Signs of Perimenopause and Menopause

Women often come to Thrive describing:

Hot flashes or night sweats

Sleep that falls apart

Brain fog, or not feeling like themselves

Mood shifts that seem to come from nowhere

Periods that are irregular, or have stopped

Perimenopause can begin in your late 30s or 40s, years before periods stop, and its signs are easy to mistake for stress.

Dr. Meyer looks at your symptoms together, alongside your history and labs, to find what connects them.

How Care Works at Thrive

A 60-Minute First Visit

A full hour with Dr. Meyer: your medical, reproductive, menstrual and family history, a physical exam, labs, an InBody body composition scan and your goals.

A Plan Built Around You

Dr. Meyer walks you through what your results show and the options that fit, including hormone replacement therapy (HRT) and non-hormonal options. You choose together.

Follow-Up and Support

Follow-up visits review your symptoms and adjust your treatment over six months, with unlimited secure messaging between visits.

Menopause & Perimenopause Care

Clear Answers
About

Midlife Changes

Hot flashes, broken sleep, brain fog, mood shifts, a cycle that no longer makes sense. If you have been told it’s just stress, or that you’re too young, it’s worth a closer look. Dr. Marcy Meyer, MD, MSCP, looks at your symptoms, your history and your labs together.

Dr. Marcy Meyer, MD, MSCP, is a U.S. Army-trained family medicine physician and a Menopause Society Certified Practitioner, with more than 20 years of clinical experience. You see her at every visit, in person in University Place.

What It Costs

Two Six-Month Plans

Menopause and perimenopause care comes in two six-month plans, with transparent, flat-fee pricing.

See Plans and Pricing

We do not bill insurance, and there are no copays.

Plans and prices:

Essential Midlife Reset: $1,900 for six months, with four 30-minute follow-ups

Midlife Upgrade: $2,600 for six months, with 45-minute follow-ups and medical weight management

Both plans: two 60-minute evaluations, labs and an InBody scan

Follow-up visits after your plan: $250 each

Second Opinion Visit: $450, no membership needed

Outside labs and imaging can still go through your insurance

Menopause Questions

How do I know if I’m in perimenopause?

Perimenopause can begin in your late 30s or 40s, often years before periods stop. Common signs include cycle changes, hot flashes, sleep changes, brain fog, mood shifts and libido changes. Dr. Meyer looks at your symptoms, history and labs together at your first visit.

Am I too young for perimenopause?

You may not be. Perimenopause can begin in your late 30s or 40s, and there’s no age you have to reach before your symptoms count. If your cycle, sleep or mood has changed and no one has explained why, Dr. Meyer will look at your symptoms, history and labs with you in an unhurried, hour-long first visit.

Is it perimenopause or anxiety?

Mood shifts, sleep changes and brain fog can trace back to perimenopause, and they also overlap with stress and other conditions. Dr. Meyer looks at the whole picture: your symptoms, your history and your labs.

Do I need hormones?

That is a decision you make with Dr. Meyer. Thrive offers HRT when appropriate, and non-hormonal options too. She reviews the risks and benefits with you before you choose, and adjusts your treatment at follow-up visits.

Do I have to commit to a membership?

No. A Second Opinion Visit is a one-time, 60-minute review of your current treatment plan for $450, with no membership needed. Labs, prescriptions and follow-up visits are not included for non-members.

Can I keep my current doctor?

Yes. The six-month plans focus on perimenopause and menopause care, so you can keep your current primary care doctor or gynecologist.

Ready to Talk About Menopause Care?

Call (253) 455-5511 or send us a message to book your first visit.