✦ Alchemy of Renewal ✦
Perimenopause & Menopause Care at Milford Med Spa & Wellness
Perimenopause and menopause are natural transitions, but they don’t have to mean losing your spark. At Milford Med Spa & Wellness, we believe this stage of life can be a season of empowerment, vitality, and confidence when guided with the right care.
Our providers combine medical expertise with compassionate support to help you navigate symptoms, balance hormones, and rediscover your glow.
✧ Why This Care Matters to The Alchemista
For Dr. Courtney Holmes, APRN (The Alchemista), hormone care isn’t just professional, it’s personal.
When she entered perimenopause in her mid-thirties, life changed in ways she wasn’t prepared for. New anxiety, crushing fatigue, unexplainable joint pain, restless nights, and a complete loss of libido began to erode her confidence and her marriage. She and her life partner struggled with mismatched intimacy and years of frustration that felt out of her control.
Everything shifted when she finally found a provider who understood, prescribed hormones, and helped her body return to balance. It was nothing short of life-changing, her energy returned, sleep stabilized, and intimacy with her spouse blossomed again.
Because of how profound this transformation was, Courtney went on to pursue specialty education in hormone care for men and women, determined to bring the same renewal to others who are suffering silently. Today, she offers this deeply personal, highly specialized care through Milford Med Spa & Wellness, ensuring no one has to walk through perimenopause or menopause alone.
✧ What Happens in Perimenopause & Menopause?
Hormones like estrogen, progesterone, and testosterone begin to shift, and with them, so does the way you feel. You may experience:
Hot flashes & night sweats
Sleep disturbances
Mood swings or increased anxiety
Vaginal dryness or discomfort with intimacy
Weight changes or stubborn belly fat
Brain fog & memory lapses
Decreased libido
Loss of muscle tone or energy
These symptoms are common, but they don’t have to define you. With the right support, you can move through this chapter feeling vibrant and in control.
✧ The Forgotten Hormone: Testosterone in Women ✧
When people think of hormones and menopause, estrogen and progesterone usually come to mind. But there’s another key player often overlooked: testosterone.
In women, testosterone naturally declines with age, often even earlier than estrogen, and low levels can contribute to:
Loss of energy and stamina
Decreased libido and sexual satisfaction
Mood changes and irritability
Brain fog and reduced motivation
Loss of lean muscle and strength
Restoring testosterone balance can be life-changing, helping women feel stronger, more focused, and more connected to themselves and their partners. At Milford Med Spa & Wellness, we make sure this essential hormone isn’t left out of your care plan.
✧ How to Get Started
Getting started with hormone care at Milford Med Spa & Wellness is a guided, step-by-step process designed for safety, clarity, and thorough provider review.
Step 1: Book “Request Hormone Labs” (Administrative Setup Visit)
This visit is used by our team to get you started behind the scenes.
After booking, you’ll receive initial forms that include demographic and insurance information only.
Please do not attend this appointment.
This time is reserved for our staff to:
enter your demographic and insurance information
place your hormone lab orders
prepare your chart for care coordination
Clinical questions and medical decision-making do not occur at this stage.
Step 2: We Schedule Your Quest Lab Appointment
Once your administrative setup is complete, our scheduler will contact you within the same week to:
schedule your Quest Diagnostics lab appointment for you
review lab instructions
Lab requirements:
Fasting is required
Labs must be drawn between 7:00–9:00 AM due to cortisol testing
Step 3: Book Your Initial Hormone Evaluation (In-Person Visit)
After your Quest labs are scheduled, we will book your in-person Initial Hormone Evaluation with our Nurse Practitioner.
At that time, you will receive a second set of intake forms specific to hormone evaluation and medical decision-making.
📋 Important safety policy:
These hormone-specific intake forms must be completed at least 1 week prior to your Nurse Practitioner visit
This advance completion is required so the provider can review your history thoroughly and safely
Incomplete forms may result in cancellation and rescheduling per policy
Step 4: In-Person Nurse Practitioner Visit
During your visit, your Nurse Practitioner will:
review your symptoms, labs, and medical history
discuss hormone patterns and treatment options
create an individualized care plan based on evidence-based medicine
This is where all medical evaluation, diagnosis, and treatment decisions occur.
⚠️ Please note:
We do not provide gender transition hormone care.
✧ Our Approach to Care
We see perimenopause and menopause as a whole-body transformation, not just a list of symptoms. That’s why our care includes:
Comprehensive Evaluation & Labs with a root-cause approach: we turn over every stone that could be contributing to your symptoms. If something beyond hormones is identified, we’ll refer you to a trusted provider.
