You don’t have to just push through it — real relief starts with being heard.
Provider-guided, FDA-approved bioidentical hormone therapy 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.
Matthew Simone, NP — certified in menopause hormone therapy
Hormones drawn and reviewed in our Trumansburg office
Used when clinically appropriate — not compounded guesswork
Across New York, including Syracuse & Rochester
National telehealth funnels treat a woman in Ithaca exactly like a woman in Phoenix. They shouldn't. Where you live shapes your sleep, your sunlight, and how you spend your body — and all three move hormones. Here's how this corner of New York actually factors in.
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.
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.
Hormone replacement therapy (HRT) for women replaces the estrogen, progesterone, and sometimes testosterone that decline during perimenopause and menopause — the drop that drives hot flashes, sleep loss, brain fog, mood changes, and low libido. Replacing those hormones at carefully chosen doses relieves symptoms and helps protect long-term health.
At Homesteady Health we use FDA-approved bioidentical hormones — molecules structurally identical to the ones your body makes — when they’re clinically appropriate. Modern hormone therapy is highly individualized: there is no single “menopause pill.” The right estrogen, the right progesterone if you still have a uterus, and the right dose depend on your symptoms, your history, and your goals, and they’re adjusted over time.
Hormone therapy works best when it’s introduced slowly and watched closely. Here’s the rhythm of your care.
A full hour together: your history and symptoms, a physical exam, an on-site lab draw, and clear education on the real risks and benefits of HRT for women — no rush, no jargon.
FDA-approved bioidentical estrogen, progesterone, and testosterone for women when appropriate, at an individualized starting dose. Every decision is made together.
Frequent check-ins, gentle dose changes, and lab monitoring when indicated. Optimizing hormones takes a few months — we walk it with you.
When hormone therapy is started at the right time and monitored properly, the benefits reach well beyond hot flashes. For the right candidate, it can help lower long-term risk and preserve the strength that keeps you independent.
One hour, in person in Trumansburg or by telehealth anywhere in New York. No referral and no insurance required to start.
Complete your on-site labs, learn exactly what’s happening in your body, and review a personalized plan. Begin treatment that day if you’re a good candidate.
Move into $179/month membership for follow-ups, dose adjustments, lab monitoring, and direct access to your provider.
No insurance needed to begin. You always know what you’re paying for.
Perimenopause and menopause hormone therapy is individualized and takes time to get right. We take the safest, most precise approach — introducing hormones gradually and assessing results with frequent check-ins. Insurance can often still be used for outside labs and pharmacy medications.
Founder & Nurse Practitioner · Women's Health & HRT
“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.
Years in healthcare
Years as a Nurse Practitioner
Board-certified · family practice
Board member · Region 2
Homesteady Health is a Direct Primary Care practice — membership medicine built on time, access, and continuity. For hormone therapy, that’s the whole advantage. HRT is introduced 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 hormone 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 HRT requires.
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.
For most healthy women in midlife, modern hormone therapy is considered safe when it’s prescribed and monitored carefully. Much of the old fear traces back to a 2002 study that used synthetic, non-bioidentical hormones in older women; later research on FDA-approved bioidentical hormones, started near the onset of menopause, has been far more reassuring. We review your personal and family history closely to make sure HRT is right for you, and we re-evaluate regularly.
Perimenopause is the transition leading up to menopause — often starting in your 40s — when hormone levels swing and 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.
Some women notice real improvement within a few weeks. Because hormones are introduced and adjusted gradually for safety, full optimization usually takes several months — tracked with check-ins and labs along the way.
You don’t need insurance to start care with us — it’s a flat $249 consultation and then $179/month membership. In many cases insurance, Medicare, or Medicaid can still be used for your outside lab work and for hormone prescriptions filled at your pharmacy. We’ll walk you through what to expect.
Birth control pills use higher, synthetic hormone doses to suppress ovulation and can be a good fit for some perimenopausal women, especially those still needing contraception. HRT replaces hormones at lower, body-identical doses aimed at symptom relief and long-term protection. The right choice depends on your age, symptoms, and health history — we’ll help you decide at your consultation.
Often, yes. Falling estrogen and progesterone are closely tied to anxiety, mood swings, and sleep loss, and rebalancing them helps many women feel steadier. Hormone shifts also affect where the body stores fat and how much muscle it holds, and low-dose testosterone for women can support libido and energy. HRT works best alongside good sleep, strength training, and nutrition — not as a substitute for them.
In most cases, yes. If you take estrogen and still have your uterus, progesterone protects the uterine lining. We review this carefully and build it into your plan.
There’s no single right age, but starting near the onset of perimenopause or menopause — rather than years later — tends to offer the best balance of symptom relief and long-term benefit. If your symptoms are affecting your daily life, that’s reason enough to get evaluated.
Yes. We use FDA-approved bioidentical hormones — structurally identical to the ones your body makes — when they’re clinically appropriate, which for most women in midlife is the most beneficial approach.
We discuss alternative and non-hormonal approaches when estrogen isn’t a fit. Bioidentical hormones remain the most effective option for most midlife women, but your plan is always built around what’s safe and right for you.
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.
Proper hormone care for women is simply more complex. It involves more medications, more frequent check-ins, and considerably more ongoing management to get the balance right and keep it there safely.
