Perimenopause, menopause, and hormonal imbalance are not something you should have to guess your way through. Care starts with lab work, not a questionnaire, and your plan is built around what your results actually show.
Hormone therapy replaces what has declined, using estrogen, progesterone, and low-dose testosterone when each is clinically appropriate for you. It is prescribed only after lab work shows where your levels actually sit, then monitored over time to support sleep, mood, energy, libido, and body composition.
Hormone levels shift through your thirties, forties, and fifties, and that shift is often what sits behind sleep that no longer restores you, a mood that feels unfamiliar, weight that will not move, and a libido that has quietly disappeared. The goal is not a number on a chart. It is getting you back to feeling like yourself.
These symptoms overlap with thyroid disease, anaemia, stress, and several other conditions, which is exactly why care at Elevra always starts with comprehensive lab work, never assumptions.
You complete a comprehensive hormone panel at a lab near you. No appointment needed, and you know the exact cost before you go.
A licensed provider reviews your results with you by video, alongside your history and your goals, then recommends a protocol — or tells you treatment is not the right step. The consultation is free either way.
You re-test, and your provider adjusts to your response. Hormone care is not set once and forgotten.
Perimenopause is the transition before menopause, when hormone levels fluctuate and periods change, often starting in the late thirties or forties and lasting several years. Menopause itself is confirmed only in hindsight, twelve consecutive months after your final period. Hormone therapy is considered in either stage when your labs and symptoms support it, not by age alone.
During perimenopause, cycles typically change gradually: shorter at first, then increasingly irregular, then skipped, before stopping altogether. Hormone levels swing unevenly rather than declining in a straight line, which is why symptoms like hot flashes, sleep disruption, and mood changes can show up well before a single period is missed. Menopause is not diagnosed by symptoms or a single lab value; it is confirmed after a full year without a period.
Because a woman in perimenopause may still ovulate, hormone therapy is managed differently for someone still cycling than for someone who is already postmenopausal. That distinction is one reason Elevra's protocols always start with a comprehensive lab panel rather than a symptom checklist or a birthday. See how telehealth handles that lab-first process compared with an in-person clinic in Elevra's telehealth vs. in-person comparison.
Every price below covers your medication and supplies. Consultations are always free. Lab work is billed separately at a published price, so there is never a surprise invoice.
| Protocol | What it covers | Monthly |
|---|---|---|
| Radiance | Testosterone therapy for women, for energy, libido, focus, and lean muscle when low-dose testosterone is clinically appropriate. Includes medication, needles, and alcohol wipes. | $119 |
| Balance · Estrogen | Estrogen therapy, targeting hot flashes, night sweats, sleep disruption, and the skin and vaginal changes that come with declining estrogen. Includes medication. | $65 |
| Balance · Progesterone | Progesterone therapy, supporting sleep, mood, and cycle regulation, and protecting the uterine lining when estrogen is part of your plan. Includes medication. | $65 |
| Complete | Testosterone, estrogen, and progesterone together — our full women's protocol, for when your labs point to more than one deficiency. Includes medication, needles, and alcohol wipes. | $175 |
Initial lab work for women's hormone care is $170, billed separately and only at the start. Consultations are free. Programmes are billed monthly and continue until you cancel — see our cancellation policy. Prices may change; current pricing is always posted on this page.
Elevra treats patients statewide by secure telehealth. See what care and local lab options look like from Wentzville, O'Fallon, or St. Peters, or browse the full list of Missouri cities. Weighing telehealth against an in-person clinic? See the honest comparison. Wondering about insurance or payment? See how payment works at Elevra.
Lab work first, then a free consultation with a licensed provider who reviews your results with you. Telehealth across Missouri.
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