Menopause, Perimenopause & HRT in Santa Barbara/Montecito — Done Properly, From Day One
Long-form appointments. Evidence-based hormone replacement therapy. A clinical approach that prioritizes safety, symptom relief, and long-term optimization — without being rushed or dismissed.
What we offer
- 60+ minute physician-level consults
- Comprehensive lab review
- Pelvic ultrasound + brief exam when clinically appropriate before starting HRT
- Ongoing support during initiation + dose optimization
- Discreet, cash-pay women’s health in Montecito
Who we help
You might be in the right place if you’re experiencing:
- Hot flashes / night sweats
- Sleep disruption, anxiety, mood changes
- Weight changes or metabolic shifts
- Brain fog, fatigue, low motivation
- Low libido, arousal changes
- Vaginal dryness or painful intercourse
- “My labs are normal but I feel awful”
- You’ve been told “this is just aging” and you know it isn’t
The TMA Care Pathway
A smarter model: Dr. Turner initiates — Sophie optimizes.
Step 1 — Diagnostic Start (Dr. Duncan Turner, MD)
A comprehensive first visit designed to set the foundation correctly.
Includes: detailed history + symptom review, lab review, and when clinically appropriate pelvic ultrasound and a brief exam to assess vaginal/pelvic health before initiating HRT.
Step 2 — Optimization & Follow-Through (Sophie Mengele, NP)
Once your plan is initiated, Sophie becomes your day-to-day quarterback for:
- symptom tracking and adjustments
- follow-ups, refills, ongoing sexual health support
- long-term optimization over months and years
To learn more about Sophie’s services, click here.
Step 3 — Procedures & Complex Escalations (Dr. Turner, MD)
When procedures or higher complexity are needed, Dr. Turner remains involved.
Short positioning line:
Insurance-based care is built for speed. We’re built for outcomes, safety, and time.
What to expect
What happens after you book:
- Complete a brief intake so we understand your goals and history
- Your visit is built around time and clarity — we don’t rush this
- You leave with:
- a clear plan
- next steps (labs, prescriptions, lifestyle targets)
- a defined follow-up schedule with Sophie for optimization
Pricing
Complimentary 10-Minute Consultation (New Patients): $0
A brief fit call to ensure you’re placed with the right provider and visit type.
HRT Diagnostic Start Visit with Dr. Turner (60+ minutes): $1,000
Includes lab review and typically pelvic ultrasound + brief exam when clinically appropriate for safety before starting HRT. Early follow-up support is often included during initiation.
Ongoing Optimization Visits with Sophie Mengele, NP:
Designed for follow-through, titration, and long-term results.
(Pricing varies by visit length and complexity — we’ll recommend the correct format during your consult.)
Most Popular Option: 90-Day HRT Reset (Recommended)
A structured start-to-stability pathway designed to dial in dosing and symptoms over the first 90 days. Includes your comprehensive visit plus scheduled follow-ups and support with Sophie Mengele, NP.
Pricing: available after your complimentary consult.
Ask about the 90-Day Reset
“Most patients choose a 90-day pathway so dosing and symptoms can be optimized safely and efficiently.”
Note: Labs and medications are separate and vary based on your individual needs.
Why patients choose Turner Medical Arts
- Time: longer visits so nothing important gets missed
- Clinical rigor: structured evaluation before starting hormones
- Continuity: Sophie’s optimization follow-ups keep results moving forward
- Discretion: private, calm, elevated care
- Experience: a reputation built on outcomes and patient trust
FAQs
Do you take insurance?
We are a cash-pay practice. This allows us to offer longer visits, faster access, and a higher level of individualized care.
Do I have to see Dr. Turner first?
Most HRT starts benefit from a diagnostic foundation. We’ll guide you to the correct provider during your complimentary consult.
Do you prescribe testosterone for women?
When clinically appropriate and after a careful evaluation, we discuss all evidence-based options.
How quickly can I get in?
Availability varies but we reserve “priority slots” for new patients so you can be seen ASAP. The complimentary consult is the fastest way to be routed correctly.
Ready to feel like yourself again?
Start with a complimentary 10-minute consultation
