Comprehensive care for every stage of womanhood.
One practice for every aspect of your hormonal health — from foundational gynecology and metabolic care to perimenopause, menopause, and beyond. Evidence-based, individualized, and grounded in the science of how your body actually works.
Schedule Your First VisitIf you’ve been searching for an answer—
Hormones don’t respect the boundaries between specialties. The same biology that drives perimenopause is the biology behind weight gain, libido, sleep, mood, and metabolic health. Here, every system is connected — and treated that way.
Hormonal & Menopausal Health
- Perimenopause & menopause
- Hot flashes, brain fog, sleep disruption
- Estrogen, progesterone & testosterone imbalance
- Thyroid dysfunction
- Hair loss & hormonal alopecia
- Fatigue and low energy
- New-onset anxiety or mood changes
Sexual & Pelvic Health
- Low libido & arousal difficulty
- Painful intercourse (dyspareunia)
- Vaginal dryness & atrophy
- Recurrent UTIs & bladder urgency
- Genitourinary syndrome of menopause
Metabolic & Weight Health
- Weight management & Medical Weight Management evaluation
- Insulin resistance & pre-diabetes
- Inflammation & cardiovascular risk
- PCOS & metabolic dysfunction
- Body composition changes
Gynecology & Preventive Care
- Annual wellness visits & Pap smears
- STI screening & treatment
- Contraception management
- IUD & Nexplanon insertion/removal
- Adolescent & teen gynecology
- Preventive medicine optimization
Younger Women
- PCOS & insulin resistance
- Irregular & heavy cycles
- Foundational fertility evaluation
- Hormonal acne & skin changes
- Intentional contraceptive planning
Read the Perimenopause Guide.
A holistic guide written by Luciana — to help you understand what your symptoms mean, organize your priorities, and reclaim your quality of life. A practical companion before your first visit.
Open the GuidePerimenopause is more than hot flashes.
Most women arrive having been told their labs are “normal” — even when they don’t feel that way. Perimenopause shows up across the entire body because estrogen receptors live in nearly every tissue. Below is what the science actually says about the symptoms women are most often dismissed about.
Hot flashes & night sweats
Research suggests estrogen drops affect the brain’s thermoregulatory center (the hypothalamus). Even tiny temperature shifts now trigger a full heat response. This may be addressed through clinical evaluation.
Brain fog & word-finding
Research suggests estrogen receptors are present throughout the prefrontal cortex and hippocampus. As levels fluctuate, memory retrieval and verbal fluency suffer — this is hormonal, not cognitive decline. Clinical evaluation can help identify contributing factors.
Disrupted sleep / 3 AM wake-ups
Research suggests progesterone has calming and sleep-promoting properties. As it drops in perimenopause, deep sleep fragments and cortisol spikes wake you in the early hours. Sleep can be evaluated as part of a comprehensive assessment.
Mood swings & irritability
Research suggests estrogen modulates serotonin and dopamine on a daily rhythm. When estrogen swings unpredictably, your emotional baseline swings with it. Falling progesterone destabilizes GABA — the brain’s primary calming neurotransmitter — producing a hair-trigger response to ordinary stress.
New anxiety, panic, or depression
Research suggests estrogen supports serotonin and BDNF (the brain’s growth factor for new neural connections). When it drops, research has shown an increased risk of new-onset depression — even with no prior history. A clinical evaluation can help explore contributing factors.
Weight gain & body composition
Research suggests declining estrogen may influence fat distribution and insulin sensitivity. Muscle mass also drops, which lowers your metabolic rate further. Comprehensive clinical evaluation can help identify contributing factors and discuss appropriate treatment options.
Low libido & arousal changes
Research has shown that testosterone levels in women change between ages 20 and 40, and estrogen changes affect blood flow and sensitivity. This is biological, not relational. It can be evaluated as part of a comprehensive hormonal assessment.
Joint aches & stiffness
Research suggests estrogen has anti-inflammatory effects and supports cartilage health. As it falls, women report waking with stiff hands, sore knees, and “frozen shoulder” — symptoms that may be discussed during clinical evaluation. The hormonal connection is rarely discussed in primary care.
Heart palpitations & tinnitus
Research suggests estrogen affects the autonomic nervous system, vascular tone, and the inner ear. Skipped beats, racing episodes, and new tinnitus in your 40s are increasingly recognized as hormonally linked. These can be discussed as part of a comprehensive evaluation.
Vaginal dryness, bladder urgency & recurrent UTIs
Research suggests estrogen supports the urethral lining, bladder tissue, and protective vaginal flora. As it falls, women experience urgency, leakage, and UTIs that keep returning despite repeated antibiotics. These symptoms may be discussed during clinical evaluation.
Skin, hair & collagen changes
Research has shown that collagen production declines in the years following menopause. Crepey skin, hair thinning along the crown and temples, and unexplained itching can be evaluated for contributing factors. We screen thyroid, ferritin, and androgens before recommending any treatment.
Cardiovascular & bone health
Research suggests estrogen has cardio-protective effects. As it falls, LDL rises, HDL drops, and insulin sensitivity worsens — even in lean, active women. Research has shown that bone mass declines significantly in the years following menopause. Cardiovascular and skeletal health are important areas of focus during this transition. Early evaluation supports informed decision-making.
One practice. Every aspect of your hormonal health.
In-person in Orlando or via telehealth in Florida, Washington State, and California. First visit is one full hour — entirely yours.