Hormones & Everything Else™
Comprehensive Midlife Health for Women
Hormone • Metabolic • Heart• Sexual Health
Our physician-led approach connects the dots between hormones, sexual health, metabolism, heart health, body composition and healthy aging—helping you understand what's changing and what to do next.
Direct specialty care for women in midlife. You keep your primary care physician. We focus on your midlife health.
Hormones are part of the story.
They aren't the whole story.
Midlife can affect multiple systems at the same time.
That's why our approach looks beyond a single symptom or hormone level.
-
Hormone Health
Perimenopause & menopause
Hot flashes & night sweats
Sleep, mood & brain fog
Menopausal hormone therapy -
Metabolic Health
Weight & body composition
Visceral fat
Prediabetes & insulin resistance
Medical weight management -
Heart Health
Cholesterol & ApoB
Lipoprotein(a)
Blood pressure & blood sugar
Cardiovascular prevention -
Healthy Aging
Muscle & strength
Bone health
Sleep & lifestyle
Long-term healthspan -
Sexual Health
Low desire & arousal changes
Vaginal dryness
Painful sex
GSM & urinary symptoms
A Different Kind of Midlife Visit.
More Time. More Context. A Clearer Plan.
Midlife health doesn't always fit neatly into a traditional medical visit.
You may have one appointment for cholesterol, another for your annual exam, another for hot flashes—and still never have enough time to ask:
“How does all of this fit together?”
Our physician-led team takes the time to look at your symptoms, medical history, medications, sexual health, metabolic health, cardiovascular risk and lifestyle in context—not in isolation.
Together, we identify what deserves attention and build a personalized plan for what comes next.
✓ Extended physician visits
✓ Evidence-based menopause & hormone care
✓ Sexual-health evaluation & treatment
✓ Metabolic & cardiovascular risk assessment
✓Medication management & titration when appropriate
✓ Body-composition assessment when appropriate
✓ Personalized recommendations
✓ Direct-pay, transparent pricing
This is direct specialty care—not primary care.
You keep your PCP. We go deeper into your midlife health.
Choose the level of care that's right for you.
Some women have one specific concern. Others need ongoing support while treatment is started and adjusted. And some want a comprehensive approach to several interconnected areas of midlife health.
$395
60 minutes
One concern. One dedicated visit. A clear plan forward.
Choose ONE primary focus:
Hormone & Menopause Health
Sexual Health
Metabolic & Weight Health
Cardiovascular Risk & Prevention
Healthy Aging & Prevention
Includes an in-depth evaluation of your selected concern, review of relevant history and available results, discussion of treatment options and personalized next steps.
One primary clinical focus—not all five areas.
SINGLE FOCUS
CONSULTATION
$1,350 ($225/month)
For women who want someone to connect the dots.
Designed for concerns that cross multiple areas of midlife health or for women who want a more comprehensive physician-led approach.
60-minute comprehensive initial consultation
Three 30-minute physician follow-ups
Evaluation of relevant hormone, sexual, metabolic and cardiovascular concerns
Medication management & clinically appropriate titration
Focused secure physician messaging
Body-composition monitoring when appropriate
Personalized Midlife Health Plan
Your care is individualized. Not every patient requires evaluation or treatment in every area.
MOST COMPREHENSIVE
6-MONTH COMPREHENSIVE MIDLIFE CARE
$897 ($299/month)
One primary concern—with time to treat, follow and adjust.
60-minute initial physician evaluation
Two 30-minute physician follow-up visits
Review of relevant results
Medication management & clinically appropriate dose adjustments
Focused secure messaging related to the condition being managed
Personalized treatment recommendations
Designed for ONE primary clinical area requiring ongoing treatment and follow-up.
Not sure which option is right for you?
One concern or question? Start with the Single-Focus Consultation.
One primary concern that needs treatment and follow-up? Choose 3-Month Focused Care.
Several interconnected midlife concerns? Choose 6-Month Comprehensive Midlife Care.
3-MONTH FOCUSED CARE
Thoughtful testing.
Not testing for the sake of testing.
Perimenopause and menopause are often identified based on symptoms, age and menstrual history—not by automatically ordering large hormone panels.
