Online Menopause & Perimenopause Treatment in California & Nevada

Overcome

With Medical Support From a Certified Menopause Expert
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Covered by Most Insurance Plans

Available to women across California and Nevada through convenient telehealth visits.

It’s Not You. It’s Menopause.

Dana Culp, DNP, NP-C, Certified Midlife & Menopause Specialist
You’re not imagining it.
These symptoms are real, and you don’t have to just “tough it out.”

When Everyday Life Starts Feeling Harder Than It Should

  • Hot flashes that disrupt your sleep and leave you exhausted
  • Brain fog that makes it hard to focus or remember simple things
  • Weight gain and fatigue, no matter how hard you try
  • Mood swings and anxiety that feel out of your control
  • A love life that’s uncomfortable or unsatisfying
  • Feeling dismissed or not truly heard by your doctor
"With the right care, you can regain restful sleep, sharper focus, balanced moods, and a body that feels like yours again."
With the right care, you can regain restful sleep, sharper focus, balanced moods, and a body that feels like yours again.

Feel Like Yourself Again With

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Hormone Therapy

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Non-Hormonal Treatment

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Medical Weight Loss

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Sexual Health Care

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Hair & Skin Treatment

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Lifestyle & Nutrition Counseling

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Menopause Treatment Options That Work for You

Every woman’s menopause journey is different, which means treatment should never be one-size-fits-all.

Possible prescriptions include:

  • Estradiol and other Estrogens
  • Testosterone
  • Progesterone
  • GLP-1s
  • Tretinoin
  • Minoxidil
Together, we’ll decide what’s safe and effective for you, so you can feel better with confidence.
Dana Culp, Certified Midlife & Menopause Specialist, Serving California & Nevada
My goal for you:
At least an 80% improvement in your symptoms, so you can thrive, not just survive, in midlife.

Expert Care From Someone Who’s Been There

When I went into perimenopause myself, I saw firsthand how broken the system can be.

I went to four different providers, including two well-respected OB-GYNs, and left feeling unheard and frustrated. One doctor prescribed a medication that I later learned had safety concerns. Another pushed a one-size-fits-all plan.

That experience shaped my mission:
To give women the expert care I wish I’d had.

As a Doctor of Nursing Practice and Certified Menopause Expert with 25+ years of clinical experience, my approach is different:

  • I listen and truly understand your symptoms and goals
  • I explain your options and what they mean for you
  • We build a personalized plan together
Schedule Your Appointment with Dana Culp
DNP, NP-C, Certified Menopause Expert

Professional Affiliations & Memberships

How Does Thrive Midlife Medicine Work?

It’s just like a visit to a specialist, from the comfort of your home.
  • 01

    Schedule Your Free Consultation

    Meet with Dana Culp virtually, share your concerns, and discover how Thrive can help you feel like yourself again.
  • 02

    Choose Your Care Path

    Some insurance plans are accepted (check in-network coverage), or you can choose a straightforward self-pay option, including HSA/FSA payments. We can also provide a superbill for potential reimbursement through you insurance.
  • 03

    Start Your Personalized Plan

    Start a personalized treatment plan, with regular follow-ups, to ease your symptoms and help you feel like yourself again.
Dana Culp, Certified Midlife & Menopause Specialist, Serving California & Nevada

Perimenopause Quiz: Is It Time to Take Action?

Perimenopause can begin as early as your mid-30s. Symptoms often start 8-10 years before your period fully stops.
Take our quick quiz to learn if what you’re feeling could be the start of perimenopause.

Women Just Like You Are Feeling Better!

