Evermore Women’s Health Clinic — Patient FAQs

Get to know our clinic and services by exploring the FAQs below.

Care

Membership + Booking

Sexual Health

Perimenopause + Menopause

Weight & Metabolic Health

Well Woman Care

Cancer Survivorship

Healthy Aging

Care

  • Evermore is built on relationship-based, whole-person medicine for women in midlife. This isn’t an add-on to a general OB/GYN practice—and it isn’t an afterthought. It’s the core focus.

    Evermore was designed based on years of caring for women and seeing exactly where the system breaks down: rushed visits, fragmented care, symptoms minimized, and long-term risk (bone, heart, brain, metabolic health) treated too late. The Evermore model was built to fill those gaps—with time, continuity, and a proactive plan that fits each patient’s physiology and real life (work, stress load, sleep, training, relationships, priorities).

  • At Evermore, your physician functions as your primary doctor  within the scope of women’s health and midlife medicine—which, for most members, means Evermore becomes the main place you go for the majority of care decisions and ongoing management. If you also have a primary care doctor or other specialists, your Evermore physician will coordinate with them as needed—many patients prefer that team approach.

  • In many cases, yes. After establishing care and reviewing history, we can often take over the majority of existing prescriptions and streamline them under one cohesive plan—especially medications related to women’s health, midlife symptoms, sexual health, metabolic health, and preventive care. If a medication is outside scope or best managed by a specialist, your Evermore physician will say so directly and coordinate care.

  • No—Evermore does not provide pregnancy care, labor and delivery, or obstetric call coverage. If pregnancy care is needed (or you’re trying to conceive), we can help connect you with excellent local options.

  • No. Evermore Women’s Health is an outpatient, consultation and procedure-limited practice and does not provide surgical care. If a gynecologic procedure or surgery is needed, Evermore will make a thoughtful referral and help patients navigate next steps.

  • Traditional OB/GYN practices—even excellent ones—are often built around high volume, broad scope, and insurance-driven time constraints. That structure makes it hard to do truly comprehensive midlife care for every patient.

    Evermore is different by design:

    • Midlife is the focus. Evermore is centered on perimenopause/menopause and the health issues that cluster around this transition—it’s not one service line among many.

    • More time for nuance. Many midlife cases aren’t “one problem, one visit.” They require counseling, shared decision-making, and careful monitoring over time—especially with more complex scenarios like a history of breast cancer, care at older ages (including age 65+), nuanced sexual health concerns, or building real, sustainable metabolic and weight-loss strategies.

    • Depth + continuity. Instead of quick episodic visits, Evermore is set up for a longitudinal plan: assess, treat, adjust, and follow through—without rushing decisions that deserve time.

    In short: even the best OB/GYN often isn’t given the time or structure to comprehensively manage all of this for every patient. Evermore was built specifically to do that.

  • No. Evermore isn’t a one-size-fits-all protocol or a generic checklist.

    Care is personalized based on each patient’s symptoms, goals, preferences, and risk factors. Depending on what matters most for you, your Evermore physician may track a combination of symptom measures and targeted clinical metrics—such as sleep, hot flashes/night sweats, sexual function, blood pressure, metabolic markers, lipids/ApoB (when appropriate), and bone health testing (DXA when indicated).

    The guiding rule is simple: testing is recommended when the results will change decisions.

  • No. Nothing is sold in the practice—no supplement line, no proprietary panels, no expensive “packages.” Recommendations are based on clinical value, not profit.

  • Evermore is designed for women in midlife and beyond—often starting in the late 30s/40s (when perimenopause can begin) and extending through the 50s, 60s, and well past.

    There’s no “too early” and no “too late.”

    • If you’re noticing early shifts—sleep, mood, cycles, weight, libido, hot flashes, brain fog—this is exactly when proactive care can make the biggest difference.

    • If you’re later in menopause and still not feeling well, or you want a smarter long-term plan for bone, heart, brain, and metabolic health, Evermore can meet you there too.

    The right time is when you’re ready for care that takes your symptoms seriously and builds a plan around you.

  • Yes. At Evermore, “women’s health” reflects the whole person—body and mind—and includes sexual and reproductive care for individuals of all gender identities, including transgender and non-binary people.

  • Evermore provides inclusive sexual and reproductive healthcare for transgender and non-binary patients. That said, Evermore does not personally oversee hormone therapy specifically for the purpose of gender transition. If gender-affirming hormone management is part of care, Evermore can help connect patients with the right clinician and coordinate alongside them when helpful.

