Not necessarily. If you are unsure where to begin, an initial consultation is a good starting point. If your goal is purely educational, then choose the education visit. Reach out via the contact page if you are really stuck!

Testing recommendations depend on your symptoms, history, and clinical needs. They are not always required but can be helpful in certain scenarios. During your consultation, we can discuss whether testing may be appropriate. We do not draw labs in clinic. If you have had lab testing done prior to the visit, please bring the results with you to your appointment.

Treatment options depend on each patient’s individual health history, goals, risks, and clinical evaluation. When appropriate, we prescribe both FDA approved hormonal and non-hormonal medications, as well as compounded medications. We do not prescribe or insert hormone pellets.

If you do not yet have a patient portal (aka not a patient yet), please submit your questions on the form located on the Contact page. Please do not submit sensitive medical information through the general contact form. The form is intended for basic inquiries only. If medical details are needed used the contact form to request a phone call.

Use the “Book Consultation” button on the header and footer to schedule an appointment. Or access the Services page to get more details on your options, then book a consult from there. We utilize OptiMantra EHR (electronic health record) and FiServ as our payment processing group.

We do not accept insurance at this time. Utilizing a cash pay approach allows us extended appointment times and shifts the focus to care planning based on shared decision making versus what insurances dictates. See our Services page for pricing. We can provide a super bill for submission and potential HSA reimbursement as requested.

We are physically located in Missoula, MT. However, telehealth allows us to service patients throughout the state of Montana. At this time, we are not licensed to practice outside the state of Montana - which means even our telehealth patients must physically be located in Montana at the time of their appointment.

We utilize OptiMantra for our EHR (electronic health record), which offers a HIPPA compliant / secure messaging service. Please reach out to us using this resource with any sensitive medical information.

When medically appropriate, we will prescribe testosterone replacement therapy for women. For your safety, ongoing testosterone treatment requires lab work and follow up provider visits at a frequency determined by your provider in alignment with best medical practices for this Scheule III medication. This policy is essential for your safety and considered a non-negotiable at Rise.

Great question! The average age of menopause is around 51 years old and is defined as the time at which you have gone 12 months without a menstrual period.

Perimenopause is the chaotic stretch of time before the menopause transition, with symptoms beginning anytime in the decade leading up to menopause. Symptoms can range from more classic vasomotor symptoms (hot flashes, night sweats) to more nuanced things like changes in libido or mood and generally not feeling like yourself. But this doesn’t mean every woman over 35 who has brain fog and night sweats is automatically perimenopausal. This stage of life is nuanced, and symptoms can overlap with many other conditions.

This is exactly why having a real human interaction with an experienced clinical provider who listens and believes you is so important. You do not have to navigate this alone!

Yes. When clinically appropriate, we absolutely prescribe these life‑changing medications.

However, we do not dispense or sell compounded versions in‑office. We follow FDA guidance and prescribe through traditional pharmacies or direct‑order programs such as LillyDirect (tirzepatide/Zepbound) and NovoNordisk’s Wegovy access programs, as these medications are often not covered by insurance.

For patients using these therapies for weight‑loss support, we pair treatment with nutrition and exercise guidance, along with a strong recommendation for registered dietitian (RD) involvement. This combined approach helps reduce the risk of rapid, unhealthy weight loss (particularly muscle loss), which can complicate the midlife health picture.

Hormone therapy can be an incredibly effective tool for many women, but like any medical treatment, it carries both benefits AND risks. It isn’t the right fit for everyone—and that’s okay. Even when hormone therapy isn’t appropriate or preferred, women still deserve clear guidance and a full understanding of their options.

At Rise, we help you explore the full spectrum of evidence‑based approaches to midlife health, including lifestyle strategies, non‑hormonal medications, and supportive therapies for symptom relief. Our goal is to make sure you feel informed, empowered, and confident in choosing the path that aligns best with your needs.

Unfortunately, we cannot care for Medicare patients at Rise. There are strict federal guidelines around cash pay services in a medical setting for Medicare patients.

We get it - life is busy and typical weekday appointments can be hard to make work. Please reach out to us via the contact form with any special appointment requests - provide a few days and time frames that you are hoping for, and we will do the best we can to accommodate you.