Hot flashes, 3 a.m. waking, brain fog? You don’t have to push through it.
Real relief starts with being heard — and with finding out what’s actually going on.
Provider-guided menopause and perimenopause care for women across Ithaca, Trumansburg, and the Finger Lakes. On-site labs, a real provider who knows your name, and a plan built around your symptoms.
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.
A real, named provider
Matthew Simone, NP — certified in menopause hormone therapy
On-site lab testing
Drawn and reviewed right in our Trumansburg office
Individualized, evidence-based care
A plan built for your symptoms — not one-size-fits-all
In person or by telehealth
Across New York, including Syracuse & Rochester
You’re in the right place if perimenopause or menopause is changing how you feel
- 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.
Menopause & perimenopause care that fits life in Ithaca and Trumansburg
Women here don’t slow down. You’re running a lab at Cornell or a classroom at Ithaca College, hiking the gorges, managing a farm or a family business, and getting through Finger Lakes winters that already test anyone’s sleep and mood. When perimenopause stacks fatigue, brain fog, and 3 a.m. waking on top of that, “pushing through” stops working.
Specialized menopause care has been genuinely hard to find in the area. Long waits, practices that have paused or closed to new patients, and a drive to Syracuse or Rochester for anyone wanting real hormone management. HomeSteady Health keeps that care right here on Route 96 in Trumansburg — a short drive from downtown Ithaca, with an on-site lab draw so you’re not chasing results across town.
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.
Talk to the clinic about where you stand
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.
Structured medical care — not a quick prescription
This stage is best handled slowly and watched closely. Here’s the rhythm of your care.
01 · Evaluate
Listen, examine, test
A full hour together: your history and symptoms, a physical exam, an on-site lab draw, and clear education on what’s happening and your options — no rush, no jargon.
02 · Plan
A plan made for you
Evidence-based options matched to your symptoms, your history, and your goals — at a starting point that’s right for you. Every decision is made together.
03 · Monitor
Adjust until it’s right
Frequent check-ins, gentle adjustments, and lab monitoring when indicated. Getting this stage right takes a few months — we walk it with you.
The right care, started at the right time, protects your health for decades
This transition affects more than how you feel this week. It’s also when bone, heart, and muscle health are most worth protecting. Getting evaluated early — and staying monitored — gives you the best shot at keeping the strength and steadiness that keep you independent.
- Stronger bones — lower osteoporosis risk
- Cardiovascular & metabolic support
- Better insulin sensitivity
- Preserved muscle (less sarcopenia)
- Steadier mood & sleep
- Quality of life now & protection over time
How care works at HomeSteady Health
1
Book your consultation
One hour, in person in Trumansburg or by telehealth anywhere in New York. No referral and no insurance required to start.
2
Labs, education & your plan
Complete your on-site labs, learn exactly what’s happening in your body, and review a personalized plan. Begin care that day if you’re a good candidate.
3
Ongoing membership care
Move into a simple monthly membership for follow-ups, adjustments, lab monitoring, and direct access to your provider.
Menopause & perimenopause care pricing
No insurance needed to begin. You always know what you’re paying for.
Once · Initial consultation
One flat price
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
Monthly · Ongoing membership
Simple monthly rate
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.
Matthew Simone, FNP-BC
Founder & Nurse Practitioner · Womeen'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
Specialized training in women’s hormone therapy
“I may not be a woman, but I’ve seen firsthand — through friends and family — how hard the perimenopausal and menopausal years can be.”
Your care is led by Matthew Simone, NP, certified through the Heather Hirsch Academy in evidence-based hormone therapy for perimenopause and menopause. That means focused, specialized training in FDA-approved hormone management for women in midlife — the depth this stage of life actually deserves, delivered close to home in Trumansburg and Ithaca.
25+
Years in healthcare
19
Years as a Nurse Practitioner
FNP-BC
Board-certified · family practice
NPA·NY
Board member · Region 2
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.
You deserve to feel like yourself again
Reach out for a call back, or book your consultation and get structured, medically supervised care — in our Trumansburg office or by telehealth across New York.
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.