Menopause & Perimenopause Consultations Near Ithaca
Real care starts with being heard.
Perimenopause and menopause can bring changes that deserve more than a quick explanation. Get personalized guidance, thoughtful evaluation, and a care plan built around your health and goals. In-person consultations in Trumansburg, near Ithaca.
Get a call back
Leave your details and the clinic will reach out — often the same day — to answer questions or set up your visit.
Just how to reach you — no medical details needed.
Matthew Simone, NP — certified in menopause hormone therapy
Drawn and reviewed right in our Trumansburg office
A plan built for your symptoms — not one-size-fits-all
Across New York, including Syracuse & Rochester
Clear Pricing. Care That Makes Sense.
Understand your options before getting started, from your initial consultation to ongoing personalized care.
Start With a Thorough Evaluation
Your first menopause / perimenopause visit
- A full one-hour visit
- Comprehensive history & physical exam
- On-site lab draw
- Education on what’s happening & your options
- Begin care if you’re a good candidate
Ongoing Care, Made Simple
Because this care is ongoing, not one-and-done
- Ongoing follow-up visits
- Frequent check-ins
- Precise adjustments over time
- Lab monitoring when appropriate
- Direct access to your provider
Perimenopause and menopause care is individualized and takes time to get right. We take the safest, most precise approach — starting gradually and assessing results with frequent check-ins. Insurance can often still be used for outside labs and pharmacy medications.
Your Care, One Step at a Time
1. Start With a Consultation
Share your health history, concerns, and goals in a conversation focused on understanding your needs.
2. Evaluate & Understand
3. Explore Your Care Options
Ongoing membership care
Discuss your findings and develop an individualized care plan, including follow-up and treatment when appropriate.
Matthew Simone, FNP-BC
Founder & Nurse Practitioner · Women's Health & HRT
- FNP-BC — board-certified, Family Practice trained
- 25+ years in healthcare; 19 as a Nurse Practitioner
- Family practice in the Alaskan bush; trauma, ER & urgent care in Philadelphia
- Board member, Region 2 — NP Association of New York
- 2025 NP of the Year — NPA of New York
- Sees you in person in Trumansburg, reachable directly
Experienced Care. A Thoughtful Approach to Women's Health.
“I may not be a woman, but I’ve seen firsthand — through friends and family — how hard the perimenopausal and menopausal years can be.”
Meet Matthew Simone, FNP-BC, a board-certified Family Nurse Practitioner with specialized training in women’s hormone therapy.
Matthew brings extensive clinical experience to a personalized approach to menopause and perimenopause care, taking time to understand your health history, discuss your concerns, and help you explore appropriate treatment options.
Years in healthcare
Years as a Nurse Practitioner
Board-certified · family practice
Board member · Region 2
Menopause Looks Different for Every Woman.
From changes in sleep and energy to hot flashes and mood shifts, experiences vary. Understanding what’s happening is the first step toward finding care that’s right for you.
- Hot flashes or night sweats
- Waking at 3 a.m. and can’t fall back asleep
- Brain fog or trouble concentrating
- Anxiety, irritability, or mood swings
- Low libido or discomfort with intimacy
- Dryness or painful intimacy
- Weight gain that won’t budge
- Loss of muscle tone or strength
- Irregular, heavier, or skipped periods
- Fatigue that sleep doesn’t fix
These symptoms are real, they’re common, and they’re treatable.
If you’ve been told this is “just aging” or to simply wait it out, you deserve a second opinion. Perimenopause can begin in your early 40s — sometimes sooner — and the right hormone therapy can give you back your sleep, your focus, and your sense of self.
What’s actually happening in perimenopause and menopause?
As your body moves through this transition, the natural rhythm that once kept your sleep, mood, focus, and energy steady starts to shift — and that’s what drives hot flashes, sleep loss, brain fog, mood changes, and low libido. It’s a normal life stage, not a personal failing — and it’s very treatable.
Care for this stage is highly individualized: there is no single “menopause fix.” The right plan depends on your symptoms, your history, and your goals, and it’s reviewed and adjusted over time. The first step isn’t a prescription — it’s a real evaluation, with on-site labs, so you finally understand what’s going on.
