Menopause care that takes your symptoms seriously.
Hormone therapy, bladder and pelvic health, and bone protection — from Georgia's largest urology practice.
Insurance-based. In-network with most major plans. Locations across metro Atlanta.
Sound familiar?
Most women arrive having been told that some of this is normal and the rest is unrelated. Usually it is one thing, and usually it is treatable.
What we treat
Three areas, one visit, one team. You should not need three referrals to sort out symptoms that all started for the same reason.
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Hormones
Systemic hormone therapy when it fits, non-hormonal prescriptions when it does not — including the newer options developed specifically for hot flashes. We screen your history first and tell you what the evidence supports.
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Bladder and pelvic floor
Urgency, leaking, and repeat urinary infections are urology problems, and menopause is often the reason they started. Pelvic floor physical therapy, medication, and procedures — in that order.
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Bone health
Bone loss accelerates around your final period and stays silent until something breaks. DEXA scanning, FRAX fracture risk scoring, and the full range of treatment.
Why treat it
Waiting it out is a decision, and it has costs. Some of these symptoms fade on their own. Others get worse, and one of them is silent until something breaks.
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Vaginal dryness and painful sex do not improve on their own
Unlike hot flashes, genitourinary syndrome of menopause is a tissue change that continues while estrogen stays low, and left alone it tends to progress. It also makes routine pelvic exams and cervical screening painful, which is how women fall out of screening altogether.
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Hot flashes last longer than most women expect
In the SWAN study the median duration of frequent hot flashes was about seven years, and longer for women whose symptoms started before their final period. That is a long time to lose sleep over something with several effective treatments, hormonal and non-hormonal.
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Repeat urinary infections have a cause, not just a cure
Two or more infections in six months after menopause is a pattern, not bad luck. The AUA/CUA/SUFU guideline recommends offering vaginal estrogen to reduce recurrence — treating the reason you keep getting infected instead of treating one more infection.
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Bone loss is silent until something breaks
Loss is fastest in the year before and the two years after your final period, and there is no symptom to warn you. For too many women the first sign is a broken wrist or a compressed vertebra. A DEXA scan is how you find it while it is still preventable.
Why us
Most women with these symptoms end up split between a primary care doctor, a gynecologist, and a urologist, repeating their history each time, with nobody treating the cause. Hormones, bladder, and bone are one visit here, with one team looking at one record.
The tests that change the plan are in the same building — labs, DEXA, urodynamics, and pelvic floor physical therapy. If your repeat urinary infections turn out to need a procedure, you are already where it happens.
We tell you what the evidence supports and what it does not. Every treatment page rates its own options Strong, Moderate, or Limited, and where we rate something Limited, that is us telling you not to count on it. We prescribe FDA-approved products, and there is nothing to buy from us.
Advanced Urology, in numbers
- Scale
- Metro Atlanta's largest urology practice
- Access
- 12+ locations and 6 surgery centers across Georgia
- On site
- Labs, DEXA, urodynamics, and pelvic floor physical therapy
- Billing
- Insurance, like any specialist visit. Not a membership.
How it works
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Step 1: Request an appointment
Fill in the form or call. Our team calls you back to schedule, checks your insurance, and books you at a location that has the services you need.
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Step 2: Do your intake in the app before you arrive
A symptom score, your history, and a safety screen — done at home, at your own pace. It means your visit is spent talking rather than filling in forms on a clipboard.
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Step 3: See a menopause-trained clinician
A real visit, not a fifteen-minute slot. Labs and a DEXA scan can often be done the same day where the location offers them.
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Step 4: Leave with a plan
Prescriptions sent to your pharmacy, a clear explanation of what each one is for, and prior authorization handled by us if your plan requires it.
The app does the boring parts
Before your visit, you complete your symptom score, history, and safety screen at home. After your visit, you log hot flashes, bleeding, and how you are doing, so the next conversation is about your actual numbers rather than what you can remember.
It also handles refills, results, and messaging our team. No health information is collected through this website — the app is separate and secure.
Common questions
Do I need a referral?
No. You can request an appointment directly. If your plan is an HMO that requires a referral for specialist visits, we will tell you when we call to schedule.
Is this covered by insurance?
Yes. Visits, labs, and DEXA scans are billed to insurance like any specialist visit. We're in-network with most major plans. We are not a cash-pay membership program.
Do I have to take hormones?
No. Hormone therapy is one option, not the plan. Many women are treated with non-hormonal medication, vaginal estrogen only, pelvic floor therapy, or bladder treatment. You decide after we go through the evidence and your history.
Why would a urology practice treat menopause?
Because a large share of menopause symptoms are urologic. Vaginal dryness, painful sex, urgency, leakage, and repeat urinary tract infections are all driven by the drop in estrogen, and they are the problems urology treats every day. Treating the cause and the symptom in one place is faster for you.
How soon can I be seen?
Most new menopause visits are scheduled within two to three weeks across our metro Atlanta locations. If you are having unexpected vaginal bleeding, call us — that is evaluated sooner.
You do not have to wait this out.
Insurance-based visits across metro Atlanta, usually within two to three weeks. No obligation to start hormones.