Compassionate, Personalized Care
Through the Menopause Transition

Understand your body, explore treatment options, and make informed choices about your health—with support every step of the way.

What is a Menopause Consultation?

This one-on-one consultation offers women a safe, judgment-free space to talk openly about symptoms, concerns, and expectations during the menopause transition. Each session is personalized to your body, your goals, and your preferences—because no two women experience menopause the same way.

Who It’s For:

  • Women approaching or experiencing menopause or perimenopause

  • Anyone seeking guidance on hormonal or non-hormonal symptom relief

  • Those looking to better understand changes in their body and how to navigate them with confidence

Why it Matters:

  • You'll receive clear, evidence-based guidance

  • We prioritize collaborative care, so you're part of every decision

  • We debunk myths and help you feel empowered.

  • We offer real-life recommendations to help reduce symptoms and make the menopause transition feel more manageable

What to expect during your Menopause Consultation

Your menopause consultation is a relaxed, 1–2 hour conversation designed to give you clarity, guidance, and a plan that works for you. We cover what matters most to your health and goals—no rushing, no pressure.

A detailed review of your medical history

Including menstrual history, symptoms, general health, medications, and family medical history.

Discussion of your current symptoms

Whether it’s sleep issues, hot flashes, fatigue, or discomfort—no concern is too small.

Guidance on bone health risks and prevention

Learn about osteoporosis and how to protect your bone density as you age.

An overview of treatment options

We’ll walk through both hormonal and non-hormonal therapies, lifestyle changes, and complementary approaches.

A personalized care plan

Together, we’ll create a plan that reflects your preferences, needs, and health goals.

Recommendations for lab testing (if needed)

Lab work isn’t required, but may be recommended based on your individual needs—with a clear explanation of what’s suggested and why.

Is this Consultation right for you?

  • You’re noticing symptoms and want clarity or relief

  • You’re not symptomatic, but want to enter menopause in optimal health

  • You want education and guidance—not a one-size-fits-all approach

  • You’ve been told HRT isn’t an option and need alternatives

  • You’re seeking evidence-based info, explained in plain language

  • You want a collaborative, unhurried consultation where your goals and preferences guide care

Ready to feel more in control?

Menopause Consultation Fee

$250.00

Follow-up Fee

$110.00 - $220.00

Before booking a Menopause Consultation

Please read the following details to ensure that your goals align with the services we offer.

Hormone Replacement Therapy (HRT)

Traditional hormone replacement therapy (HRT) usually involves estrogen, progesterone, and sometimes other hormones. While traditional HRT has specific contraindications, not being a candidate for this treatment does not mean there are no alternatives. There are several effective options available to manage menopause symptoms and promote wellness before, during, and after the menopause transition.

Contraindications for Traditional Hormone Replacement Therapy (HRT)

Traditional HRT is not appropriate for everyone. Whether this therapy is suitable depends on factors like your age, medical history, and the type of HRT considered.

If you have any of the following conditions, you should not use traditional HRT. However, many non-traditional therapies are available to help women maintain good health and manage symptoms affecting their quality of life during menopause. At Blackbird Wellness, our aim is to enhance the lives of all women—even when traditional hormone therapy isn’t an option.

  • Hormone-dependent cancers: Anyone with a current or past diagnosis of breast, uterine, endometrial, or other estrogen-sensitive cancers should avoid HRT.

  • Active or recent blood clots: If you've experienced spontaneous blood clots, HRT isn't recommended. Some blood clots that occur under certain circumstances may not affect eligibility for HRT.

  • A personal history of heart attack or stroke makes HRT unsuitable.

  • Unexplained vaginal bleeding: The cause of abnormal bleeding must be identified before considering HRT.

  • Women with liver disease shouldn’t take HRT.

  • Pregnancy and breastfeeding: HRT is not safe if you are pregnant or breastfeeding.

If you have read this information and would like to book a comprehensive, personalized menopause consultation based on your needs, please proceed with booking your consultation.

Book Your Consultation

  • Yes, if your medical history indicates that HRT is safe and appropriate, we can prescribe it. If you’re not a candidate for traditional HRT, we’ll walk through several other meaningful options to support your symptoms and overall wellness.

  • This consultation is very individualized. Whether hot flashes, night sweats, sleep disturbance, joint pain or one of the other common complaints are present, we hope to unpack the treatments best for the individual.

    No two women will experience the same symptoms at the same time during the menopause transition. The goal is to educate the client on available options to best manage her individual symptoms, or optimize health prior to symptom occurrence which can decrease symptoms. You do not have to be symptomatic to benefit from this consultation.

  • Lab work is not required before the consultation. It is likely some labs will be recommended but not required after the individual consultation.

  • Menopause is defined as 12 full months without a menstrual cycle. Every day after those 12 months is considered postmenopause, while the years leading up to this point are known as perimenopause. Perimenopausal symptoms can begin and fluctuate as early as the mid-30s for some women.

  • Various non-hormonal options are available for women who are not HRT candidates. Many women report significant improvement in quality of life after start of the non-hormonal options we offer at Blackbird Wellness.

  • Clients will never be rushed through this consultation. The typical timeframe is between 1-2 hours. The goal is for every client to leave the consultation with more understanding of current guidelines and recommendations and with an individualized plan of care. 

    Any current lab results obtained within the past 12 months may be helpful. Gynecological history, including pap smear date and results, and mammogram dates and results, are needed prior to HRT start.

  • Lifestyle changes can be very beneficial to the menopause transition. There is much information available confirming that women who embrace even small positive changes report significant improvement in  quality of life.

  • Yes, in-person or virtual consultation is available.

  • The traditional menopause consult is a one-on-one style consultation. Group menopause education settings can be set up by request. The group setting can be an excellent first step to understanding menopause. Individual treatment options will not be established in the group setting; this setting is strictly informative.

  • Nikki typically follows up in intervals of 2 to 12 months. more info here?

Frequently Asked Questions
About Our Menopause Consultation Services

Testimonials

  • Treat you like family

    I believe the highest compliment one can give a healthcare provider is that they treat you like family, and Nikki has always done that for me. She genuinely cares about her patients. She takes the time to discuss concerns I have and explains things. She has always been available when I needed her.

    She is very compassionate and skilled and always takes the time to listen. Choosing her was the best decision I ever made. I have recommended her to my friends.

Testimonials