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 are coming soon)
You don't just want your sex life back.
You want your life back.
Does that sound familiar ?
You are still the same woman who used to feel energetic, sharp, and alive in your own body. But somewhere between the hormonal shifts, the sleepless nights, the weight that will not budge, and the days that blur into each other — that woman feels very far away.
You are tired after work before the evening even starts. Sleep does not restore you the way it used to. Your body is changing in ways nobody prepared you for. And the closeness you used to feel with your partner — that spark that used to come naturally — has quietly disappeared.
You have probably Googled your symptoms at midnight. Maybe you have tried a few things, even were prescribed Testosterone. Maybe they helped a little. But you still do not feel like yourself and still do not desire intimacy like before.
That is not aging. That is your body asking for real answers.
A complimentary private Menopause Strategy Call is the first step toward understanding what’s changing—and what working together through Dr. Anastasiia Neelagaru’s personalized, holistic approach would look like.
Looking for something more comprehensive?
If you are ready to work on every layer of what menopause has taken from you — your energy, your body, your desire, your sense of self — The Flourish Method is a physician-led four month transformation program built specifically for you.
This is not a membership.
Not a prescription and a follow up.
It is a complete, structured program that works on all four dimensions of your wellbeing simultaneously.
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
“I am Dr. Anastasiia Neelagaru — a physician, a perimenopausal woman, a wife, a mother, and someone who understands what it means to try to stay present, healthy, and whole inside a life that never slows down.
When my own hormonal changes arrived I did not hand myself a pamphlet. I got curious. And what I found changed how I practice medicine.
I believe women do not stop feeling desire, energy, and aliveness because of age. They stop because life, hormones, and an overwhelmed nervous system collide — and nobody helps them put it back together.
That is what I do.
When you sit across from me you will not be rushed, dismissed, or told this is just part of getting older. You will finally be somewhere someone gets it.”
Anastasiia Neelagaru, MD
Our Expertise:
Perimenopasue and Menopause 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.. This is specialized, high-touch menopause care. You can use your benefits 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 which focuses on menopause and sexual medicine. Patients should maintain an ongoing relationship with their primary care provider for routine medical care.
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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