Membership + Booking

  • Everyone starts with a complimentary Discovery Call (Meet & Greet) to confirm fit on both sides. Because Evermore is intentionally small (about a 200-patient panel per physician), we’re thoughtful about enrollment so each patient receives consistent, responsive, unrushed care—and so you can feel confident the membership is the right fit and will deliver real value for your goals.

  • Membership is designed to support ongoing care across the year—not a single appointment.

    It includes your care with an Evermore physician, including:

    • Visits (in-person and/or virtual, as appropriate)

    • Follow-ups and plan adjustments

    • Secure messaging

    • Phone calls when clinically appropriate

    • Annual well-woman care (including preventive visits/exams)

    The goal is simple: streamlined access and continuity, so nothing falls through the cracks.

  • Most members are seen about every 4–8 weeks, especially early on, depending on your symptoms, goals, and how much we’re adjusting versus maintaining your plan.

    Visits are intentionally unrushed:

    • Initial appointments are 60 minutes

    • Follow-ups are 45 minutes

    Some patients prefer more frequent visits at first; others space visits out once things are stable. Either way, scheduling is flexible and patient-driven—and you’ll never leave a visit without a clear plan and your next check-in already scheduled.

  • Appointments can be self-scheduled—and rescheduled—through the patient portal for your convenience. The goal is simple: easy scheduling and dependable follow-up.

    And because real life happens, Evermore has no cancellation fees or penalties. We get that things come up—a sick kid, a last-minute work meeting, travel delays, and everything in between.

  • Evermore is membership-based and self-pay, and we do not bill insurance for membership care.
    You can still use your insurance for many services outside the clinic, including:

    • Labs

    • Imaging

    • Medications at your pharmacy

    If you have a high-deductible plan or no insurance, we can connect you with lower-cost options for labs, imaging, and medications when appropriate.

  • Yes—Evermore offers both in-person and telemedicine care, and we’ll recommend the format that makes the most sense for what you need.

    Telemedicine is great for:

    • Most menopause/perimenopause visits and follow-ups

    • Reviewing labs and imaging

    • Medication adjustments and symptom coaching

    • Second opinions and strategy-focused visits

    In-person visits are best for:

    • Physical exams (including pelvic/breast exams when indicated)

    • Pap testing and in-office procedures (when offered at your location)

    • Situations where an exam meaningfully changes the next step

    Don’t live near the office? That’s okay. Many patients choose to do telemedicine-only care, and it can work very well when your needs don’t require an exam or in-office procedure.

    Where can Evermore provide telemedicine care?
    Evermore currently offers care for patients located in: Colorado (CO), California (CA) and Wyoming (WY). (Patients must be physically located in one of these states at the time of the visit.)

    Important note about testosterone:
    Because testosterone is a federally controlled substance, it cannot be prescribed across state lines. If testosterone is part of your plan, the prescription must be picked up at a Colorado pharmacy or mailed to a Colorado address.

  • Membership can continue as long as you’d like. Many patients stay because they value continuity, the relationship with their physician, and the ease of having proactive care in place. Year 2 and beyond membership is offered at a lower rate to reflect the established relationship and the fact that care is often more stable once a personalized plan is in place. Month-to-month options may also be available if you prefer added flexibility.

  • Book online here.

    You’ll pay and schedule online, with availability often within about 2 weeks. After booking, you’ll receive intake paperwork and instructions so your consultation is focused and high-value from the start.

  • A one-time, in-depth consult for women who want expert, evidence-based guidance without enrolling in ongoing care.This is ideal if you want clarity, reassurance, or a second opinion—especially if you already have a trusted clinician and want menopause-specific expertise to guide your care. This consult does not include prescriptions, medication changes, or ongoing medical management.

    What the consult includes:

    • A 60-minute consultation focused on your history, symptoms, and goals

    • A nuanced discussion of risks, benefits, and options, tailored to you

    • A detailed consult note with clear recommendations and references to current guidance and evidence you can share with your PCP, gynecologist, oncologist, or DPC provider

    • A patient-friendly written summary with an overview of our discussion and key recommendations

    • One month of follow-up messaging for specific questions and logistical support related to what was discussed during your consult

  • Evermore is not an urgent care or emergency service.

    For non-urgent medical questions, messages are answered within 48 business hours during regular clinic hours.

