Online + labs
Menopause
Hot flashes, night sweats, poor sleep? A clinician reviews your symptoms and health history and explains hormone and non-hormone options that may fit.
Irregular periods, hot flashes, poor sleep, mood changes? A clinician reviews your symptoms and health history and talks through treatment options that fit you.
Yes, for women 18 and older in Texas. Irregular periods, hot flashes, poor sleep, mood changes? A clinician reviews your symptoms and health history and talks through treatment options that fit you. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $89, or use insurance. If labs are needed, your clinician usually orders the Women's Midlife panel (FSH, estradiol and thyroid with blood count, metabolic panel, cholesterol and A1c), $145, through Passion Health Blood Work, drawn at a Passion Health clinic or any CPL patient service center in Texas; with insurance, the lab bills your plan directly. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you have any bleeding after you've gone 12 months or more without a period, you need an in-person visit within a few days instead, and you don't pay the online fee.
Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026
Perimenopause is the transition before menopause, when your ovaries' hormone levels rise and fall unevenly. It usually starts in your 40s and can last several years. You may notice irregular periods, hot flashes, night sweats, poor sleep, mood changes, and vaginal dryness. It ends 12 months after your last period, which marks menopause.
Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.
Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.
Upload prior results or home readings if you have them.
If labs would help, the order goes to a Passion Health clinic, or to any CPL patient service center in Texas.
Your clinician reviews them and contacts you with your plan.
Check-ins and repeat labs timed to your condition; 30 days of messaging.
Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.
Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.
Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.
Labs your clinician orders are priced through Passion Health Blood Work if you self-pay, or billed to your plan directly by the lab (CPL) if you use insurance; imaging is billed by the imaging center and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.
A 48-hour check-in, 30 days of secure messaging, and lab follow-up when labs were ordered.
If you start a new treatment, your clinician checks in at about 3 months to see how it's working and to review side effects and blood pressure, then reviews your plan at least yearly.
FSH, estradiol and thyroid with the yearly basics, when symptoms need confirming. Ordered only if your clinician decides it's needed — the visit price never includes a test you don't need.
| Women's Midlife panelFSH, estradiol and thyroid with blood count, metabolic panel, cholesterol and A1c | $145 |
Typical self-pay total: $89 visit + $145 labs = $234
Self-pay prices are billed by Passion Health. If you use insurance — including Medicare and Medicaid — the lab (CPL) bills your plan directly for the tests under your plan's lab benefits, and the prices above don't apply. Blood is drawn at a Passion Health clinic in North Texas or at any CPL patient service center in Texas; your clinician reviews your results and contacts you.
The flat cash rate is $89 for a standard evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Labs and imaging are billed separately. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.
A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For perimenopause, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.
No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.
If your clinician orders labs, they're priced through Passion Health Blood Work: for perimenopause that's usually the Women's Midlife panel (FSH, estradiol and thyroid with blood count, metabolic panel, cholesterol and A1c), $145, through Passion Health Blood Work (self-pay prices, billed by Passion Health). If you use insurance, including Medicare or Medicaid, the lab (CPL) bills your plan directly and those prices don't apply. You can have blood drawn at a Passion Health clinic in Dallas–Fort Worth or walk into any CPL patient service center in Texas with a photo ID; your clinician reviews your results and contacts you.
Usually not. During perimenopause, hormone levels swing from day to day, so a single blood test often can't confirm it. Your age, cycle changes, and symptoms tell your clinician more. Labs may still help rule out other causes, such as thyroid problems, or low iron if your periods are heavy.
Yes. Ovulation becomes irregular but can still happen, so pregnancy is possible until you've gone 12 months without a period — longer if you're under 50. If you don't want to become pregnant, keep using birth control. Some options, like low-dose birth control pills, can also steady cycles and ease hot flashes for women who can safely take them.
For many healthy women under 60, or within 10 years of their last period, the benefits of hormone therapy for hot flashes and night sweats outweigh the risks. It isn't safe for everyone — a history of blood clots, stroke, breast cancer, or liver disease usually rules it out. Your clinician reviews your history and talks through the risks and benefits with you.
A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).
Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician
Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.
Sources: ACOG · The Menopause Society · NIA
Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.