The SPHERE HEALTH app is here.Take your clinical assessment and get Clarity. Get the app

Perimenopause and menopause care

Hot flashes, 3 a.m. wake-ups, a cycle you no longer recognize.

Perimenopause can begin in your late thirties or forties, years before your last period. Through SPHERE HEALTH, a board‑certified OB-GYN physician reads your hormones and metabolism together, and considers hormone therapy with you when it fits.

Start Clarity for (peri)menopauseOr start ongoing care

Start today, on your own time.
No charge until you choose a plan.

With prescriptions when clinically appropriate. Medication isn’t included in the price, and SPHERE HEALTH never marks it up.

A woman with long hair in a black top, against a soft warm backdrop

Sound familiar?

  • Hot flashes or night sweats
  • Waking at 3 a.m. and staying awake
  • Periods that are heavier, lighter or unpredictable
  • Brain fog or forgetfulness
  • Mood shifts that feel unlike you
  • Joint aches or vaginal dryness
  • Being told you're too young for menopause

Perimenopause is the transition. Menopause is reached after 12 months in a row with no period.

During perimenopause, estrogen swings widely before it declines, and those swings drive most symptoms. After menopause, lower estrogen changes how your body handles bone, heart and metabolic health.

Your symptoms lead. Labs add what symptoms can't show: thyroid, iron, blood sugar and heart health.

Any bleeding after menopause needs prompt in-person care.

Your curated labs

The perimenopause and menopause panel: 9 markers, read together.

Processed by a CLIA‑certified labReviewed by a board‑certified OB-GYN physicianWritten Clarity report

With Constant, your panel expands to the markers tagged below.

  • FSH

    Follicle-Stimulating Hormone

    Rises as the ovaries slow down. One of the clearest signals that the transition has begun.

    Reference range 3.0 to 8.1 IU/L

  • Estradiol

    Estradiol, Ultrasensitive

    The main estrogen. Swings widely in perimenopause, which is what drives most of the symptoms.

    Reference range 30 to 400 pg/mL

  • TSH

    Thyroid-Stimulating Hormone

    Thyroid changes mimic perimenopause, from hot flashes to mood and weight shifts, so it is checked from the start. If it is off, free T4 is added from the same draw.

    Reference range 0.4 to 4.5 mIU/L

  • Ferritin

    Ferritin

    Iron stores. Heavier or irregular periods in perimenopause quietly deplete iron and cause fatigue.

    Reference range 12 to 150 ng/mL

  • HbA1c

    Hemoglobin A1c

    The three-month glucose average. Metabolism shifts as estrogen declines, and this catches it early.

    Reference range 4.0 to 5.6 %

  • Vitamin D

    Vitamin D, 25-Hydroxy

    Supports bone, mood and metabolic health. Especially important as estrogen's protective effect on bone fades.

    Reference range 30 to 100 ng/mL

  • CBC

    Complete Blood Count

    Red cells, white cells and platelets. Screens for anemia from heavy bleeding and gives a baseline for your care plan.

  • CMP

    Comprehensive Metabolic Panel

    Kidney and liver function, electrolytes, and a fasting glucose in one draw.

  • Lipids

    Lipid Panel

    Cholesterol and triglycerides. Heart risk rises after menopause, and this is where tracking starts.

  • Constant

    Insulin

    Fasting Insulin

    Shows how hard the pancreas is working now, often years before glucose moves. Insulin resistance accelerates in midlife.

    Reference range 2.6 to 24.9 uIU/mL

  • Constant

    hs-CRP

    High-Sensitivity C-Reactive Protein

    Low-grade inflammation. A marker of cardiovascular risk that becomes more relevant as estrogen declines.

    Reference range 0 to 3.0 mg/L

Based on published reference values for women.

Your results carry forward if you choose to go with ongoing care. Prescriptions need ongoing physician care, so they come with Continuum or Constant.

Start ClarityHow Clarity works

With Continuum or Constant

What ongoing perimenopause and menopause care looks like.

A monthly consultation

With a board‑certified OB-GYN physician licensed in your state. Your record carries forward, and you can message your physician in between.

A plan that moves with you

Sleep, temperature, cycle and mood tracked in one care plan, updated and signed after every consultation.

Labs re‑baselined over time

At the start, then every 12 months with Continuum, or an expanded panel every 6 months with Constant.

Medication when it fits

Hormone therapy and other FDA-approved options considered with you when clinically appropriate. No markup on medication.

Medication

What your physician may prescribe (not exhaustive)

Only when clinically appropriate, after your physician reviews your history and labs. Prescriptions need ongoing physician care, so they come with Continuum or Constant.

Hormone therapy and other FDA-approved options considered with you when clinically appropriate. No markup on medication.

  • Estradiol, as a patch or a pillHormone therapy for hot flashes, night sweats and sleep.
  • A progestogen, alongside estradiolProtects the lining of the uterus, if you have one.
  • Non-hormonal optionsFor hot flashes, when hormone therapy isn't right for you.
  • Vaginal estrogen and other local optionsFor vaginal dryness and discomfort.

Ready for ongoing care now?

Go straight to Continuum or Constant. Your first consultation and your labs start side by side in month one.

With prescriptions when clinically appropriate. Medication isn’t included in the price, and SPHERE HEALTH never marks it up.

Start ongoing careCompare Continuum and Constant

Start Clarity for perimenopause and menopause.

Start with Clarity, or go straight to ongoing care. No charge until you choose a plan.

With prescriptions when clinically appropriate. Medication isn’t included in the price, and SPHERE HEALTH never marks it up.

Start Clarity for (peri)menopauseStart ongoing care