Menopause & perimenopause care, so you feel like yourself again.
Steadier moods. Sleep that actually holds. A clear head. We provide lab-guided menopause and perimenopause hormone care for women across greater Austin and the Hill Country — unhurried visits where a credentialed nurse practitioner, with physician supervision, reads your labs against your symptoms and walks you through every option, hormonal and non-hormonal, with no pressure. Our clinic is in Lakeway, a short drive west of Austin.
What you’re feeling is real. It deserves a real look.
You know your own body, and you know something has shifted. The sleep that used to come easily now breaks apart at 3 a.m. A wave of heat interrupts a meeting. Your mood swings in ways that don’t match your life, and a word you’ve used a thousand times just… won’t come. Then someone waves it off as stress, or as your age, and you leave the appointment feeling smaller than when you walked in.
We do it differently. THRIVE sits in Lakeway, at the western edge of Austin near Lake Travis — roughly a 25–35 minute drive from central and west Austin. We take the time to figure out what’s actually driving how you feel, and we lay out your options in plain language, so whatever you decide, you decide it with the full picture in front of you.
Understanding the transition
What is perimenopause?
Perimenopause is the stretch leading up to menopause, when your ovaries gradually make less estrogen and your hormones start to swing. For many women it begins in the mid-40s, though it can start earlier, and it can run for several years. Because the levels rise and fall rather than simply fade, the symptoms can feel unpredictable — your cycle turns irregular, and sleep, mood, and even how your body handles heat can change from one month to the next. Here’s the part that surprises people: you can still get a period, and still get pregnant, during perimenopause.
What is menopause?
Menopause is the point when it’s been twelve months since your last period. In the U.S. it happens around age 51 on average, but the normal range is wide, and the years after are sometimes called postmenopause. Estrogen settles lower and steadier, which brings its own pattern of symptoms. Our job is to understand how those changes are landing on you — not to chase a number on a chart.
None of this is a disease. Perimenopause and menopause are natural stages of a woman’s life. What we do is help you place where you are in the transition, rule out other reasons you might feel this way, and talk honestly about whether any kind of support — hormonal or not — makes sense for you. You can read more about how we work on our Lakeway menopause care page, which serves patients closest to the clinic.
What the transition can look and feel like.
No two women go through this the same way, and not every symptom traces back to hormones. These are the changes we hear about most — and good reasons to start with a conversation and labs.
Hot Flashes
That sudden flood of heat and flushing, sometimes over in a moment and sometimes soaking — plus the night sweats that pull you out of a good sleep.
Sleep That Breaks
Lying awake, waking at 3 a.m., or up before the alarm for good. Lose the sleep and everything else gets harder to carry.
Brain Fog
Losing your train of thought, reaching for a word that won’t come, a mental haze that makes you wonder what’s wrong. Nothing is wrong with you.
Mood Shifts
Irritability, anxiety, or a low that feels bigger than whatever set it off. Worth looking into, not brushing aside.
Libido & Comfort
Changes in desire, arousal, or physical comfort — which can have hormonal and non-hormonal causes both.
Weight Changes
Weight that settles in new places and won’t budge on your old habits, usually a tangle of hormones, metabolism, sleep, and stress.
How we evaluate
Good care starts with a careful look, not a prescription pad. Our process has three parts, and we do the first visit in person so we can do it right.
Comprehensive labs. We check hormone, thyroid, and metabolic markers so we’re reading your whole picture instead of guessing. The labs help us see where you are in the transition — and, just as much, whether something else is adding to how you feel. Here’s more on hormonal imbalance testing for women.
Your story. Labs only tell half of it. We spend real time on your history — what changed, when it started, how it’s touching your days and your nights — and we use a structured symptom checklist so nothing slips past. What you’re living guides the conversation as much as any result.
A provider who reads both. Your nurse practitioner sits with your labs and your symptoms together, under physician supervision, and tells you what they suggest. If a therapy fits, we explain it plainly. If watchful waiting or a referral is the smarter move, we say that too. Results vary from woman to woman, and any plan is monitored and adjusted over time.
Treatment options
There’s no single right answer here. We lay out the choices evenly so you and your provider can decide what fits your body, your history, and what you actually want. This is a plain overview, not a recommendation — whether any option is right for you depends on your labs, medical history, and a provider evaluation.
Bioidentical hormone therapy (BHRT). Some women are candidates for hormone therapy using bioidentical estrogen and progesterone, which can help with symptoms like hot flashes and broken sleep. It isn’t right for everyone, and it comes with trade-offs we go through honestly with you. There’s more on our BHRT for women page.
Hormone pellets. Pellet therapy is one delivery method some patients consider — placed in-clinic using the EvexiPEL® method and released gradually over months. Like any hormonal option, it suits some women and not others, and we’ll tell you which side of that line we think you’re on.
The everyday foundations. Sleep, food, movement, strength training, stress. These genuinely change how the transition feels, and they matter whether or not you ever touch a hormone. For a lot of women they’re the first and most lasting lever, so we build them into every plan.
Non-hormonal options. Plenty of women don’t want hormones, or shouldn’t use them. There are non-hormonal ways to address specific symptoms, and when one of those is the better fit — or when your history calls for caution — we’ll steer you there, or to the right specialist. We’re after the option that serves you, not the one that signs you up for a subscription.
To see how this fits our wider women’s services, visit women’s hormone care or our overview of hormone therapy.
Menopause care, answered honestly.
Straight answers from our team. If your question isn’t here, we’ll cover it in your consultation.
Ask UsAustin, meet your menopause care team.
Start with a consultation and a real conversation about your symptoms and your goals. We’ll review where you are and explain your options clearly — no pressure, just clarity.
Book Your ConsultationThe information on this page is educational and is not medical advice. Individual results may vary and are not guaranteed; whether a therapy is appropriate depends on your labs, history, and a provider evaluation. Consult a qualified healthcare provider before starting any treatment.
