Menopause & Perimenopause Care in San Diego
You are not imagining it, and it is not just aging. Get a full hour with a certified menopause doctor in San Diego, a whole-body DEXA scan, and real answers about what is happening in your body. Then a plan built for you.
$500Evaluation Package, one time. Membership from $150/month.
- 60 minutes with your physician
- Onsite DEXA and bone density testing
- In person or telehealth
It doesn't always look like hot flashes
Symptoms often start years before your last period, and most women don't connect them at first. If several of these sound familiar, it is worth an evaluation.
Hot flashes & night sweats
Sudden waves of heat that disrupt your day and your sleep.
Sleep that stopped working
Waking at 3am, or sleeping eight hours and still feeling flat.
Weight around the middle
Body changes that don't respond to what used to work.
Mood changes & brain fog
Anxiety, irritability, losing words mid-sentence.
Low libido, dryness & discomfort
Vaginal and urinary changes caused by falling estrogen.
The silent changes
Bone loss, rising cholesterol and metabolic changes speed up after menopause, usually with no symptoms at all.
You've likely been told this is normal
Many women hear some version of it: it's just your age, your labs look fine, try to manage your stress. Most clinicians receive very little training in menopause, and most appointments aren't built to deal with it.
The Menopause Society Certified Practitioner (MSCP) credential exists for exactly this reason. It is earned by exam through The Menopause Society and is dedicated specifically to menopause care. Dr. Suzan Mahdai holds it.
Perimenopause · usually 40 to 47
Hormones swing while you still have periods. Irregular or heavier periods, worse PMS, early hot flashes, sleep changes, anxiety.
Menopause · usually 47 to 55
Twelve months without a period. Hot flashes, night sweats, dryness, body composition changes, bone density concerns.
Post-menopause · 55 and beyond
The focus shifts to lingering symptoms and protecting your bones, heart and long-term health.
A real workup, not a 10-minute visit
- 60-minute physician consultation focused on your concerns
- Full history: family, genetic, medical and surgical
- Hormone and symptom assessment
- Metabolic assessment
- Whole-body DEXA scan for muscle, fat and bone
- A personalized plan: FDA-approved and bioidentical hormone therapy when appropriate, or non-hormonal options when it isn't
Compounded hormone therapy is used only when there is a clinical reason, and it is not FDA-approved. Labs, imaging and medication are ordered through your insurance when medically indicated.
We can scan your bones
When estrogen drops, bone loss speeds up, silently, until something breaks. Bone density DEXA is done here in our clinic and is included in the membership. It shows your real osteoporosis risk and gives a baseline to track. About the bone density scan
Is hormone therapy safe for me?
Many women still worry that hormone therapy causes breast cancer, often because of news coverage of one large study from 2002. The honest answer is that it depends on you: your age, how long since menopause began, your personal and family history, and your other health conditions. For some women hormone therapy is a good option. For others it isn't, and there are non-hormonal treatments that work. We go through your history before any prescription, and we won't tell you it is risk-free. That review is what the consultation is for.
Menopause care pricing: two paths, one goal
Start with a one-time evaluation, or begin ongoing care. Most women start with the evaluation, then move into membership once they know what's going on.
A full evaluation to understand your symptoms and build your plan
$350 initial consultation + $150 follow-up visit in 4–6 weeks
- 60-minute physician consultation
- Full history, hormone and symptom assessment
- Metabolic assessment
- Whole-body DEXA scan ($200 value, included)
- Personalized treatment plan
Recommended add-on: $350
Bone density DEXA scan + at-home sleep test ($500 value)Ongoing care led by a Menopause Society Certified Practitioner
Then $150/month in the Active Care Phase, and $150 every 3 months in the Maintenance Phase
Active Care Phase · $150/month
- Visits as needed, telehealth or in office
- Hormone treatment planning and medication management when appropriate
- Labs through your insurance for safety and progress, when available
- Secure texting with your physician
- Care for bone health, thyroid concerns, cardiovascular prevention, metabolic risk and PCOS
- Initial whole-body DEXA ($200 value) and bone density DEXA ($250 value) included
- At-home sleep testing included
- Nutrition and lifestyle guidance through an advanced nutrition app
Maintenance Phase · $150 every 3 months
Long-term support and monitoring to manage symptoms and protect your health.6-month minimum for the Active Care Phase, which may continue if your symptom goals aren't met yet. Cancel anytime after 6 months. No hidden fees.
Start your membershipWhat happens, step by step
Book
Book online or call to tell us what you are dealing with.Your 60-minute visit
History, symptom and hormone assessment, metabolic assessment and your DEXA scan.Your labs
Ordered through your insurance when medically indicated.Your plan
Hormonal or non-hormonal, built around your symptoms and your history.Follow-up
A follow-up in 4–6 weeks, or ongoing care if you continue into membership.Your menopause doctor in San Diego
Suzan Mahdai, MD, MPH, DABOM, MSCP
Dr. Mahdai focuses on women's health, menopausal hormone therapy, weight management and preventive medicine. She holds a Master of Public Health from UC San Diego.
Haider Aldiwani, MD, MPH, CCD
Dr. Aldiwani trained at Cedars-Sinai Medical Center and focuses on preventive medicine and women's heart health. His densitometry certification covers bone density testing and interpretation.
What our patients say
Common questions
What is the difference between perimenopause and menopause?
Is hormone therapy safe?
What is the difference between bioidentical, FDA-approved and compounded hormones?
Do I have to take hormones?
My labs came back normal. Can I still be in perimenopause?
How soon will I feel better?
Why is bone density testing part of menopause care?
Do you take insurance?
What does Menopause Society certification mean?
Do you offer telehealth?
Get a real answer about what's happening
One hour, a full workup, and a physician who specializes in menopause.
12396 World Trade Drive, Suite 103, San Diego, CA 92128
This page is for information only and is not a substitute for a medical consultation. Individual results vary.