How it works
What actually happens, start to finish
No membership, no cash-pay program, no fifteen-minute slot where you get told to try layering your clothing.
A first menopause visit takes about 40 minutes. You complete your symptom score, history, and safety screen in the app before you arrive, so the visit itself is spent talking about treatment rather than filling in forms. Labs and a DEXA scan can often be done the same day, and prior authorization is handled by our team rather than by you.
The six steps
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Step 1: Request an appointment, or get flagged at your Advanced Urology visit
You can request a visit through this site or by phone. Many women are already being seen somewhere in Advanced Urology for a bladder or urinary problem — if menopause is the reason behind it, your clinician can refer you internally without you starting over anywhere.
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Step 2: Complete your intake in the app before you arrive
A validated symptom score, your medical and surgical history, your medication list, your last mammogram date, and a safety screen covering breast cancer, blood clots, stroke, migraine with aura, and liver disease. Done at home, at your pace, before the visit — so the visit is spent talking.
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Step 3: See a menopause-trained clinician
Plan on about 40 minutes for a first visit. We go through your symptoms, what bothers you most, your history, and an exam where it is relevant. Labs and a DEXA scan can often be done the same day at locations that offer them.
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Step 4: Leave with a treatment plan
We go through the realistic options, what the evidence supports for each, and what each one involves. Prescriptions are sent to your pharmacy. If your plan requires prior authorization for a medication or a scan, our team submits it and follows up — that is not your job.
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Step 5: Follow up in the app
Log hot flashes, a symptom score, and any bleeding. Request refills, see results, and message our team. Most treatments get a defined trial of 8 to 12 weeks, and at the end we compare your numbers rather than your memory of the last three months.
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Step 6: Annual review
At least once a year we sit down with the whole picture: what your symptoms are doing, what has changed in your health, whether the dose is still right, whether you are due for bone density screening, and whether to continue, adjust, or taper. Stopping is a legitimate outcome of that conversation.
The app, in plain terms
It is not a wellness tracker and it does not sell you anything. It does four jobs.
Before your visit, it collects what we would otherwise spend half your appointment writing down: your symptom score, your history, your medications, and the safety screen that decides which treatments are on the table.
After your visit, it tracks the things that decide whether treatment is working — how many hot flashes you are getting, how you are sleeping, and any bleeding. A dose change should be based on your numbers, not on a guess three months later.
Between visits, it handles refills, results, and secure messaging with our team, so a simple question does not need a phone tree.
Once a year, it prompts your review, which is how women end up on the same prescription for a decade without anyone revisiting it.
What to bring to your first visit
- The date of your last menstrual period, or the year your periods stopped
- A list of your current medications and supplements
- The date of your last mammogram
- Any prior DEXA scan results
- Dates of any urine infections in the last year, and culture results if you have them
- If you have used hormone therapy before, the names and doses if you have them
- A short note about which symptom bothers you most — that is where we start
Not sure what to write down? The symptom checker builds a summary you can copy and bring with you. Nothing you enter into it leaves your browser.
Common questions
How long until I can 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, tell us when you call — that is evaluated sooner.
Do I need to do the app intake?
It is strongly preferred but not required. If you would rather complete your intake on paper when you arrive, tell our scheduling team and come about 20 minutes early.
Will I get a prescription at the first visit?
Often, yes — if the history is clear and the safety screen is clean. Sometimes we need a mammogram, labs, or an ultrasound first, and we will tell you plainly why rather than leaving you wondering.
Can follow-ups be done by video?
Many can. First visits are usually in person, because an exam, labs, or a scan often changes the plan.
Ready to talk to someone who treats this every day?
Insurance-based visits across metro Atlanta. No membership, no cash-pay program, no obligation to start hormones.