Let's Talk About Your Next Step
Have questions about menopause care or getting started? Share your details and our team can help you understand your options.
Leave your details and Matthew’s office will reach out to set up your visit or answer questions. Prefer to talk now? Call (607) 882-6001.
This form is for general contact only — it isn't a diagnosis or medical advice. A licensed clinician reviews your symptoms and in-house lab work before any plan is recommended.
Real care — not a subscription box
HomeSteady Health is a Direct Primary Care practice — membership medicine built on time, access, and continuity. For menopause and perimenopause, that’s the whole advantage. This stage is handled slowly and adjusted with care: it needs frequent check-ins, real lab monitoring, and a provider who already knows your history. A rushed, insurance-driven visit can’t deliver that — and a faceless online service that mails you a protocol and a prescriber you’ll never meet won’t either. Here you get specialized women’s-health care backed by a practice built around exactly the ongoing attention this stage requires.
- A real provider you actually meet
- On-site labs & monitoring
- A plan adjusted over time
Visit our Trumansburg office
We’re on Route 96 (Trumansburg Road), a short, scenic drive from downtown Ithaca and the Cornell and Ithaca College campuses — with free parking, an on-site lab, and an unhurried visit.
HomeSteady Health Direct Primary Care
1859 Trumansburg Rd (Route 96)
Trumansburg, NY 14886
(607) 882-6001
Prefer telehealth? We see women anywhere in New York State — including Syracuse and Rochester — with labs drawn close to home.
Frequently asked questions about HRT
Is menopause care safe?
For most healthy women in midlife, modern, monitored care is considered safe. Much of the old fear traces back to a 2002 study using an older approach in older women; more recent research on care started near the onset of menopause has been far more reassuring. We review your personal and family history closely to make sure care is right for you, and we re-evaluate regularly.
What’s the difference between perimenopause and menopause?
Perimenopause is the transition leading up to menopause — often starting in your 40s — when symptoms like irregular periods, sleep trouble, anxiety, and hot flashes begin. Menopause is the point when you’ve gone 12 months without a period. We treat women at every stage, and starting care during perimenopause often makes the whole transition easier.
How soon will I feel better?
Some women notice real improvement within a few weeks. Because care is introduced and adjusted gradually for safety, fully dialing it in usually takes several months — tracked with check-ins and labs along the way.
Does insurance cover this?
You don’t need insurance to start care with us — it’s one flat price for your first consultation and then a simple monthly membership. In many cases insurance, Medicare, or Medicaid can still be used for your outside lab work and for any prescriptions filled at your pharmacy. We’ll walk you through what to expect.
Can care help with menopause-related anxiety, weight gain, or low libido?
Often, yes — these are some of the most common symptoms women come in with, and they’re closely tied to the changes of this stage. Care works best alongside good sleep, strength training, and nutrition — not as a substitute for them — and we’ll build a plan around what’s affecting you most.
I’ve been told to just “wait it out” — should I?
If your symptoms are affecting your sleep, your work, your relationships, or how you feel about yourself, that’s reason enough to get evaluated. You don’t have to white-knuckle through years of feeling unlike yourself when there are real, effective options.
When should I get evaluated?
There’s no single right age, but getting evaluated near the onset of perimenopause or menopause — rather than years later — tends to offer the best balance of relief and long-term benefit. If symptoms are affecting your daily life, it’s worth a visit.
Do I have to live in Ithaca or Trumansburg?
No. We see women in person at our Trumansburg office on Route 96 — minutes from Ithaca — and by telehealth anywhere in New York State, including Syracuse and Rochester, with labs drawn close to your home.
Your Health Deserves a Thoughtful Conversation.
Get personalized guidance through perimenopause, menopause, and the changes that come with them.
Provider-guided menopause & perimenopause care for women across Ithaca, Trumansburg, and the Finger Lakes — with telehealth throughout New York State. This page is for general information only and is not medical advice. Any care plan is determined by a licensed provider after an individual evaluation and lab work, and is reviewed and adjusted over time.