hormone replacement therapy

Your first visit is a comprehensive consultation focused on your symptoms, medical history, lifestyle, and goals. Nicole will review your history, discuss your current concerns, evaluate previous lab work when appropriate, and determine whether additional testing is needed. You'll talk through the potential benefits and risks of hormone therapy, review all appropriate options including hormonal and non-hormonal therapies, and leave with a plan that fits your situation. Ongoing visits focus on adjusting your regimen as your body responds, addressing symptoms that surface along the way, and revisiting your plan as your needs change. Whether you're looking for answers about perimenopause, considering hormone therapy for the first time, or hoping to optimize a regimen you're already on, this is a place to get straight guidance.

Nicole Sandilands, DNP, APRN, FNP-BC, is a board-certified Family Nurse Practitioner, a Certified Menopause Practitioner through The Menopause Society, and an AASECT Certified Sexuality Counselor. She earned her Doctor of Nursing Practice from Fairfield University and has over a decade of experience caring for women across the continuum of health, including extensive work in oncology, where she built a comprehensive survivorship and women's sexual health program. She cares for concerns including low libido, vaginal dryness, painful intercourse, urinary symptoms, fatigue, mood changes, sleep disturbance, and weight change.

Initial Visit — $550
Your first visit is a 60-minute in-person appointment. We'll walk through your health history, your intake questionnaire, current and past concerns, and any lab work you've already had done. You'll leave with initial lab recommendations and baseline next steps built around what your body actually needs.

Follow-Up Visits — $250
A 30-minute appointment to review your follow-up questionnaire and any new labs. We'll adjust your recommendations and map out what we're focusing on before your next visit.

Follow-Up Package — $1,200
Five follow-up sessions, to be used within one year.

Payment is due at the time of service. Lab testing and medications are billed separately and aren't included in your visit fee. We're happy to provide a superbill you can submit to your insurance provider for possible reimbursement.