Menopause & hormone care · 100% virtual
Menopause care for women who are done being told to just live with it
Midlife women get handed two bad options: doctors who shrug — "your labs are normal, it's just aging" — and clinics where the prescription was decided before anyone looked at your labs. Neither one is medicine.
I'm Dr. Zuleikha Tyebjee, a board-certified physician. Bring me your symptoms, your history, and your labs — I read them myself, and I treat what's actually wrong: weight, hormones, or both. Never a package. Each visit is $250, paid after we talk, with no subscription.
Medically reviewed by Dr. Zuleikha Tyebjee, MD, Board-Certified Family Medicine · Reviewed August 19, 2026
Book my $250 visit- Evaluation before prescription
- Topical testosterone when appropriate
- I prescribe — I don't sell medication
- Pay after each visit · no subscription
Sound familiar?
- “Your labs are all normal.”
- “It's just part of being a woman your age.”
- “Try to manage your stress.”
- “Come back if it gets worse.”
None of those are an evaluation. You're not imagining what's happening, and you don't need to push through it — menopause medicine has moved a long way; a lot of the advice hasn't. Being told to live with it isn't a diagnosis. It's a dismissal.
Your weight stopped responding because your hormones changed
Most clinics treat one of those. Weight programs ignore hormones; hormone clinics ignore metabolic health. In midlife the two are the same conversation — falling estrogen and progesterone change sleep, mood, and how the body stores fat, and a weight plan that ignores that is working against biology.
I'm one physician treating both — which means I have no reason to push either. If you only need hormone care, that's what I'll recommend. If you only need metabolic care, same. The treatment follows the medicine, not the menu.
How I approach testosterone for women
Many women come to me asking whether testosterone is an option. I start with a complete evaluation because libido, energy, sleep, mood, and body-composition changes can have more than one cause.
Testosterone may have a role for some women as one part of a complete picture that includes estrogen, progesterone, thyroid, and metabolic health. My rule is simple: the evaluation comes before the prescription. If testosterone is appropriate, I usually prescribe a topical form so the dose can be adjusted or stopped as your body responds. A prescription is never guaranteed.
Why I usually prescribe topical testosterone
Topical dosing gives us control. We can adjust the dose as symptoms and testosterone levels respond, or stop treatment when appropriate. I monitor levels to keep them in the normal physiologic range and watch for androgen-related side effects. No testosterone product is FDA-approved specifically for women in the United States, so this use is off-label. We discuss potential benefits, risks, and the limits of long-term safety data before treatment.
Clinical references: ACOG Clinical Consensus and ISSWSH clinical practice guideline.
What you're feeling, and what I actually check
Weight gain that diet and exercise no longer touch
What I check: Metabolic health, insulin resistance, thyroid, hormone status
Hot flashes, night sweats, disrupted sleep
What I check: Perimenopause/menopause staging and whether hormone therapy is appropriate for you
Low energy, low mood, brain fog
What I check: Hormones, thyroid, sleep, and medication history — not assumptions
Low libido
What I check: The complete hormonal picture, including whether testosterone is appropriate — never testosterone alone by default
Told 'your labs are normal' but you feel wrong
What I check: The ranges and patterns that standard screening can miss
Symptoms overlap between perimenopause, thyroid conditions, and metabolic changes — which is why the evaluation matters more than any single treatment.
What a visit looks like
- 1.A private 30-minute telehealth visit with me — your history, your symptoms, and what has and hasn't worked. I read what you send before we meet.
- 2.Labs where appropriate, reviewed in the context of midlife hormonal change — not just "in range / out of range."
- 3.A plan that fits your medicine: hormone care, metabolic and weight care, or both. Continuing care is normally one $250 visit a month, with no commitment either way.
Every visit is $250, paid after the visit. Medication, pharmacy, and labs are separate and billed by those providers.
Not sure yet? Just ask.
If you have a question before booking — about your situation, the visit, or whether this is even the right fit — send it here. A real person answers.
Prefer to reach out directly? Text (832) 479-1629·Email us
Common questions
Do you treat menopause and weight together, or separately?
Either. Some of my patients need hormone care, some need medical weight care, and some need both. I evaluate your history, symptoms, and labs, then recommend what is medically appropriate for you — one, the other, or both. Nothing is sold as a package.
Do you prescribe testosterone for women?
When it is medically appropriate, yes — as part of a complete hormonal evaluation. I do not run a testosterone-only program. I look at the whole picture, including estrogen, progesterone, thyroid, and metabolic health, before recommending any treatment.
Do you prescribe topical testosterone?
Yes — when testosterone is medically appropriate, topical testosterone is usually the form I prescribe. The dose can be adjusted or stopped as your symptoms and labs change, and I monitor treatment to keep testosterone in the normal physiologic range. Testosterone for women is prescribed off-label in the United States and is never automatic.
I'm in perimenopause, not menopause. Is this for me?
Yes. Perimenopause — the years of hormonal change before periods stop — is when many women first notice sleep problems, mood changes, and weight that stops responding. Care during perimenopause is individualized in the same way.
How much does it cost?
Each visit with me is $250, paid after the visit. There is no subscription, no membership, and no commitment. Medication, pharmacy, and labs are billed separately by those providers.
Is this in person or virtual?
Visits are 100% virtual. I am licensed in 15 states, and your state is confirmed before your appointment.
Start with one visit. Decide everything else after.
$250, paid after the visit. No subscription, no membership, no commitment. 100% virtual, and you see me — the same physician — every time.
Book my $250 visitThis page is general education, not medical advice. Whether any treatment — including hormone therapy or testosterone — is appropriate for you is a medical decision made with your physician after an appropriate visit.