Hormones & Everything Else™
Perimenopause & Menopause Care
Personalized care for hot flashes, sleep changes, brain fog, vaginal dryness, and other midlife concerns with a Menopause Society Certified Practitioner. Together, we’ll explore what’s changing, discuss your treatment options, and create a plan that fits your needs. (In-person in Asheville · Telehealth in NC, SC, TN & TX)
Your Menopause Consultation
A dedicated 60-minute visit to talk through your symptoms, get answers to your questions, and explore treatment options that fit your health history and goals.
We can help with
Questions about perimenopause, menopause, or surgical menopause
Hot flashes, night sweats, and changes in sleep
Mood changes, brain fog, and difficulty concentrating
Vaginal dryness, painful sex, and changes in sexual desire
Questions about starting or adjusting menopausal hormone therapy
Nonhormonal options for symptom relief
What your visit includes
We’ll review your symptoms, menstrual and medical history, medications, and relevant results you already have. Together, we’ll discuss treatment options, prescribe when appropriate, and create a personalized plan with recommendations for follow-up.
We also consider how your symptoms fit with your metabolic, cardiovascular, and bone health. Testing is recommended based on your individual needs.
Initial consultation · 60 minutes · $395
Your consultation fee can be applied toward a care program when you enroll within 30 days. Labs, imaging, medications, and follow-up visits outside an enrolled care program are billed separately.
Your Midlife Health, Connected
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Perimenopause & Menopause
Understanding your symptoms and exploring hormonal and nonhormonal treatment options.
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Sexual & Vaginal Health
Support for vaginal dryness, painful sex, and changes in sexual desire.
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Weight & Metabolic Health
Understanding changes in weight and body composition, with attention to blood sugar and metabolic health.
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Heart Health
Understanding blood pressure, cholesterol, and family history as part of your midlife care.
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Bone & Muscle Health
Reviewing bone health, strength, movement, and prevention as you age.
Your initial visit focuses on your primary concern. Additional visits or ongoing care may be recommended for concerns that need further evaluation or treatment
Meet Dr. Osei
Elsie Osei-Nkansah, MD, MA, MSCP
Board-Certified Family Medicine Physician
Menopause Society Certified Practitioner
Founder & Physician, One Health DPC
You deserve time to talk through what you’re experiencing and understand your options.
Dr. Osei has cared for patients in Western North Carolina for more than a decade. She brings her background in family medicine and advanced knowledge of menopause care to help women navigate perimenopause, menopause, and the health changes that can accompany them.
Her approach considers how your symptoms, sexual health, weight, metabolism, and cardiovascular risk fit together. She takes time to listen, explain treatment options, and develop a plan around your health history, preferences, and goals.
Through Hormones & Everything Else™, she offers personalized, evidence-based midlife care—from a first conversation about symptoms to ongoing support as treatment is started and adjusted.
Follow-Up & Ongoing Care
Your care starts with a consultation. Some women need an occasional follow-up, while others benefit from ongoing support as treatment is started and adjusted. Together, we’ll discuss which option fits your needs
Follow Up Visits: For established consultation patients who want to review progress, discuss results, or adjust treatment as needed.
(30-minute visit · $200)
Start with a consultation. Continue with support.
If you enroll in a 3- or 6-month care program within 30 days of your initial consultation, your full $395 consultation fee will be applied toward the program total. Your consultation serves as the program’s initial visit, and your care period begins on that date.
For one primary concern that needs treatment and follow-up.
60-minute initial physician evaluation
Two 30-minute physician follow-up visits
Medication management & clinically appropriate dose adjustments
Focused secure messaging related to the condition being managed
Personalized treatment recommendations
$897 total · Three payments of $299
3-MONTH
FOCUSED CARE
For several connected midlife concerns that need a broader plan & ongoing support.
60-minute comprehensive initial consultation
Three 30-minute physician follow-ups
Medication management & clinically appropriate titration
Focused secure physician messaging
Body-composition monitoring when appropriate
Personalized Midlife Health Plan
$1,350 total · Six payments of $225
6-MONTH
COMPREHENSIVE CARE
Each program includes the initial consultation. Labs, imaging, medications, and outside services are separate
What Happens Next
1. Request your consultation
Complete our consultation request form. Our team will contact you about appointment availability and next steps.
2. Meet with Dr. Osei
During your 60-minute visit, we’ll review your concerns, discuss treatment options, and create a personalized plan.
3. Continue care that fits your needs
Schedule individual follow-up visits or choose a care program for ongoing support. We’ll discuss your options together
In-person in Asheville · Telehealth in NC, SC, TN & TX
Keep your current primary care physician. No DPC membership required.
FAQs
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No. Women's Midlife Health is a separate direct specialty care service. You may continue seeing your established primary care physician.
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When medically appropriate, yes. Treatment is individualized based on your symptoms, medical history, risks, preferences and goals.
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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.
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Usually not. Perimenopause is often identified based on age, symptoms and menstrual history. Testing is ordered when it is clinically useful.
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Medical weight management may be incorporated when clinically appropriate. Prescription treatment is not guaranteed and medication costs are separate.
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No, unless specifically stated. Laboratory testing, imaging, medications, supplements and outside services are separate from consultation and program fees.
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Women’s Midlife Health is a direct-pay service. We do not bill insurance. Upon request, we can provide a superbill for eligible medical visits for you to submit to your commercial insurance plan for possible out-of-network reimbursement.
Reimbursement is not guaranteed and depends on your plan’s benefits, deductible, and requirements. Superbills reflect eligible services actually provided—not monthly installment payments—and program fees may not be reimbursable in full. Please confirm your benefits with your insurer before scheduling.
Medicare: Dr. Osei has opted out of Medicare. Services provided under a Medicare private contract are not eligible for Medicare reimbursement, and superbills cannot be submitted to Medicare for payment of these services.
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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.
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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.
Ready to Talk About What’s Changing?
Get time to ask your questions, understand your options, and make a plan with a physician who takes your concerns seriously.
60-minute initial consultation · $395
In-person in Asheville · Telehealth in NC, SC, TN & TX
Keep your current primary care physician. No DPC membership required.