Depending on your individual history and concerns, we may review or consider:
Hormone Health : Symptoms, menstrual history and hormone testing when clinically appropriate
Metabolic Health: Glucose • A1c • Lipids • Insulin resistance • Body composition
Heart Health: Blood pressure • ApoB • Lipoprotein(a) • Family history • Cardiovascular risk
Healthy Aging: Bone health • Muscle • Vitamin D • Nutrition • Lifestyle
Additional testing, imaging or specialist evaluation may be recommended when appropriate.
Labs, imaging, medications, supplements and outside services are separate from consultation and program fees unless specifically stated.
Your PCP remains your PCP.
We complement your primary care. We don't replace it.
One Health DPC Women's Midlife Health is direct specialty consultation care. We focus on: Perimenopause & menopause, Menopausal hormone therapy, Sexual health, Metabolic health, Medical weight management, Cardiovascular risk & prevention, Body composition, Muscle, bone health & healthy aging.
Your primary care physician continues to manage routine primary care, annual preventive care, acute illnesses, urgent concerns and medical conditions outside the scope of your consultation.
When appropriate, we encourage collaboration with your PCP, OB/GYN and other specialists.
You don't have to leave a PCP you already trust to get deeper midlife care.
MEET DR. OSEI
Elsie Osei-Nkansah, MD
Board-Certified Family Medicine Physician
FOUNDER & CEO
Dr. Elsie Osei-Nkansah is the founder and physician at One Health DPC, where she has cared for patients in Western North Carolina for more than a decade.
Her approach to midlife care looks beyond individual symptoms—bringing together hormone and menopause health, sexual health, metabolic health, weight, and cardiovascular risk to better understand the whole picture.
She created Hormones & Everything Else™ to give women the time to ask questions, understand what is changing, and receive thoughtful, evidence-based care that reflects their individual health, concerns, and goals.
Understand the changes. Connect the dots. Protect your future.
Direct-Pay. Transparent Pricing.
One Health DPC Women's Midlife Health is a direct-pay service. We do not bill commercial insurance for these services.
For eligible medical visits, a superbill may be provided upon request for you to submit to your insurance plan for possible out-of-network reimbursement. Reimbursement is determined by your insurance plan and is not guaranteed. Program fees themselves may not be reimbursable by insurance.
Medicare Notice: One Health DPC does not currently offer these direct-pay consultation services to patients who are enrolled in or eligible for Medicare. Because of Medicare billing requirements, we are unable to accept Medicare beneficiaries for this program at this time.
FAQs
-
No. Women's Midlife Health is a separate direct specialty care service. You may continue seeing your established primary care physician.
-
When medically appropriate, yes. Treatment is individualized based on your symptoms, medical history, risks, preferences and goals.
-
Yes. We provide confidential evaluation of concerns including low desire, changes in arousal, vaginal dryness, painful sex, genitourinary syndrome of menopause and other midlife sexual-health changes.
-
Usually not. Perimenopause is often identified based on age, symptoms and menstrual history. Testing is ordered when it is clinically useful.
-
Medical weight management may be incorporated when clinically appropriate. Prescription treatment is not guaranteed and medication costs are separate.
-
No, unless specifically stated. Laboratory testing, imaging, medications, supplements and outside services are separate from consultation and program fees.
-
Women's Midlife Health is direct-pay. We do not bill commercial insurance. A superbill may be available for eligible medical visits upon request for possible out-of-network reimbursement. Reimbursement is not guaranteed.
-
No. The monthly option is a payment plan for a defined 3- or 6-month period of consultation care. It does not provide unlimited physician visits, primary care or urgent care.
-
No. If you are an active One Health DPC member, routine perimenopause and menopause care, metabolic and weight management, and cardiovascular risk management can be addressed as part of your ongoing primary care when medically appropriate.
Hormones & Everything Else™ was created as a separate consultation option for patients who maintain their primary care elsewhere and want focused midlife care.
If you're a current member and aren't sure where your concern fits, contact our office before enrolling in a separate program.
Your health isn't a collection of separate symptoms.
Your hormones. Your metabolism. Your sexual health. Your heart. Your muscle. Your sleep. Your future.
They're connected. And your healthcare should recognize that.
Hormones & Everything Else™
Comprehensive Midlife Health for Women
Hormone • Sexual • Metabolic • Heart Health
Personalized. Evidence-based. Physician-led.