    If you have an urgent concern—especially after hours—please go to your local urgent care or emergency department, or call 911 if it may be life-threatening.

  • To keep visits uninterrupted and unrushed, Evermore is by scheduled appointment only.

Sexual Health

  • Common reasons women come to Evermore include:

    • A change in desire and/or arousal

    • Pain with sex

    • Vaginal dryness/irritation

    • Changes after childbirth, menopause, surgery, or cancer treatment

    • Difficulty orgasming or reduced sensation

    • Recurrent infections or vulvovaginal discomfort

  • Not at all. Sometimes vaginal estrogen is part of the solution—but sexual health is almost always multi-factorial.

    In midlife especially, the “modern chaos” of life can slowly pull you out of connection with your body—your sexuality, your desire, and your ability to be present. That doesn’t mean you’re broken. It means you’re human. And it’s common, understandable, and treatable.

    Your Evermore physician looks at the full picture, which may include:

    • Hormones and tissue health

    • Pelvic floor function

    • Medications and medical conditions

    • Stress load and sleep quality

    • Relationship context

    • Mood, anxiety, and mental health

    The goal isn’t a quick fix. It’s to reset the system—body and brain—so sex stops feeling like another task and starts feeling like something you can actually want again.

  • Yes—when medication makes sense for your specific symptoms and health history, it can be part of a thoughtful, evidence-based plan.

    Depending on your situation, options may include:

    • Local vaginal therapies to improve tissue health and comfort 

    • Addyi (flibanserin) — a daily, non-hormonal option for certain women with low desire

    • Vyleesi (bremelanotide) — an as-needed, non-hormonal option used before anticipated sexual activity

    • Targeted approaches for contributing factors (for example: adjusting medications that impact libido, treating pain drivers, addressing sleep or mood)

    Medication is rarely the whole solution. Sexual health is often multi-factorial, so many plans also include:

    • Pelvic floor physical therapy referrals

    • Lubricant/moisturizer guidance that actually matches the problem you’re having

    • Medication review and strategy

    • Evidence-based counseling/referrals when helpful

    The goal is not to “force desire.” It’s to remove the barriers—so desire has room to return.

  • Yes—when appropriate, testosterone can be a high-impact, evidence-supported option for women, especially for low sexual desire/arousal where it’s clinically indicated.

    Because testosterone therapy for women is often off-label in the U.S., Evermore approaches it the right way: thoughtfully, medically, and with clear goals. Your Evermore physician will:

    • Review your symptoms, history, and risk factors

    • Discuss realistic benefits, side effects, and expectations

    • Use an individualized dosing strategy (aiming for physiologic levels)

    • Establish a clear monitoring plan and follow-up schedule

    The goal isn’t “more hormone.” It’s the right tool, at the right dose, for the right patient—with careful oversight and ongoing refinement.

  • Yes. Sexual health often improves fastest with coordinated care. We can make thoughtful referrals and help you understand what to expect and how to measure progress.

  • You’re not alone. Evermore is built to be discreet and judgment-free. You won’t be rushed, and you won’t be brushed off.

  • It depends on what’s driving symptoms and how long they’ve been present. Many women notice meaningful change over weeks to months with the right plan and follow-through.

Perimenopause + Menopause

  • Perimenopause is often diagnosed clinically—based on symptoms and cycle changes—because labs can be inconsistent. Common symptoms include:

    • Hot flashes/night sweats (or sometimes feeling colder than usual!)

    • Sleep disruption

    • Mood shifts/irritability/anxiety

    • Brain fog

    • Cycle changes, heavier bleeding

    • Vaginal dryness or pain with sex

    • Joint pain

    • Just not feeling like yourself anymore

  • Absolutely. “Normal labs” don’t automatically mean “nothing is happening.” We focus on symptoms, history, and risk factors—and use testing strategically when it will change decisions.

  • Yes, for appropriate candidates. We’ll review your history, risks, preferences, and goals, then build a monitoring plan.

  • Absolutely. Many women prefer non-hormonal tools—or use them alongside hormones. Options may include targeted lifestyle changes, sleep strategies, and evidence-based non-hormonal therapies when indicated.

  • Yes. These situations often require more proactive planning for symptoms and long-term health (bone, heart, brain), and are best managed by a specialist in menopause care. Evermore can help coordinate a thoughtful plan and follow-through.

  • That’s common—and it deserves nuance, not fear, and not papering over potential risks. We’ll review your individual risk profile to ensure the benefits of hormone therapy outweigh the risks for you. The goal is shared decision-making.

