Menopause & Sexual Medicine Clinic
Physician-led medical care for menopause-related sexual health and intimacy concerns—for women and couples.
Serving patients via Telemedicine in New Mexico, Texas, California and Indiana.
A Revolutionary Approach to Midlife Care for Women and Men
Menopause in women—and testosterone deficiency in men—can quietly change how your body feels, how sex feels, and how connected you feel to yourself or your partner.
You may notice low libido, vaginal dryness, or painful sex. Hot flashes and night sweats disrupt your day and sleep. Brain fog makes it hard to focus. Menopause weight gain changes how you feel in your body. You might feel disconnected, frustrated, or confused by changes you never expected.
These symptoms rarely come alone. When intimacy issues happen alongside sleep problems, mood changes, and physical discomfort, it can feel overwhelming. But you don't have to struggle through this—these changes deserve real answers and compassionate care.
You don’t have to accept feeling unlike yourself.
A private Menopause Reset Call is a first step toward understanding what’s changing — and what can help.
Board-Certified Physician with Advanced Training in Menopause & Sexual Medicine
Dr. Anastasiia Neelagaru is a board-certified physician with focused expertise in menopause and sexual medicine.
Her clinical training includes advanced education in hormonal health, sexual dysfunction, and the complex physiologic changes that occur during perimenopause and menopause.
Menopause Society Certified Practitioner (MSCP)
ISSWSH Fellow (International Society for the Study of Women's Sexual Health)
Member of Obesity Medical Association
Expert in hormone therapy and sexual dysfunction treatment
Menopause and sexual health concerns are often minimized, misunderstood, or treated as isolated symptoms.
Dr. Neelagaru’s approach is rooted in understanding how hormonal, neurologic, vascular, and relational factors intersect — particularly during perimenopause and menopause.
Rather than offering generic solutions, care is individualized, evidence-based, and grounded in both current guidelines and clinical experience.
“As a perimenopausal woman who experienced brain fog and mood swings firsthand, I developed a physician-led program that helps women understand what’s happening in their bodies—and what to do about it. The goal: better sleep, steadier mood, renewed sexual connection, and a stronger foundation for healthspan and sexspan.”
Anastasiia Neelagaru, MD
Our Expertise:
Perimenopasue and Menopasue Care
Premenopausal Hormonal Disorders
Male Partner’s Consult
Low Sexual Desire
Pharmacological Weight Loss Managment and Support
FAQs
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We specialize in treating hot flashes, night sweats, vaginal dryness, painful sex, low libido, brain fog, sleep problems, mood changes, and menopaussal weight gain.
We also address testosterone deficiency in men and provide care for couples experiencing intimacy concerns.
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Yes. Dr. Neelagaru follows modern, evidence-based protocols for bioidentical hormone therapy including estrogen, progesterone, and testosterone when appropriate. We also offer non-hormonal treatment options.
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We conduct comprehensive 60-minute video consultations to discuss your symptoms, medical history, and treatment goals. We can prescribe medications and hormone therapy, with follow-ups—all from the comfort of your home.
We welcome working with your primary health care team or gynecologist as needed.
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We currently provide telemedicine care to patients in New Mexico, Texas, California, and Indiana.
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Comprehensive menopause and sexual medicine care, as well as our trademark focus on longevity and healthspan, cannot be delivered in a 15-minute visit dictated by health insurance constraints. Therefore, we do not accept health insurance, but you can use it for lab work, diagnostic tests, medications, referrals.
You can easily access a super-bill after your visit. This is essentially a medical receipt that you can submit to your insurance for possible reimbursement. You can also use an HSA if you have one to cover your visit.
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No, we do not. However, we do assist women who are currently using them in safely transitioning to other forms of hormone therapy.
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Flourish Medical is a specialty clinic and does not offer primary care services. Additionally, we do not provide urgent or emergency care. Please consult your primary care provider for annual check-ups and chronic disease management. If you have any urgent medical conditions, please visit urgent care or the nearest emergency room
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No. Dr. Anastasiia Neelagaru does not provide primary care services at Flourish Medical. This is a specialty clinic.
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the link is under construction.
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Not at this time. We currently provide telemedicine care exclusively. However, we are actively working on implementing in-person visits, which will be available in the near future in NM and TX.
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We provide unbiased, evidence-based information to support your decision-making regarding your perimenopause and menopause care.
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We cannot serve as your primary care clinician. And, since we are virtual, we cannot do physicals, pelvic exams, pap smears, or procedures. However, your local clinicians can certainly continue to help with these in-office tests.
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We get it – plans change. If you need to cancel your appointment, we’ve got you covered:
Cancellation: You must cancel your appointment at least 3 days before the scheduled appointment to receive a 50% refund of your consultation fee. The other 50% can be used for credit towards a future appointment for up to one year for the same individual.
Reschedule: If the appointment is rescheduled more than 3 days of the appointment, there is no cost.
Late Cancellations (within 3 days of the appointment) will not be refunded.
Conditions Apply: Refunds and credits are subject to meeting cancellation criteria.
Let’s work together.
Even though menopause is natural, there is no medal for suffering through it!
Dr. Neelagaru is talking about the importance of menopause care and sexual health.
Education Resources:
Dr Heather Hirsch’s book about menopause
https://www.amazon.com/Unlock-Your-Menopause-Type-Personalized/dp/1250850827
Dr. Hirsch’s Reclaiming Menopause Master Class Included in the booked appointment with Dr. Anastasiia Neelagaru