A menopause specialist for Austin, by video

Most women who find us from Austin search for a menopause specialist by name, not for a hormone clinic. That usually means they have already raised hot flashes, night waking, anxiety or brain fog with a doctor and come away with a prescription for something else, or with advice to wait.

A menopause specialist treats these symptoms as the main event. At the first visit your provider goes through your symptoms, your history and what you want to change, and tells you whether hormone therapy, another treatment or both fits. Menopause care is all Golden Leaf Health does, so the visit starts with your symptoms rather than with an explanation of what perimenopause is.

Many Austin patients book while their periods are still coming, often irregularly. Symptoms can start years before periods stop, and you don’t need to wait for them to. Your provider diagnoses perimenopause from your age, your cycle and your symptoms; hormone blood tests help in some situations, not most.

If treatment is right for you, the most common starting point is estradiol through the skin as a patch or gel, with oral micronized progesterone. The starting regimen depends on you, and the dose can be changed at a follow-up. We don’t offer pellets.

An in-person visit in Austin means a new-patient slot, a drive on I-35 or MoPac and parking. By video, the first visit is at a time you pick from the booking calendar, from your kitchen in Mueller or a parked car in Round Rock.

What stays the same: a one-on-one visit with a physician licensed in Texas, a prescription sent to a pharmacy that can fill it for you in Texas, and follow-ups to adjust the plan. What you give up: a physical exam. If your provider thinks you need one, or a mammogram or a pelvic ultrasound, they say so and you have it done locally.

Three questions to ask any Austin provider before you book, including us: whether they treat perimenopause as well as menopause, which hormone forms they prescribe, and what the first six months cost in full.

Your provider decides at the first visit whether lab tests are needed to start. Many women begin without them. If labs are ordered, you’re told how and where to have them done. If a test would change the plan later, it’s ordered then.

Prescriptions go to a pharmacy that can fill them for you in Texas. We prescribe FDA-approved bioidentical estradiol and progesterone products and, where an ingredient doesn’t suit you or a dose isn’t made commercially, a compounded prescription. Compounded hormones are not FDA-approved.

Texas patients are treated by a physician licensed in Texas, through Golden Leaf Health, PC. The care team is Dr. Ashley Alexis, ND, Dr. Steve Groke, MD, and Mai Tran, PharmD, our compounding pharmacist advisor. Our About page introduces each of them, and every physician licensed in Texas appears in the Texas Medical Board’s public lookup.

The Austin area runs from Georgetown to San Marcos along I-35, and west into the Hill Country. The visit is the same from any of it, as long as you’re in Texas at the time. Patients in Dallas–Fort Worth have their own Dallas page, and the San Antonio page covers Bexar County and the corridor south of San Marcos. For eligibility and licensing anywhere in the state, read the Texas page.