the molecule, the dose, and the route. We prescribe estradiol and micronized progesterone, which are chemically identical to what your body makes and are available as FDA-approved products. We will tell you plainly when a compounded preparation is genuinely necessary and when it is not.
Do you use hormone pellets? ▾
No. Pellets deliver a dose that cannot be adjusted or removed once inserted, and levels often run higher than intended. If a side effect appears, you wait months for it to wear off. We use routes that can be changed the same week, which matters during a transition where the right dose keeps moving.
Can I be seen by video? ▾
Yes. Perimenopause care is managed virtually for patients located in Texas, Arizona, Colorado, Florida, Iowa, New Mexico, Oklahoma, Vermont and Washington. Video visits are often available the same week, including evenings and weekends. Testosterone therapy is the one exception, because Texas requires that to begin in person.
How quickly can I be seen? ▾
Usually the same week. We hold evening and weekend video appointments because the women we treat are working, and taking a half day off to be told your labs are normal is exactly the experience we are trying to replace.
Do I have to commit to hormone therapy? ▾
No. Plenty of women come in to find out whether what they are feeling is hormonal at all. Thyroid disease, iron deficiency and insulin resistance produce overlapping symptoms, and we screen for those in the same panel. If hormones are not the answer, we will say so.
Why am I gaining weight around my middle? ▾
Falling estrogen shifts where the body stores fat, and insulin sensitivity usually drops at the same time. That is why the weight lands around the middle and why the things that used to work stop working. It is not a willpower problem. We check fasting insulin and A1c as part of the panel, and treat the metabolic side alongside the hormones.
Is this perimenopause or depression? ▾
It can be both, and it is frequently mislabelled. Falling progesterone and fluctuating estrogen directly affect mood, sleep and anxiety, so women in their forties are often started on an antidepressant without anyone checking hormones or thyroid. We check first. If you are already on an antidepressant, nothing gets stopped without the prescriber who started it.
What if I am not sure this is perimenopause? ▾
That is a normal place to start and it is a reason to book, not a reason to wait. The evaluation exists to answer that question. You will leave knowing what your numbers say, what they do not say, and what the options are.

Ready to Start?

Find out what is actually going on.

$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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