Manage Your Menopause with Hormone Replacement Therapy (HRT)
Look Great, Feel Great, Live Confidently
BE Heard. BE seen. BE understood.
We understand the challenges of perimenopause and menopause. The relentless symptoms—hot flashes, mood swings, sleepless nights—can leave you feeling frustrated and exhausted. Often, your concerns are dismissed in brief appointments that fail to address your experiences. Menopause deserves comprehensive care. We offer evidence-based solutions tailored to your needs, prioritizing your goals. With our telehealth services, you can access support from home.
What Is Perimenopause and Menopause?
Menopause is one year after the last menstrual period. The body's transition to menopause is called Perimenopause and can last 10 years. For most women, Perimenopause starts in the early 40's but can start as early as late 30's. During Perimenopause, women can experience hormonal symptoms directly related to the loss of hormones that happen during this transition. While it seems Hot Flashes are the most well-known symptom, there are many symptoms that are not as known and can be surprising. Here are a few:
- Hot Flashes/Night Sweats
- Fatigue/Sleep Problems/Insomnia
- Vaginal Dryness/Itchiness
- Low Libido
- Weight Gain, especially around the abdomen
- Memory Issues/Brain Fog
- Irregular Periods
- Incontinence
- Migraines/Headaches
- Depression/Anxiety/Panic attacks
- Bloating/GI issues
- Itching
- Hair Loss/Hair Thinning
- Palpitations
- Dizziness
Myths and Misconceptions about Perimenopause and Menopause
- MYTH: Menopause is normal and just a part of life or "something to get through". TRUTH: 10 years or more is too long to suffer. There are safe, effective, FDA-approved treatments that are available.
- MYTH: HRT has too many side effects and/or can be harmful. TRUTH: There are many treatment options available that are safe, effective, and FDA-approved. While no treatment is right for everyone, we will find a treatment that can and will work for you. Before starting any treatment, we will discuss your symptoms and what is important to you. We will talk about your personal medical history and family history and then determine the best treatment together. After you start a treatment plan, we will have follow up visits to make sure the treatment option is working well for you. Our goal is for you to have AT LEAST 80% improvement in your symptoms.
HRT is safe and fda-approved for menopause
We know there are myths and misconceptions about HRT. Watch this video to see where some of the misinformation comes from.
How to get started
Optional: Book a free phone consult
Available in October and November Only
We’re pleased to offer a complimentary 15-minute phone consultation for our patients with perimenopause and menopause symptoms. This is a great opportunity for you to ask any questions about our clinic’s processes and for us to explore how we can best assist you. Please note that during this time, we won’t be able to discuss specific medical information, as that requires additional time for medical discussions. We look forward to speaking with you! If you are interested in discussing your specific medical details, please schedule an initial VIDEO visit.
Book a video visit
Your provider will meet with you via video to discuss your medical treatment in detail. Together, you’ll explore your options and develop a personalized perimenopause and menopause treatment plan through shared decision-making, ensuring that your preferences and goals are prioritized every step of the way.
About The Confidence Clinic
Our Mission
Our mission is to empower women through personalized healthcare solutions, fostering open communication and collaboration. We are dedicated to creating an inclusive women's health clinic where patients feel heard and respected, ensuring that their unique needs and preferences guide every treatment decision. By prioritizing education and shared decision-making, we aim to enhance well-being and promote a proactive approach to health.
Our Services
We provide personalized, evidence-based healthcare solutions that prioritize your unique needs and empower you to take control of your perimenopause and menopause journey.
Our Team
Our team consists of highly skilled and experienced healthcare professionals who are dedicated to providing the best possible care to our patients. Menopause education is extremely limited in medical and advanced nursing schools. Providers that offer these treatments have frequently sought out additional education to focus on women experiencing perimenopause and menopause and have knowledge (based on research studies) specific to these needs.
Frequently Asked Questions
Please reach us at info@theconfidenceclinic.co (not .com) if you cannot find an answer to your question.
Hormone Therapy/HRT is hormone treatment that includes the hormones estrogen, often progestogen, and in some cases, testosterone to relieve symptoms of perimenopause and menopause.
Your symptoms will improve – most women feel a return of their ‘old self’ within 3-6 months of starting HRT. HRT has been shown to reduce health risks in women, including the risk of osteoporosis, cardiovascular disease, depression, diabetes and more.
For the majority of women who start taking HRT under 60, the benefits outweigh the risks. If a woman has a history of blood clots or liver disease, there is a small risk of clotting if taking the tablet form of estrogen, but taking it through the skin as a patch, gel, or spray does not have these risks and is safe for these women. If you are over 60 and have bothersome symptoms, you have options. You have a major part in deciding your treatment plan, and we can discuss all options, risks, and benefits with you so you can make the most informed choice possible. Our provider will discuss the risks vs benefits dependent on your medical history with everyone. There is no medical treatment that is right for every person. Your provider will review your medical history in depth at your first visit (and with any changes afterward) so that you can determine a treatment plan together.
We do not take insurance for provider visits. The average insurance-based provider spends an average of 13-15 min per visit with new patients. Because we don’t have to spend time filing insurance claims and negotiating with insurance providers, we can spend 60 min with each new patient. We send your prescriptions to your local pharmacy so that insurance can cover them. Most insurance companies cover HRT. If you don’t have insurance, we can send prescriptions to a compounding pharmacy, if you choose.
The negative reports are due to a large trial that was reported in 2002, called the Women’s Health Initiative (WHI) Study, which has since been shown to be flawed. It studied women (in their 60s-80s) and they were given types of HRT that we do not prescribe. Interestingly, the authors of this study apologized in a mainstream medical journal (NEJM) as they admitted that people misinterpreting the results of their study is one of the main reasons that women are unnecessarily worried about taking HRT. For the majority of women starting taking HRT when they are under the age of 60 years, the benefits of HRT do outweigh any risks. This means that it is safe to take HRT and taking HRT can provide you with positive effects to your future health, especially your bones and heart. Of note: there are many myths and misconceptions about hormone therapy. Perimenopause and menopause are not educational topics provided to physicians or nurse practitioners in depth in school. In fact, most providers receive approximately 3 hours of education on these topics in medical school and NP school. Providers that offer these treatments have frequently sought out additional education in order to focus on the needs of women experiencing perimenopause and menopause and have knowledge that may conflict with other medical providers. Please note: our practice is based on evidence-based, published medical research.
Meet OUR PRoviders
Crystal Burke, FNP
Hi! My name is Crystal, and I’m a Nurse Practitioner. I have experience in Family Practice, Obesity Care, Palliative Care, Oncology, and Integrative Medicine. After working in the healthcare system for more than 20 years, I’ve learned many very valuable lessons and want to provide care with a different focus. I want to be sure my patients feel and are heard and that no one feels like a number instead of a person. I’m so excited to spend the time that my patients need with me and to help them get back to themself during perimenopause and menopause.
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The Confidence Clinic
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