  • Most patients benefit from follow-ups about every 4–8 weeks during early adjustments, then less often once stable.

  • Not always. Many women are told “no hormones” based on a single risk factor—without a nuanced discussion of what kind of hormone therapy, what route, what dose, and what your actual risk profile looks like.

    At Evermore, your physician will take a case-by-case approach, especially when there’s a history or concern such as:

    • Prior blood clot (or strong clotting risk factors)

    • High breast cancer risk or a strong family history

    • Personal history of breast cancer or other cancer history (in coordination with oncology when needed)

    • Migraines (including migraine with aura)

    • Prior pregnancy complications (e.g., preeclampsia, gestational hypertension/diabetes, postpartum complications)

    • Other complex medical histories

    Sometimes hormones truly aren’t the right choice. But often, there are safe ways to approach symptom relief—hormonal or non-hormonal strategies—once the details are clarified. The goal is never to push hormones. It’s to make sure you get a clear, individualized plan based on evidence and your specific risks—not a blanket rule.

Weight & Metabolic Health

  • Evermore focuses on metabolic health and body composition—not crash dieting and not chasing an arbitrary number on the scale.

    We don’t practice by BMI. BMI can be a blunt, often misleading metric, especially in midlife. That said, Evermore absolutely supports weight loss goals when that’s part of what you want.

    Some women come in technically “normal weight” but have gained 10–20 pounds of midlife belly fat and don’t recognize their body. Others have struggled with weight for decades and are tired of being blamed, shamed, or handed generic advice. Evermore is designed to support all of it—with a plan that aims to help you feel more like your normal self, improve energy and strength, and move toward optimal body composition (lean mass, visceral fat, and metabolic markers) in a way that fits real life.

  • Yes—Evermore does offer GLP-1 medications (like Ozempic/Wegovy and related options) when they’re a good fit for your goals and medical history. These medications can be game-changing for many women in midlife, especially when appetite regulation, insulin resistance, and visceral fat gain start to shift. Your Evermore physician will:

    • Confirm whether a GLP-1 is appropriate and safe for you

    • Review benefits, risks, side effects, alternatives, and realistic expectations

    • Build a plan to protect muscle mass and support long-term success (nutrition, strength training, and monitoring)

    • Follow your response over time and adjust thoughtfully

    The goal isn’t just weight loss—it’s better metabolic health and a body you feel at home in again.

  • No. Evermore doesn’t sell testing packages or require expensive add-ons. Testing is recommended only when it’s clinically useful and aligned with your goals.

    To make progress easier to measure (without obsessing over the scale), complimentary body composition measurements are available in the office. If you’re not local, Evermore can also help you find a reliable body composition option near you.

  • That’s a common midlife story. We’ll look at:

    • Sleep and stress physiology

    • Protein/fiber adequacy

    • Strength training quality and recovery

    • Menopause transition effects

    • Medications and medical contributors

     Then we’ll choose the highest-leverage next steps.

  • Evermore provides medical strategy and guidance; we may also recommend nutrition professionals when you want deeper coaching and accountability.

  • Depending on your goals: improved energy, fewer cravings, better sleep, strength gains, waist/visceral fat trends, blood pressure, A1c/insulin markers, and lipid risk markers.

Well Woman Care

  • Well-woman care at Evermore includes preventive gynecology and a practical, midlife-focused look at the health issues that often start shifting in this decade—so you’re not caught off guard later.

  • Yes. Evermore provides well-woman exams, cervical cancer screening, and evaluation of common gynecologic concerns.

  • Yes. Midlife is when blood pressure, cholesterol, and insulin sensitivity can change—sometimes subtly. Evermore helps identify early shifts and build an evidence-based plan (lifestyle and medication options when appropriate).

  • Yes. Osteoporosis is common and often silent until a fracture. Evermore helps assess risk, determine when a DXA makes sense, and build a prevention plan that fits your situation.

  • Evermore emphasizes your personal and family history to individualize screening recommendations and make sure you’re not getting advice that is tailored to you. 

  • Yes. We’ll evaluate, treat, and coordinate further workup or referral when appropriate.

  • Yes—within scope and based on your needs and life stage.

  • We’ll recommend screening based on guidelines and your risk profile, and we can help coordinate imaging and referrals if you need higher-risk assessment.

Cancer Survivorship

  • Yes. Evermore supports women navigating symptoms and long-term health after cancer treatment—always with coordination alongside oncology as needed.

