Virtual Menopause & Perimenopause Care
Online Menopause Doctor
Online menopause treatment from a triple board-certified endocrinologist. An online menopause doctor in Florida for perimenopause and menopause care that starts before your periods stop.
Virtual self-pay care in Florida, New York, Minnesota, and Wisconsin. Initial consultation: $435. No referral required.
Something Feels Off, and You’re Probably Right
One month your period is early, the next it’s gone entirely. Your labs come back “normal,” but normal isn’t how you feel. Weight, sleep, mood, memory: nothing behaves the way it used to, and it’s hard to even describe what’s wrong because it keeps changing.
You’re not imagining it. Perimenopause can start in your 30s, years before menopause, and it rarely shows up as one clear symptom. It fluctuates, which is exactly why it’s so often missed. You’re usually the first to notice something is wrong. What you need is someone who knows how to recognize it too.
You May Be in Perimenopause If
- Your periods have become irregular, heavier, lighter, or less predictable
- You’re gaining weight, especially around your midsection, despite no real change in habits
- Your sleep has become unreliable, even when you’re exhausted
- You have mood swings, anxiety, or irritability that feel out of character
- You have hot flashes, night sweats, or new temperature sensitivity
- You want to understand your options, including whether hormone therapy makes sense for you, before deciding anything
You Should Not Have to Wait Until Menopause to Be Heard
Menopause is confirmed retrospectively, after 12 consecutive months without a menstrual period. But the hormonal transition begins much earlier.
During perimenopause, estrogen and progesterone can fluctuate unpredictably while menstrual periods are still occurring. Symptoms may feel new, intense, and inconsistent. For some women, this stage is even more disruptive than the years after menopause because their symptoms and hormone levels can change from one month to the next.
A single hormone test may appear normal and still fail to reflect what you are experiencing. This is why perimenopause is evaluated primarily through your symptoms, menstrual-cycle changes, age, medical history, and overall health, not one isolated laboratory result.
Women are often told that their results are “normal,” that they are too young, or that they should wait until their periods stop. You should not have to struggle for months or years before your symptoms are taken seriously.
An experienced menopause physician in Florida can recognize the transition, evaluate other conditions that may cause similar symptoms, and help you understand your treatment options, including hormone therapy and evidence-based nonhormonal approaches.
You’re often the only person tracking how things have actually changed, and that history matters as much as any lab result.
Care That Looks at Your Hormones and Your Metabolic Health Together
- Care from a triple board-certified endocrinologist and obesity medicine specialist
- Comprehensive evaluation of your hormonal, metabolic, and cardiovascular risk picture, not just your cycle
- A clear discussion of whether hormone therapy is appropriate for you, including options and tradeoffs, as part of a broader plan
- Treatment that addresses the metabolic and weight changes many patients experience in this transition, which hormone-only platforms typically don’t manage
- Ongoing management when needed, not a diagnosis and discharge
Delivered as online menopause treatment in Florida, New York, Minnesota, and Wisconsin, with the same depth whether you’re early in perimenopause or years past your last period.
Two Ways to Work Together
Comprehensive Endocrinology Consultation
A full evaluation of your symptoms, a real discussion of whether hormone therapy is right for you, and a plan built either way.
Metabolic Membership
Ongoing medical management alongside coaching and accountability for the weight, sleep, and metabolic changes that often come with this transition.
Not sure which is right for you? Start with a consultation and we’ll figure it out together.
Considering Hormone Therapy?
If you’ve looked into online hormone replacement therapy in Florida, you’ve seen platforms promising a prescription within days from a short questionnaire. That works for straightforward cases. Perimenopause often isn’t straightforward, especially when weight or metabolic health is part of the picture.
Dr. Bernal evaluates whether hormone therapy is appropriate as part of a full endocrinology workup. If it’s right for you, it becomes one part of your plan. If it isn’t the right fit, or isn’t the whole answer, you’ll know that too. That is the difference between a prescription service and an online menopause doctor who evaluates the whole picture.
Still Able to Get Pregnant? You May Need Both Hormone Therapy and Contraception.
In your 30s or early perimenopause you’re likely still ovulating at least some of the time, so pregnancy remains possible even with significant hormonal symptoms. Hormone therapy and contraception can be used together when appropriate. It’s exactly the kind of nuance a questionnaire-based visit misses.
Meet Dr. María Bernal Riera
Dr. Bernal is a triple board-certified endocrinologist and obesity medicine specialist who helps patients understand complex hormonal and metabolic symptoms that are often addressed separately, or dismissed entirely. Her approach combines evidence-based medicine, careful evaluation, and a treatment plan designed around each patient’s health and goals.
- Board Certified · Internal Medicine
- Board Certified · Endocrinology
- Board Certified · Obesity Medicine
Specialist Care Designed Around You, Not Insurance Limitations
Apex is a self-pay telemedicine practice and does not bill insurance. This allows for longer appointments and a level of evaluation that a rushed visit or questionnaire-based platform isn’t built to provide.
- Initial comprehensive consultation $435
- Metabolic Membership $225/month
- Available to patients in Florida, New York, Minnesota, Wisconsin
- Referral Not required
Frequently Asked Questions
Is online perimenopause treatment as good as an in-person visit?
For this, yes. The evaluation rests on your history, cycle pattern, symptoms over time, and lab work you complete near you. None of it requires a physical exam, and a virtual visit usually buys a longer conversation. Seeing an online menopause doctor gives you the same depth of evaluation without the commute or the wait for a specialist appointment.
I searched for a hormone doctor for menopause in Florida. Is that what this is?
Yes. Dr. Bernal is a virtual menopause doctor in Florida who also sees patients in New York, Minnesota, and Wisconsin, entirely by telemedicine. There is no in-person office visit.
Will you prescribe hormone therapy?
If it’s appropriate based on a full evaluation, yes. The goal is a plan built on your whole picture, not an automatic prescription.
I’m still getting periods sometimes. Can I still get pregnant while on hormone therapy?
Possibly, yes. If you’re still ovulating, hormone therapy alone isn’t necessarily contraception. Depending on your situation you may need both, and we’ll go over what makes sense for you specifically.
What if I don’t want hormone therapy?
Completely reasonable. Many symptoms of this transition, including weight, sleep, and mood, can be addressed without it.
Do you accept insurance?
Apex is a self-pay practice and does not bill insurance directly. Some patients use HSA/FSA funds or submit for out-of-network reimbursement.