(Peri)Menopause & sexual medicine
Expert care for the whole transition — in person or by secure video.
About this care
Perimenopause often begins in your late thirties. At 35 you are not too young for this conversation, and you should not have to wait until symptoms are intolerable to be taken seriously. It's a journey that deserves support along the way. Together we'll make sense of what's changing and build a plan that carries you through.
Sexual health concerns are common and normal. When they bring distress, we'll have a thoughtful conversation and find solutions that fit your body, your mind, and your relationships.
Visits & what they cover
A comprehensive first conversation — new or established patients.
Fine-tuning your plan over time. Your next visit is arranged before you leave — at short intervals while things are getting dialed in, or annually to check in.
If any of this sounds like you, you are in the right place.
You do not need all of them, and you do not need to be sure they are hormonal. Bring what you have noticed.
Jessica is an LGBTQIA-inclusive, trauma-informed, and kink-positive provider. Your body, your relationships, and your history are met without judgment or assumption.
Perimenopause can begin in your mid-thirties. If you have been told you are too young, or that your labs look fine, that is not the end of the conversation — symptoms matter more than a single number.
What an unhurried visit actually looks like
What you have noticed, when it started, what you have already tried, and what has been dismissed along the way.
Plain-language education about what is actually happening in your body — the physiology, without the jargon.
Every option on the table, hormonal and non-hormonal, with real trade-offs rather than a single default recommendation. See the menu →
A plan you helped choose — prescriptions if indicated, labs if useful, and a clear next step before you leave.
More than one right answer
Some people want hormones. Some cannot take them, or would rather not. Both conversations happen here, grounded in current evidence and shared decision-making.
Jessica is a Menopause Society Certified Practitioner and an ISSWSH Fellow, and stays current with the literature so you do not have to.
Established = seen within the last 3 years.
Although GynJess is a cash-pay practice, insurance often still covers medications, labs, Pap smears, imaging and other diagnostics. Superbills are available for possible reimbursement, and FSA/HSA funds are an option too.