  • Often, yes. Options vary based on cancer type, treatment history, and risk profile. We’ll discuss evidence, tradeoffs, and what’s appropriate for you.

  • Yes. Coordination matters, and we aim to make decisions collaborative and transparent.

  • Sometimes, depending on the individual scenario. This is nuanced and handled case-by-case with careful shared decision-making and appropriate coordination.

  • Often:

    • Bone health planning

    • Cardiometabolic risk

    • Sexual health

    • Sleep, mood, and quality-of-life support

    Evidence-based monitoring strategy (without unnecessary testing)

  • Yes. We can support risk assessment, screening strategy, and symptom management in a way that’s proactive but not fear-driven.

  • Yes. The Focused 60-Minute Consult can be a great fit when you want structured guidance and a clear plan.

  • Yes. Evermore supports people who haven’t had cancer but are living with elevated risk—including BRCA and other hereditary cancer syndromes, strong family history, prior atypia/high-risk lesions, or high-risk imaging profiles.

    This also includes women who have chosen risk-reducing surgery—such as being status post mastectomy and/or oophorectomy—and are navigating the very real downstream effects (surgical menopause symptoms, sexual health changes, bone and cardiometabolic considerations, and long-term prevention planning).

    Care often includes:

    • A personalized review of your risk factors and history

    • A thoughtful screening strategy and coordination with imaging/specialists when needed

    • Menopause symptom support tailored to your risk profile

    • Clear, non-alarmist counseling so decisions feel informed—not fear-driven

  • Yes. Many patients on endocrine therapy (like tamoxifen or an aromatase inhibitor such as anastrozole) experience midlife symptoms that deserve real support—hot flashes, sleep disruption, mood changes, sexual health concerns, vaginal dryness, and changes in bone or metabolic health.

    Evermore can help with evidence-based strategies to improve quality of life while you’re on treatment, and coordinate with your oncology team when appropriate.

Healthy Aging

  • Evermore’s goal isn’t just helping you live longer—it’s helping you live well. That means protecting the things that allow you to stay independent and capable as you age: a strong body, a steady mind, good balance, healthy bones, and resilient metabolic and cardiovascular health.

    This is the kind of health that lets you travel, enjoy your hobbies, avoid preventable injuries, and feel well enough to show up fully for the people you love—today and years from now.

  • No. This is evidence-based prevention and midlife medicine, done thoughtfully. Evermore focuses on the high-impact fundamentals that actually move outcomes—without hype, gadgets, or extreme routines.

  • This is for women who want to feel strong and capable in midlife and beyond, including those who:

    • Want a proactive plan that fits real life (not a second full-time job)

    • Are noticing changes in energy, recovery, strength, balance, or body composition

    • Want to reduce risk for osteoporosis, falls, cardiometabolic disease, and cognitive decline

    • Are rebuilding after a health setback and want a clear roadmap forward

  • Only what’s useful for your goals and risk profile—never a default battery for everyone. Depending on the situation, Evermore may consider:

    • Personalized risk assessments (including breast cancer and cardiovascular risk)

    • Targeted heart health labs (lipids and advanced markers when appropriate) and, when indicated, cardiovascular imaging

    • Inflammatory markers when they meaningfully inform clinical decisions

    • Bone density (DXA) when indicated 

    • Body composition with attention to muscle mass and visceral fat trends

    • Practical markers of function like muscle strength and balance

    • Cognitive screening or cognitive function assessments when there’s concern—or when establishing a baseline makes sense
      Genetic testing (optional) to evaluate inherited risk for certain cancers and, in select situations, predisposition related to cognitive risk

    • A thoughtful discussion of whether optional screening tools—such as whole-body MRI or cell-free DNA multi-cancer early detection tests—add value for you (and the tradeoffs if they don’t)

    The guiding principle stays the same: testing is recommended when results will change decisions—and when it aligns with your preferences and priorities.

  • Not typically—and nothing is required. Evermore isn’t built around selling testing or adding more to your plate.

    The goal is to give you clarity and options. You’ll learn what’s available, what’s evidence-based, what’s optional, and what actually changes outcomes—so you can make informed choices that fit your budget, bandwidth, and priorities.

    Most importantly, you won’t be left wondering, “Is there something else I should be doing?” Evermore helps you build a realistic, long-term plan so you can feel confident you’re taking care of your health not just for this year, but for the next 20–30 years.

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