Perimenopause & Menopause Care in California
If sleep disruption, stress overload, gut changes, brain fog, energy crashes, or metabolic shifts started showing up in your 40s or early 50s, your body may be moving through the neuroendocrine transition of perimenopause. I help you identify the pattern so you can stop guessing and know what to do next.
Your Body Feels Different But the Answers Are Unclear
Sleep disruption, stress overload, brain fog, gut changes, and energy crashes can make your body feel unfamiliar. Something is shifting, even if the pattern is still unclear.
You may have been told everything looks fine, but your symptoms continue. Many routine labs were not designed to evaluate the broader perimenopause picture.
Instead of guessing, I identify the biological pattern driving your symptoms. That gives you a clearer next step and a plan built around you specifically.
You may have already tried supplements, hormones, sleep hygiene, functional medicine, or advice from the internet and still feel like no one has put the whole picture together. What I do differently is look at sleep, stress, hormones, metabolism, and the nervous system as one connected pattern instead of chasing one symptom at a time.
Most protocols treat one system at a time. Hormones. Sleep hygiene. Stress management. Each one separate, each one incomplete. If you have tried HRT and still do not feel right, that is not a personal failure. It means something else was driving the disruption that the hormones alone could not reach. My method looks at your nervous system, your sensory environment, your stress pattern, your gut, your sleep architecture, and your hormones as one connected system. When hormones are part of the picture, I prescribe and manage them. But I do not start there. I start with understanding how you are actually wired. Because a protocol built around your specific nervous system works differently than one built for the average patient. You are not the average patient.
This is 30 minutes with me. Not a portal. Not a PA. Me. We map your symptom pattern together, I order your foundational lab panel, and we build your next step from your actual physiology, not guesswork. If you have recent labs, bring them. We work with what you have. If hormones are part of the picture, we address that. If something else is driving what you are experiencing, we find it.
You will leave knowing what your body has actually been trying to tell you.
Book the Reset Foundations Consult$497 — Includes your baseline lab panel
I look at your symptoms across sleep, stress response, hormones, metabolism, and the nervous system so we can stop treating everything like separate problems.
Your history, your symptom pattern, and your lab data help me see what may be underneath the disruption and what belongs to which system.
From there, I guide you toward the next phase of care that fits your situation. I am not handing you off. I am staying in it with you.
I built this method because I kept seeing the same woman. Brilliant. Exhausted. Already tried everything. Dismissed by providers who never had enough time to actually look at her whole picture. She did not need another referral. She needed someone who would stay.
I see women whose nervous systems were never accounted for in any protocol they were ever given. That is not a gap I work around. That is the center of how I practice. I am not handing you off. I am not giving you a checklist. I am building a clinical picture of you specifically, and I am staying in it with you.
Book the Reset Foundations Consult
I provide clinical telehealth care to patients physically located in California at the time of their visit. Whether you are in Los Angeles, the Bay Area, San Diego, or anywhere across the state, if you are in California when we meet, I can see you.
California women have access to some of the most advanced medical systems in the country and still face the same pattern: dismissed labs, fragmented care, and perimenopause symptoms that no one has taken the time to map. I built this practice to be the appointment that actually looks at the whole picture.
Dr. Stacey Denise provides perimenopause and menopause telehealth care to women in Los Angeles, San Francisco, San Diego, Sacramento, Oakland, San Jose, Fresno, Long Beach, Anaheim, and throughout California. Patients must be physically located in California at the time of their appointment. Services include perimenopause pattern assessment, foundational hormone lab panels, HRT consultation and management, sleep disruption evaluation, and nervous system-informed clinical care for midlife women. All care is provided through SDM Medical PLLC after a formal intake establishes a doctor–patient relationship.