Sexual Health in Perimenopause and Menopause
​Clear Answers
About
Intimacy
Desire that has faded, or dryness and pain that make sex something you avoid. These changes can trace back to perimenopause and menopause, and they are a normal thing to bring up. Dr. Marcy Meyer, MD, MSCP, will look at your symptoms, history and labs with you, and help you decide what comes next.
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.
Part of Your Menopause Care
Women often come to Thrive when:
Interest in sex has dropped, and they wonder whether hormones play a part
Vaginal dryness or irritation makes everyday life uncomfortable
Sex has become painful
Intimacy concerns have started to strain a relationship
They brought it up before and were told it was just stress
Dryness, irritation and pain with sex after menopause are sometimes grouped as genitourinary syndrome of menopause (GSM). You don’t need to know the term to ask about it.
Dr. Meyer reviews hormonal and non-hormonal options with you, and you decide together after a full evaluation.
How Care Works at Thrive
A 60-Minute Evaluation
A review of your medical, reproductive, menstrual and family history, a physical exam including a detailed vulvar exam, labs and an InBody body composition scan.
A Plan Built Around You
Dr. Meyer walks you through hormonal and non-hormonal options, with the risks and benefits of each. Sexual health sits in the same plan as the rest of your menopause care.
Follow-up visits adjust your treatment as you go, with unlimited secure messaging for the questions you would rather not ask out loud.
What It Costs
Included in Both Six-Month Plans
Care for sexual health is part of both six-month plans, with transparent, flat-fee 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
Sexual Health Questions
Is it normal to bring up low libido or vaginal dryness?
Yes. Libido changes and vaginal dryness are among the perimenopause and menopause symptoms we treat, along with hot flashes, sleep changes, mood shifts and cycle changes.
What happens during the first visit?
Your first visit is a full hour: a review of your medical, reproductive, menstrual and family history, a physical exam with a detailed vulvar exam, labs, an InBody analysis and a conversation about your goals.
Will I need hormone therapy?
It depends on your age, your health and family history, and your goals. Dr. Meyer reviews the risks and benefits of hormonal and non-hormonal options with you before recommending either.
What if my doctor brushed off my symptoms?
A Second Opinion Visit is a one-time, 60-minute review of your records, history and current treatment, with clear recommendations. It is $450, and you don’t need a membership.
Do you offer pelvic floor or sex therapy?
Not yet. Pelvic floor physical therapy is coming soon, and sex therapy is planned as a future addition. Today, care at Thrive covers the medical evaluation and treatment.
Will I see the same doctor every visit?
Yes. Your visits are in person in University Place with Dr. Meyer every time, with unlimited secure messaging between visits.
Related Care
Hormone therapy and non-hormonal options, reviewed at every follow-up visit.
.jpg)
Care for hot flashes, sleep changes, brain fog, mood shifts and cycle changes.
Medical weight management and InBody body composition scans for midlife weight changes.
Ready to Talk About Sexual Health?
Call (253) 455-5511 or send us a message to book your first visit.