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Start with your pattern and priorities
A visit begins with what has changed, how it affects daily life, and what you hope to understand or improve.
Gallagher Medical · Women's health telehealth
Evidence-based
perimenopause &
menopause care.
Care with Dr. Shauna Gallagher begins with a direct virtual visit that makes room for your experience, history, and goals. Hormonal changes can feel real, disruptive, and varied, and the full clinical picture matters because not every symptom has one cause.
You may recognize…
Symptoms that can be hard to explain and hard to ignore.
These experiences can overlap with other health conditions and deserve clinical evaluation rather than self-diagnosis.
- Hot flashes or night sweats that interrupt your day or sleep
- Sleep disruption, including waking during the night
- Periods that are changing in timing, flow, or predictability
- Brain fog or changes in concentration
- Changes in mood, patience, or irritability
- Fatigue that feels different from your usual baseline
- Joint or muscle discomfort
- Vaginal dryness or discomfort with sex
- Bladder or urinary changes
- A change in sexual desire
What an evidence-based visit looks like
Start with a physician who listens to the whole picture.
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Review the full clinical context
This can include menstrual changes, medical and family history, medications, risk factors, and relevant records.
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Talk through appropriate next steps
Together, the conversation may cover appropriate options, questions to consider, and a plan for follow-up when needed.
Care options are not one-size-fits-all
An evidence-based approach to treatment.
When medication is appropriate, we generally begin with FDA-approved, non-compounded prescription options rather than custom-compounded hormone preparations when an FDA-approved option is available.
Your plan is individualized after a virtual evaluation, medical history review, and shared decision-making. Potential options may include FDA-approved hormonal and nonhormonal prescription treatments for menopause-related symptoms when clinically appropriate and within Dr. Gallagher's scope and clinical protocols.
The consultation is for clinical evaluation and care planning, not for medication sales. If a prescription is appropriate, it is sent electronically to the pharmacy you choose.
A focused option for intimate symptoms
Vaginal estrogen can be part of the conversation.
Vaginal estrogen is one FDA-approved option that may be discussed for bothersome genitourinary symptoms of menopause, such as vaginal dryness, irritation or burning, discomfort with sex, and selected urinary symptoms.
For some patients, treatment may help support vaginal comfort and reduce symptoms that can make everyday activities or intimacy uncomfortable. Whether it belongs in your plan depends on your symptoms, medical history, and clinical evaluation.
A visit is a place to discuss what you are experiencing and consider appropriate options—not a guarantee that any particular prescription will be recommended.
A little clarity
It's not always about a lab result.
Hormone-related laboratory testing is not routine or required for everyone with common menopausal symptoms. Through shared decision-making and individualized clinical evaluation, Dr. Gallagher may partner with you to order and review testing when it could be helpful. Results are considered alongside your symptoms, menstrual changes, health history, and goals, not on their own.
Questions worth bringing to your visit
A few notes can help you make the most of the conversation.
These prompts support, not replace, a medical visit.
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What has changed?
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Which symptoms affect my day-to-day life?
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What have I tried so far?
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What is relevant in my health and family history?
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What are my goals and preferences?
Important context
This page is educational only, is not medical advice, does not establish a patient relationship, and is not for urgent concerns. New or urgent chest pain, shortness of breath, fainting, signs of stroke, heavy bleeding, or thoughts of self-harm should receive immediate or emergency evaluation.
Begin with a conversation
Ready to talk through what has changed?
Virtual consultations are currently available to patients located in New York State only.
Learn more
External educational resources
Links open official patient education from ACOG, the FDA, and The Menopause Society.