Told hormone therapy isn't for you?
Let's look again.
A history of breast cancer, a blood clot, or starting later in life
does not automatically close the door on menopause care.
For women who've been dismissed with a flat no,
this is what a real, specialist-level conversation looks like.
A complicated history deserves more conversation, not less.
Most women with a complex history hear one word — no — and are left to endure years of symptoms alone.
Complex Care is built for the conversation almost no one else will have with you: honest, individualized, and grounded in the current evidence.
Biology First
Rooted in your history
Your plan starts with your actual risk — your diagnosis, your labs, your timeline — not a template or a blanket rule someone applied to you years ago.
Shared Decision
Your values in the decision.
Evidence-informed shared decision-making, using the latest consensus guidance & guidelines
Every Option
Hormonal and non-hormonal
Whether the answer is lifestyle strategies, hormone therapy, or a combination, it's built with you — and coordinated with the rest of your care.
Find the 6 month Start Track built for your Story.
Each track follows the same specialist standard over six months. What changes is the risk conversation at its center.
Complex Care: Survivorship
If you've had breast cancer.
The symptoms that came with treatment are real and treatable. Hormone therapy after breast cancer is the most contested decision in menopause medicine; we handle it with the rigor and honesty it demands, coordinated with your oncology team.
What sets this track apart
Coordination with your oncology team
Recurrence-risk shared decision-making
Review of your endocrine therapy and symptom priorities
Hormonal and non-hormonal options weighed openly
1 Time Health Investment of $2950
Complex Care: Clotting History
If you've had a blood clot, or carry a clotting risk.
A DVT, a PE, or a known clotting risk is often where the estrogen conversation ends. It shouldn't.
Route, dose, and timing change the picture.
We review all your options.
What sets this track apart
Coordination with your specialists
Cardiovascular risk assessment & shared decision-making
Hormonal and non-hormonal options weighed openly
1 Time Health Investment of $2250
Complex Care: Later Start
If you're past 60,
or more than 10 years past menopause.
"It's too late to start" is a generalization, not a verdict on you. Starting later shifts the risk-benefit math — so we look at your individual risk and your symptoms, and have the conversation you were told wasn't possible.
1 Time Health Investment of $2250
Coordination with your specialists
Cardiovascular risk assessment & shared decision-making
Hormonal and non-hormonal options weighed openly
1 Time Health Investment of $2250
Add Medical Weight Management to any Track
Every track can include the 4M Playbook — Meals, Movement, Mind & Meds — with FDA-approved weight medication when appropriate, personalized, monitored, and coordinated with your history. In midlife, hormones and weight are the same problem; here, they're treated together.
Six months of specialist care — not a script and a wave goodbye.
✓A 60-minute Power Hour — your full deep-dive initial consultation
✓A dedicated shared decision-making visit — the in-depth risk-benefit conversation
✓Individual optimization visits across the six months to monitor and adjust
✓Monthly virtual group sessions led by Dr. Troutman (optional)
✓A personalized plan built around your biology and your history
✓Coordination with your care team — oncology, cardiology, or your PCP as needed
✓Messaging support Mon–Fri, with a response within 48 hours
This is shared decision-making — not a sales pitch for hormones.
Complex Care does not promise that hormone therapy is right for you, or guarantee a number on the scale. It promises the rigorous, unhurried, evidence-based conversation you deserve — so that you can make the decision that fits your risk, your symptoms, and your life.
You've been dismissed long enough.
Book a free 15-minute Meet & Greet with Dr. Troutman.
No pressure. No commitment.
Just an honest conversation about your hormones, your symptoms, and what’s actually possible for you.
No insurance hassles. No judgment. Just answers.
Patient Testimonials
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