Marie
I can’t say enough good things about Dr. Culp! She takes the time to really understand my concerns and explain things clearly, without ever making me feel rushed during my visits. It’s so reassuring to know I have someone who genuinely cares about my well-being and goes above and beyond to provide me with excellent care.
Kristie R.
Dr. Dana Culp at Thrive Midlife Medicine was incredibly kind, compassionate and attentive. She listened carefully, answered all my questions, and made me feel at ease throughout my visit. I've never felt more comfortable discussing my midlife health concerns and am now feeling like my old self again!
Vicki S.
While she is obviously very knowledgeable on all of the science of what's happening to me as my body is changing, she made sure to take the time to fully listen to how this is impacting me, made sure I fully understood all of my options & created a personalized plan for me. I look forward to following up with her on my progress!
Jane D.
COO, TechSphere
She listens in a way that makes you slow down and exhale, because you know she’s actually hearing you, not just your words. I’m grateful to know her, and even more grateful for the way she has cared, understood, and supported me when I needed it most.

The Best Years Are Still Ahead

You don’t have to push through symptoms or settle for feeling less than yourself. With the right care and a personalized plan, this stage of life can be one of joy, energy, and confidence.
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Frequently Asked Questions:

Do you offer estrodial (and other estrogens) prescriptions online?

Yes. If it’s safe and appropriate for you, we can prescribe estrodial (and other estrogens) as part of hormone replacement therapy (HRT) through secure telehealth visits. Other types of estrogen may be more effective for you and will be considered. Any recommended prescriptions will be sent to your local pharmacy.

Do you offer progesterone prescriptions online?

Yes. Progesterone is often prescribed alongside estrogen therapy, depending on your needs. We’ll determine if it’s right for you after a thorough evaluation. Any recommended prescriptions will be sent to your local pharmacy.

Can I get a testosterone prescription from you?

Yes! If it’s clinically appropriate, we can prescribe testosterone as part of your personalized treatment plan. Any recommended prescriptions will be sent to your local pharmacy.

Can HRT help with hair loss, hip/joint pain, or my mood swings?

HRT can improve many menopause symptoms, including hot flashes, night sweats, sleep issues, and mood changes. It may also support bone and joint health. Hair loss can sometimes improve with treatment, but results vary by individual. We will discuss your goals and treatment options during your appointment.

How to know if I’m in perimenopause or menopause?

Perimenopause is the transition period before menopause. It can begin in your 30s or 40s and is marked by cycle changes and symptoms like hot flashes or mood shifts. Take our Perimenopause Quiz to find out if you’re likely in perimenopause.

Menopause is diagnosed when you’ve gone 12 months without a period. A consultation and, if needed, lab testing can help clarify what will best support you.

What is hormone therapy for perimenopause?

Hormone therapy for perimenopause involves carefully balancing estrogen, progesterone, or other hormones to ease symptoms like irregular periods, mood swings, and sleep issues. It’s tailored to your unique needs and health profile.

Do you offer holistic/ natural remedies to reverse menopause & perimenopause?

Menopause and perimenopause are natural life stages and cannot be “reversed". However, we do offer holistic and non-hormonal options to support your health, including lifestyle guidance, nutrition counseling, and evidence-based alternatives that can reduce symptoms.

Do you treat symptoms like hormonal anger?

Yes. Mood changes, including irritability or anger, are common during perimenopause and menopause. We address these symptoms with hormonal and non-hormonal options, as well as lifestyle strategies, to help restore balance.

What type of hormonal therapy do you offer?

We prescribe a range of options tailored to you, including estrogen, progesterone, and testosterone when appropriate. Treatment may include pills, patches, creams, or vaginal therapies, depending on your needs.

Can you help me with menopause weight loss?

Yes. Many women struggle with weight gain in midlife due to hormonal changes. We offer personalized weight management plans that may include medications (like GLP-1s), lifestyle guidance, and support to help you achieve sustainable results.

How can hormone therapy help with changes in sexual health during perimenopause and menopause, such as low libido, painful sex, or decreased arousal?

As estrogen, progesterone, and testosterone levels decline, they can affect vaginal dryness, libido, and overall sexual satisfaction. Hormone therapy helps by restoring hormonal balance, improving vaginal moisture, and reducing discomfort during sexual activity. It can also enhance sexual desire and arousal by boosting hormone levels that naturally decline during this time. This comprehensive approach supports not only your physical well-being but also your emotional and intimate health, helping you feel more confident and comfortable.