Make sense of what is changing.
Talk through changing cycles, sleep and symptoms with a clinician. The first step is understanding your history and goals, then deciding what evaluation or care makes sense.
For adults 18–64 physically in Texas during visits. Houston-based telehealth, not a claim of a local walk-in clinic.
Perimenopause is the transition, often lasting several years, in which estrogen and progesterone begin to shift before periods stop. For many women in Houston it starts in the early to mid 40s, sometimes earlier, and it rarely announces itself. Sleep changes first, or mood, or weight, long before a cycle does.
1836 Wellness is a Houston-based telehealth practice. Care begins with an assessment. The Comprehensive Assessment ($995) includes the hormone tests: sensitive estradiol, progesterone, FSH and LH, alongside thyroid, iron, metabolic and cardiovascular markers. The Focused Assessment ($599) covers core metabolic testing. Labs are drawn at your home or office and run by Labcorp, and a Texas-licensed clinician reviews them with you by telehealth under physician supervision.
Estradiol and progesterone therapy when prescribed, agreed monitoring, clinician reviews and coordination. Treatment is decided after clinical evaluation.
A licensed clinician evaluates you and decides on treatment. Medication is prescribed only when clinically appropriate. You receive the exact medication, tests, follow-up schedule and any additional charges in writing before starting.
$399 per month
Women's hormone therapy is $399 per month after a clinician evaluation. The Comprehensive Assessment ($995) includes sensitive estradiol, progesterone, FSH and LH; the Focused Assessment ($599, home draw included) covers core metabolic testing.
Book an evaluation →Perimenopause evaluation considers the pattern over time. A single hormone number does not explain every symptom, and your clinician selects the testing for your clinical question.
Share your goals, history, symptoms and recent records. Review Labcorp testing with your clinician.
Decide on assessment-only or an agreed care plan. Understand the total cost and what is included.
Compare response and relevant repeat findings at clinician-set checkpoints. Agree on adjustments and your next step.
In perimenopause, estrogen and progesterone do not decline in a straight line. They swing, sometimes higher than they were at 30 and sometimes much lower, and the swings are what produce the symptoms. A standard physical draws a handful of markers on one day and reads them against a range built for the general population. On that day the numbers can look ordinary, and the answer comes back as normal.
The symptoms also overlap with other systems. Fatigue, weight change, poor sleep, and low mood are just as consistent with a thyroid shift, low iron, rising insulin, or a disrupted cortisol rhythm as they are with perimenopause. A panel that reads only the hormones, or only the thyroid, cannot tell those apart. That is why the Comprehensive Assessment reads them together.
The Comprehensive Assessment tests CBC, comprehensive metabolic panel, lipid panel, ApoB, Lp(a), iron and TIBC, ferritin, hs-CRP, homocysteine, hemoglobin A1c, fasting insulin, TSH with free T4, free T3, vitamin D, B12 and folate, uric acid, IGF-1, total and free testosterone with SHBG and albumin, sensitive estradiol, DHEA-S, FSH and LH, prolactin, cortisol, plus progesterone for women. Labcorp runs these tests. Your clinician may add or remove tests based on your history.
Reading them together matters. Low iron can mimic a hormone problem. A thyroid shift can amplify one. Rising insulin changes how the body handles weight during the transition. The plan depends on which of those is actually driving your symptoms, which is why they are read together.
Book your assessment and complete a short intake covering cycle history, sleep, mood, and goals.
Labs are drawn at your home or office at a time that fits your calendar, and Labcorp runs the tests.
A telehealth review of your results with your clinician, who explains what your hormone results show alongside your other findings.
A physician-supervised plan. If appropriate, women's hormone therapy with estradiol and progesterone ($399 per month), prescribed only when your clinician decides it is clinically appropriate, plus any thyroid, metabolic, or nutrient follow-up your results call for.
Retesting on a schedule your clinician sets, so the plan follows the pattern as it moves rather than the pattern you had on one day.
For: women in their late 30s to early 50s with sleep disruption, mood changes, weight change, brain fog, cycle changes, hot flashes, or new anxiety, who want their own data reviewed by a clinician who has time.
Not for: medical emergencies, pregnancy, or anyone seeking a prescription without testing.
The same Texas-licensed clinician sees your results every time. Labs are drawn at your home or office instead of a lab queue, and Labcorp runs named tests you can see before you book, not a hormone-only kit. Your plan is supervised by a physician from the first visit. And you can reach a real person at (832) 291-2414.
No. Labs are drawn at your home or office and every visit is telehealth.
1836 Wellness is a concierge practice and does not bill insurance. Ask us about HSA and FSA options.
Your clinician sets the retesting schedule, because hormone patterns move during perimenopause and the plan should move with them.
Typically within a week of booking, at a time you choose, subject to ZIP-code availability.
Care begins with an assessment: the Focused Assessment is $599 with an at-home blood draw included (founders pay $499 while founder spots remain), and the Comprehensive Assessment, which adds hormone and thyroid tests, is $995. Women's hormone therapy is $399 per month after a clinician evaluation. See all prices on the booking page.
This page is educational and not a diagnosis. Only a licensed clinician reviewing your labs and history can tell you what your symptoms mean.