Golden LeafHealth Center
(760) 542-8898Book your $99 visit

Perimenopause & menopause care

Menopause care from a team that knows your name.

Personalized hormone therapy, when your provider finds it is right for you, from the Golden Leaf Health care team. Video visits from home, in 33 states.

Book your $99 visit

Then $49/mo membership

Check your symptoms
Meet your care teamDoctors and a pharmacist
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Symptom check

What’s been going on?

Tap anything that sounds familiar. Your picks stay in this browser tab: they are not saved or sent anywhere.

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Nothing picked yet. Start with whatever bothers you most.

Book your $99 visit

A starting point for your visit, not a diagnosis.

Your care team

A care team in your corner.

Our doctors, pharmacist and medical assistant work from one shared plan, so there is always someone who knows your story and can help. Prescriptions come from a clinician licensed in your state.

Dr. Alexis was heard on Rupa Health’s Root Cause Medicine podcast.

  • Dr. Ashley Alexis, smiling softly, outdoors in green garden light.

    Naturopathic doctor

    Dr. Ashley Alexis, ND

    Licensed in California. Trained at Bastyr University San Diego, focused on perimenopause and menopause.

  • Dr. Steve Groke, MD.

    Physician

    Dr. Steve Groke, MD

    Trained at the University of Utah, residency in Tucson.

  • Mai Tran, PharmD.

    Pharmacist

    Mai Tran, PharmD

    Advises on compounded hormone prescriptions.

How it works

Here’s how it works.

Three steps, all online. You start with one visit for $99.

A woman with short silver hair relaxes in a garden chair with a drink, looking up at the trees.

All online

Every visit happens by video, from wherever you are.

  1. Step 01

    A first visit that is actually about you

    A one-on-one video visit covering your symptoms, health history, lifestyle, and what you want to feel like again.

  2. Step 02

    Labs that show where your hormones are

    If your provider thinks it will help, a hormone panel adds lab results to what you have told them about your symptoms.

    Not everyone needs this step. When testing helps

  3. Step 03

    A plan that changes as you do

    If your provider finds treatment is right for you, your plan can include hormone prescriptions, lifestyle changes, and optional supplements.

    Then 2–3 follow-ups with a doctor, and text check-ins through HIPAA-compliant messaging once your plan is set. How check-ins work

Pricing

What it costs.

The visit and the membership, up front. Prescriptions and lab tests are priced separately.

First visit

$99

One time

  • One-on-one video visit
  • Your symptoms, history and goals
  • Lifestyle and emotional well-being
  • A clear next step, together

Full refund if you cancel at least 24 hours before your visit.

Book your $99 visit

Membership

$49/mo

Monthly, after your first visit

  • 2–3 follow-up visits with a doctor
  • Text check-ins through HIPAA-compliant messaging, and direct access to your care team
  • Regular Q&A sessions with the experts
  • A library of resources chosen by the team
  • Optional supplements at member pricing, through Fullscript

Required for refills and ongoing care. Renews every month until you cancel, which you can do any time online, by phone, or by email. Rejoin within 3 months at $49 a month; after that, you start again with a $99 visit.

Priced separately

Extras

Only what your plan needs

Prescriptions
Depends on your plan
Lab tests
Depends on what is tested

Safety

Is hormone therapy safe? What changed, and what didn’t.

2002

A large study, the Women’s Health Initiative, was widely reported as linking hormone therapy to breast cancer, heart disease and dementia. Boxed warnings followed, and many women were taken off hormones.

2025

In November 2025, after reviewing newer evidence, the FDA announced it is starting to remove the boxed warnings about heart disease, breast cancer and probable dementia from menopausal hormone therapy products.

Read the FDA announcement

What did not change

  • The boxed warning about endometrial cancer stays on systemic estrogen-only products.
  • The FDA’s labeling will recommend starting systemic hormone therapy within 10 years of menopause, or before age 60.
  • Hormone therapy still has risks and is not right for everyone. Your provider reviews your personal and family history before recommending it.

Patient stories

In their words.

From patient testimonials on our website and reviews on Google, trimmed only for length. One person’s experience, not a promise of results: yours depend on your health and your provider’s evaluation.

Questions

Questions women ask us first.

A woman with long silver hair sits in soft window light, smiling down.

Something else on your mind?

Call (760) 542-8898
What does it cost?

Your first visit is $99. One month after that visit, membership begins at $49 a month. Prescriptions and lab tests are priced separately; lab prices depend on what is tested.

Do I need the membership?

Yes. Membership is required for refills and ongoing care. It renews every month until you cancel.

How do I cancel?

Your first visit: cancel at least 24 hours ahead for a full refund. Cancel later than that, or miss the visit, and the $99 isn't refunded, but you can still reschedule. Membership: cancel any time online at goldenleafhc.com/cancel, by phone at (760) 542-8898, or by email at info@goldenleafhc.com. Your care continues until the end of the month you've paid for. Membership payments already made are not refunded, except for billing mistakes or other exceptional circumstances. Once it ends, we can no longer provide refills or ongoing care. To come back within 3 months, you pick up at $49 a month; after that, you start again with a $99 visit.

What happens at the first visit?

A one-on-one video visit about your symptoms, history and goals. From there your provider may order a hormone panel. If treatment is right for you, they build your plan with you and follow up as things change.

What happens after the first visit?

You have 2–3 follow-up visits with a doctor to fine-tune your plan, included in your membership. Once your plan is set, your care team checks in by text, using HIPAA-compliant text messaging software. You can message them any time, and they reply the same business day, or let you know if they need more time to look into something. For a medical emergency, call 911.

Do I need a lab test?

Your doctor will go over at your first visit whether lab testing is needed to begin treatment. If you start treatment, lab tests are done periodically to monitor how it is working.

Do I have to be in menopause already?

No. Perimenopause often starts in your 40s, and symptoms can begin years before your periods stop. You do not need a diagnosis to book.

What is bioidentical hormone therapy?

Hormones with the same molecular structure as the ones your body makes, such as estradiol and progesterone. Some are FDA-approved products and some are compounded by a pharmacy. Your provider will explain which fits you and why.

Do you take insurance or HSA/FSA?

We don't take insurance. We do accept FSA and HSA payments.

Which states do you serve?

We currently see patients in 33 states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Indiana, Kentucky, Louisiana, Maine, Maryland, Michigan, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin.

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