You know your body—and when something feels different, you deserve more than “your labs are normal” or “it’s just part of getting older.”
At County NP, we provide thoughtful, evidence-informed care for women experiencing perimenopause, menopause, surgical menopause, and other hormone-related concerns. Symptoms may include hot flashes, night sweats, poor sleep, fatigue, mood changes, brain fog, weight changes, low libido, vaginal dryness, or simply not feeling like yourself.
Your visit begins with listening. We review your symptoms, health history, risk factors, goals, previous treatments, and appropriate laboratory testing. When hormone replacement therapy is a safe and reasonable option, your treatment plan may include estrogen, micronized progesterone, testosterone, or nonhormonal therapies based on your individual needs.
HRT is not one-size-fits-all—and it is not right for everyone. We will discuss the potential benefits, risks, alternatives, monitoring, and follow-up so you can make an informed decision without pressure, dismissal, or gaslighting.
You are not imagining your symptoms. You are not “just getting older.” And you do not have to navigate this chapter alone.
Ready to feel heard? Schedule your Women’s Health HRT consultation with County NP.

Personalized care for women and men
For women and men whose insurance covers their hormone medication from a retail pharmacy. Includes follow-up visits (up to one per month), refills and dose adjustments by message, and unlimited messaging with Ruth. Medication, copays, and lab charges go through your insurance or pharmacy. Prepay 6 months for $405 (save 10%).
Ongoing HRT management, follow-up visits, and dose adjustments, plus your hormone medication (estrogen, progesterone, and testosterone when appropriate) with supplies and shipping, monitoring labs, and unlimited messaging with Ruth. Member pellet rate: $325.
Hormone follow-up visit for non-members. A visit is needed about every 3 months to continue refills. Medication and labs are billed separately (lab draw $35 plus lab cost, or insurance through Quest).
One plan for hormone care and weight management — save $25 per month.
HRT Access plus GLP-1 medical weight management: custom-dosed compounded medication, nausea support when appropriate, no price increase as your dose goes up, and one coordinated plan. Saves $25/month versus separate plans.
One plan for hormone care and weight management — save $25 per month.
HRT Access plus dual-action GLP-1/GIP medical weight management: custom-dosed compounded medication, nausea support when appropriate, in-office injections available, and no price increase as your dose goes up. Saves $25/month versus separate plans.
Membership and medication pricing are subject to change without notice.
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