Care that listens first.
Perimenopause, menopause, cycle changes, mood, sleep, libido — the questions women come in with are rarely a single issue. We start with the full panel (estradiol, progesterone, testosterone, thyroid, metabolic), listen carefully, and build a plan that fits where you are right now — and where you're trying to be in five years.

Who you'll actually see
Your clinician actually knows you.
Kevin Watson, FNP-C — American Association of Nurse Practitioners (AANP) board-certified Family Nurse Practitioner. Based in Twin Falls, Idaho.
Measured, evidence-led care. Every plan is built from your labs, your symptoms, and your goals — not from a template.
Not sure this is the right starting point?
Answer a few questions and we'll match you with the care path — and the clinician — that fits your situation.
If any of this sounds like you.
Cycles shifting, sleep disrupted, mood and temperature flickering. You want a clinician who treats the transition, not just the endpoint.
Hot flashes are quieter but bone density, cardio markers, and energy still matter. HRT, lifestyle, and longevity in one plan.
Younger and still cycling but something's off. PMS, low libido, painful periods, or mood swings that need a real workup, not a default Rx.
Four steps. No insurance paperwork.
45-minute video visit. Cycle history, symptoms, goals, prior treatment if any. Your clinician orders cycle-aware labs.
Estradiol, progesterone, testosterone, SHBG, DHEA-S, thyroid, metabolic, ferritin, vitamin D. Timed to your cycle for accuracy.
HRT — estradiol patch / oral / topical with cycled progesterone when appropriate. Or non-hormonal protocols when those fit better.
Symptom review, labs re-pull, dose adjustments. We meet you where you are — including switching modalities if needed.
The tools we reach for.
Every plan is built around your labs and your goals. Below are the evidence-based options we draw from — none of them are prescribed by default.
Cycle-timed estradiol, progesterone, testosterone, SHBG, DHEA-S, plus full thyroid and metabolic. The picture, not a snapshot.
Transdermal patch (preferred), oral, or topical cream. Dose titrated to symptoms and serum levels — not a one-size-fits-all starter pack.
Micronized progesterone, oral or topical, when uterus-protective or when sleep and mood need the support. Cycle-aware dosing.
When indicated for libido, energy, or muscle preservation. Topical cream, dose-titrated to female-physiologic levels.
Not every member needs HRT. SSRIs, gabapentin, cognitive behavioral tools, and lifestyle interventions — when they fit better, we use them.
90-day cadence. Labs, symptoms, and a real conversation. Adjustments happen between visits via portal messaging.
“I'd been dismissed for two years. Kevin ran the panel I'd been asking for, explained every result, and we built a plan together. I feel seen — and I sleep through the night again.”Erin · 49 · Hailey, ID
Start here.
$95 first consult. Labs and prescriptions billed at cost. We work with your pharmacy of choice — including compounding pharmacies when those fit better.
