Location
Menopause care in California, by video
Perimenopause and menopause care from a Carlsbad, California practice: Dr. Ashley Alexis, ND, by video anywhere in the state. $99 first visit, then $49 a month. North County San Diego, LA, the Bay Area and beyond.
Medically reviewed by Dr. Ashley Alexis, ND,
California is home. Golden Leaf Health Center is in Carlsbad, in North County San Diego, and California patients are seen by Dr. Ashley Alexis, ND, the naturopathic doctor who founded the practice and has spent her career on perimenopause and menopause. Visits are by video, so a woman in Oceanside and a woman in Sacramento get the same first visit, $99, usually within days, and the same $49-a-month care after it.
Who you’ll see in California
Dr. Alexis is licensed in California as a naturopathic doctor. She trained at Bastyr University San Diego and treats perimenopause and menopause as the whole of her practice, not a sideline. California patients are treated through Golden Leaf Naturopathic, PC, with the rest of the Golden Leaf care team alongside her: Dr. Steve Groke, MD, and Mai Tran, PharmD, the practice’s compounding pharmacist advisor, plus the medical assistant who runs your text check-ins. The About page introduces each of them.
How a California visit works
- Book at start.goldenleafhc.com and confirm you’ll be in California for the visit.
- Talk. A one-on-one video visit about your symptoms, history, lifestyle and what you want back.
- Test, if it would change the plan. Your provider decides that at the first visit. If labs are needed, they’re ordered for you with instructions on where to go; many women start without them.
- Treat. If hormone therapy or another treatment is right for you, the prescription goes to a pharmacy that can fill it for you in California. FDA-approved bioidentical estradiol and progesterone products, and compounded prescriptions where they fit, with the reasons explained. Two to three follow-up visits with a doctor and text check-ins through HIPAA-compliant messaging are part of membership.
You need to be physically in California at the time of each visit. Home, work or a parked car with a signal all count.
North County San Diego: Carlsbad, Oceanside, Vista, San Marcos, Encinitas, Escondido
This is the practice’s own neighbourhood, and it’s where “hormone replacement therapy San Diego”, “hormone replacement Oceanside” and “HRT San Marcos” searches land on us. If you’re in North County you can see the same clinician by video as everyone else in the state, and if you’d like to talk about an in-person visit at the Carlsbad office, call (760) 542-8898. Either way the care starts with a conversation, not a package.
San Diego, Chula Vista and the South Bay
Mission Valley, La Jolla, Chula Vista, the South Bay, East County: by video, you skip the I-5 and the parking, and you get a practice that does nothing but menopause.
Los Angeles, Santa Monica and Orange County
Los Angeles has more hormone clinics than any city in the state and a lot of them lead with pellets, IVs or long packages. Our approach is adjustable dosing and follow-ups that are included. Our earlier guide to menopause specialists in Santa Monica covers what to ask any provider on the Westside, in the Valley or in Orange County.
The Bay Area, Sacramento, the Central Valley and the north
From San Francisco and the Peninsula, the East Bay and San Jose, Sacramento, Fresno and Bakersfield to Redding and the far north coast, the care is identical and the drive is zero. In rural California a menopause specialist can be two hours away; by video she is on your phone.
What it costs
| First visit | $99, refunded if cancelled at least 24 hours ahead |
| Membership, from one month after the first visit | $49 a month, required for refills and ongoing care |
| Prescriptions | Priced separately; depends on the medication, form and pharmacy |
| Lab tests | Priced separately; depends on what is tested |
We don’t bill insurance, including Covered California plans and Medi-Cal. FSA and HSA are accepted. Full terms are on the pricing page.
Symptoms we treat
Hot flashes, night sweats, waking at 3 a.m., brain fog, mood swings, anxiety, low mood, fatigue, weight gain, low libido, vaginal dryness and thinning hair. Each has its own guide in our menopause hub.
Start with the $99 visit
Book a time. To read first: how hormone therapy works and BHRT vs HRT.
Care that meets you where you are
Ready to talk through what’s changing?
Start with a $99 visit. If membership is right for you, ongoing care is $49/mo after that.
This is general information, not medical advice. Talk with your provider about your health and treatment options.