A smiling and carefree Middle aged woman

If you’re going to address perimenopause, do it with a board-certified physician who takes your symptoms seriously and monitors your whole health—not someone who assumes everything is “just hormones.”

Book a Free Pre-Consult with the Doctor

No Obligation. You’ll speak directly with our medical team. After you submit this form, a member of our clinical team will call you within 24–48 hours to answer questions and determine whether this care is a good fit.

 

Testimonial

I finally understand what my perimenopausal symptoms mean and how to manage them, thanks to my concierge doctor. I have never felt so in control of my health.

Barbara, Clayton

Book a Free Perimenopause Consult


 

How did you hear about us?

Perimenopause deserves real medical evaluation

Sleep disruption, weight changes, mood shifts, brain fog, and cycle changes are common during perimenopause—but they can also overlap with thyroid issues, metabolic changes, sleep disorders, or medication effects.

Our job is to evaluate the full picture before deciding what’s hormonal and what’s not.

 

Why primary care matters in perimenopause

Hormonal changes don’t happen in isolation. Cardiovascular health, bone density, mental health, sleep, and metabolism all matter.

That’s why perimenopause care works best when guided by a primary care physician who follows you over time.

 

What physician-supervised perimenopause care includes:

  • Careful review of symptoms and medical history
  • Targeted hormone and metabolic testing when appropriate
  • Evaluation of sleep, stress, thyroid, and cardiovascular health
  • Personalized treatment options, including hormone therapy when indicated
  • Ongoing follow-up and thoughtful adjustments

     

 

Who this is for

This approach is designed for women searching for a doctor-patient relationship where they are heard and taken seriously.

  • You want evaluation before assuming hormones are the answer
  • You want care guided by a physician, not a checklist
  • You want monitoring, not one-time advice

Decision boundary: If you’re looking for quick hormone prescriptions without medical evaluation or follow-up, this may not be the right fit.

 

A doctor and a female patient in conversation

Local, physician-led care

We’re a St. Louis–based primary care practice. Our patients choose us because perimenopause care is guided by a doctor who listens, evaluates carefully, and adjusts care over time.

 

Book a Free Pre-Consult With The Doctor

Dr. Kathryn Shoemaker, MD, smiling, with stethoscope in a hallway, arms crossed.

How it works

  1. Schedule a free perimenopause consult
  2. Review symptoms, history, and concerns with our medical team
  3. Create a personalized plan that may include monitoring, lifestyle changes, or hormone therapy

Book a Free Pre-Consult with the Doctor

You’ll leave knowing whether perimenopause explains your symptoms and what the next steps are.

Frequently asked questions

Will you assume everything is perimenopause?

No. We evaluate symptoms carefully before attributing them to hormonal changes.

What does physician-led perimenopause care mean?

It means care is guided within primary care, with attention to your overall health and ongoing monitoring.

Do you offer hormone therapy?

Yes, when appropriate. Hormone therapy is considered thoughtfully and monitored over time.

What if my symptoms aren’t hormonal?

We look for other causes rather than defaulting to hormones.

Is this different from hormone clinics or med spas?

Yes. Care is delivered through a physician-led primary care practice.

Do you use lab testing?

Labs are used when they help guide decisions, not automatically.

Who is not a good fit for this approach?

Those seeking prescription-only care without evaluation or follow-up may prefer a different option.

Is the consult really free?

Yes. The consult is designed to determine fit and clarify next steps.

Do you provide ongoing care?

Yes. Care is adjusted over time as symptoms and health needs change.

Book a Free Perimenopause Consult


 

How did you hear about us?

Ready to talk with a board-certified physician about perimenopause?

Book a Free Pre-Consult with the Doctor

You can also explore our services or membership options.