You will need to pay out of pocket for the treatment you want. It is what I do.

Anonymous wrote:I get my HRT from my obgyn, not PCP. Although I would love a well informed holistic PCP I think that’s a unicorn.

Erin Bagshaw. Northwest Nurse Practitioners

Anonymous wrote:Why an Ob/gyn? HRT isn't about pregnancy, and gyn symptoms are a small subset of perimenopause and menopause symptoms. It's more of an endocrinologist's lane than an obstetrician, if you remember that women are half of the population, not a niche little hysterical group of people.

My ob/gyn is a certified menopause provider and suggested I see an endocrinologist for insulin resistance. You can see both, sweetheart.

Why an Ob/gyn? HRT isn't about pregnancy, and gyn symptoms are a small subset of perimenopause and menopause symptoms. It's more of an endocrinologist's lane than an obstetrician, if you remember that women are half of the population, not a niche little hysterical group of people.

Anonymous wrote:Foxhall Women's Health. Dr. Green is a Menopause Society Certified Provider.

Out of network with insurance?

Anonymous wrote:I get my HRT from my obgyn, not PCP. Although I would love a well informed holistic PCP I think that’s a unicorn.

That's what I do too. I also have her office do my full bloodwork to see if anything else is wrong and if I even need to waste time to go to a PCP. Get my annual OBGYN exam, ultrasound, complete blood work panel with hormone levels included (female hormones, testosterone, thyroid hormones, etc). Then i have a virtual televisit to go over the results, cheaper and doesn't waste time. Her office transmits my updated prescription and then I call for the refills. She also can refer to specialists if she can see something wrong or advise you to seek one.

To truly get someone who will provide expert care and opinion you need someone who was focused specifically on menopausal research and had dealt with a lot of patients and complicated cases. It's never going to be a PCP or even a good OBGYN. There has to be a specialty, just like there are fertility specialists, endometriosis or other specific severe issues, postpartum issues, etc.

Anonymous wrote:The person I just did my initial visit with at Midi Health was fantastic, and she is a Physician's Assistant. Places like Midi are working off of clinical guidelines based on your lab results and patient history, regardless of the degree the provider holds. I work in healthcare quality and on a personal level, I have dealt with serious chronic and acute care issues for myself and family members over the years. IMHO a NP can handle the basic care for almost all women seeking menopause-related care. I have no reservations about proceeding with the care plan mine set up for me (patch, vaginal gel, and progesterone tablets), especially since that is just the first line standard for someone my age.

Honestly, AI can do all this.. Just have AI "doctor" assign you a bunch of blood work, get it done at one of the many labs, have it analyzed and prescribed these standard cookie cutter meds everyone takes. I am baffled as to why we still need to go to a doctor and waste hours of our day and wait weeks for an appointment and then get charged when on high deductible plans.

Recommend Bloom OBGYN in Tenleytown.

Anonymous wrote:I'm in NW DC and I'm willing to travel 40 minutes to a new doctor. I would LOVE suggestions. I want someone who understands HRT, who will do bloodwork, who will make recommendations re: bone density, nutrition, etc. Right now I have a PCP at Georgetown University Hospital and she's fine, but does not know anything about women's health as I age--e.g. when I asked her about HRT, she said, "I think HRT poses cancer risks, so I'd just skip it."

HELP! I need a doctor who knows stuff about women's health!

I have cigna insurance, and it's not bad in terms of coverage.

I love my gynecologist in silver spring and I basically use her like a PCP at this point. Jessica Berger-Weiss.

Anonymous wrote:At what age are people starting to do HRT? I’m 42 yo and find myself getting very irritable. I can’t tell if I’m just cranky because life is so busy or something else is going on.

I don't know but I am 42 and an SSRI has been a godsend

I get my HRT from my obgyn, not PCP. Although I would love a well informed holistic PCP I think that’s a unicorn.

At what age are people starting to do HRT? I’m 42 yo and find myself getting very irritable. I can’t tell if I’m just cranky because life is so busy or something else is going on.

Anonymous wrote:Dr Amy Porter, Falls Church

Amy is an ob/gyn but agree, she's been fantastic in helping me through perimenopause.

The person I just did my initial visit with at Midi Health was fantastic, and she is a Physician's Assistant. Places like Midi are working off of clinical guidelines based on your lab results and patient history, regardless of the degree the provider holds. I work in healthcare quality and on a personal level, I have dealt with serious chronic and acute care issues for myself and family members over the years. IMHO a NP can handle the basic care for almost all women seeking menopause-related care. I have no reservations about proceeding with the care plan mine set up for me (patch, vaginal gel, and progesterone tablets), especially since that is just the first line standard for someone my age.

What’s the issue with Amy Porter?