Individualized Hormone Prescriptions using estrogen, progesterone, and testosterone in oral, topical, patch, injectable, or pellet formulations
Ongoing Monitoring & Adjustments so your plan evolves with your needs
Integrative Support from nutrition and Certified Menopause Coaches to enhance results
✧Getting Started with Hormone Care
- Book your “Request Hormone Labs” setup visit (complimentary, not attended)
After booking your “Request Hormone Labs” visit and completing the initial demographic and insurance forms, our scheduling team will reach out to you directly to:
schedule your Quest Diagnostics lab appointment
schedule your in-person Nurse Practitioner hormone evaluation once labs are coordinated
You do not need to book labs or provider visits on your own.
✧ Pricing & Insurance Information
Initial Nurse Practitioner Evaluation
Cost: $200 (private pay or insurance)
We now accept most health insurance plans for women’s hormone care. If your insurance plan is accepted and applied, the initial Nurse Practitioner evaluation may be covered. If insurance is not used or not accepted for your plan, the private-pay cost for the initial evaluation is $200.
Testosterone therapy is not covered by insurance and is always private pay.
Ongoing Care
Insurance-Based Ongoing Care
We accept most health insurance plans for ongoing visits when treatment includes estrogen and/or progesterone only and prescriptions are filled through commercial pharmacies.
Private-Pay / Compounded Hormone Care
$167 per month (3 month commitment) when using one compounded hormone, such as:
testosterone (cream, injection, or pellet)
estrogen or progesterone compounded to meet individualized dosing or absorption needs when commercial options are not effective or appropriate
Compounded medications allow for personalized treatment but are not covered by insurance.
Important Notes
Insurance coverage varies by plan and carrier
Patients are responsible for verifying benefits and provider participation
All treatment decisions are based on medical necessity, safety, and response to therapy
✧ What’s Included in Your Care Plan?
Your care goes beyond prescriptions. It includes:
Access to our nurses & Certified Menopause Coaches anytime for support and guidance
Monthly Women’s Support Group: second Friday of every month, 6–7 pm
Exclusive Discounts on select spa & wellness services, such as:
15 % off PRFM hair restoration treatment
50% off IPL hair removal for the face
50% off waxing of face
Flexible Formulations: oral pills, Topiclick™ creams, patches, injections, and pellets customized for your body
✧ Your Care Team
Diana Greenia, APRN — Nurse Practitioner with advanced training in women’s health and an Integrative Nutrition Health Coach Certificate. Fluent in Spanish & English, Diana ensures accessible, holistic care for all clients.
Courtney Holmes, APRN (The Alchemista) — Nurse Practitioner, founder, and visionary. After her own transformative journey through perimenopause, she now brings specialty hormone care to Milford Med Spa & Wellness.
Kelly Cahill, LPN — Certified Menopause Coach — Offers compassionate support and practical strategies to manage symptoms day-to-day.
Ashley Fox, LPN — Certified Menopause Coach — Provides personalized guidance and accountability to help clients thrive during midlife transitions.
Xaila Holmes — Scheduler — Coordinates lab scheduling, provider visits, and intake workflows, ensuring a smooth, organized start to care while serving as a reliable guide throughout the scheduling process.
Nevaeh Cortez — Scheduler — Manages initial setup visits, demographic and insurance intake, and behind-the-scenes coordination with Quest Diagnostics and our clinical team to keep your care on track and stress-free.
✧ Recommended Resources ✧
Education is power. Alongside your personalized care at Milford Med Spa & Wellness, we encourage you to explore these trusted resources to better understand the menopause journey:
📚 Reading
Navigating Perimenopause: A published conversation in Milford City Lifestyle with Dr. Courtney Holmes, APRN (The Alchemista), sharing insights on symptoms, treatments, and the importance of support.
The New Menopause by Mary Claire Haver, MD: A practical guide to thriving through midlife with medical, nutritional, and lifestyle strategies.
The Menopause Brain by Lisa Mosconi, PhD: Groundbreaking science on how hormones affect memory, mood, and brain health.
Estrogen Matters by Avrum Bluming, MD & Carol Tavris, PhD: An evidence-based look at hormone therapy and why estrogen deserves a place in women’s health.
🎥 Video Testimonial
Laura’s Hormone Journey: Laura Dostilio, a client of Dr. Courtney Holmes, APRN, shared her powerful story at our community screening of The M Factor documentary at the Milford Arts Council. Her journey highlights the real-life impact of hormone therapy and the importance of education in menopause care.
✧ Women’s Hormone Support Group ✧
Not sure if hormone therapy is right for you? Or maybe you just want a safe, supportive space to talk about the changes you’re experiencing?
Join our Free Women’s Hormone Support Group, held on the second Friday of every month from 6–7 pm at Milford Med Spa & Wellness.
Open to all women; you don’t need to be a current client to attend
A welcoming space to share experiences, ask questions, and learn
Led by our Certified Menopause Coaches and nurses, with guidance available if you’d like it
This group is about connection, education, and community — because no woman should have to navigate this transition alone.
✧ Begin Your Transformation ✧
Perimenopause and menopause are inevitable, but suffering through them is not. At Milford Med Spa & Wellness, we help you reclaim energy, balance, and self-expression during this powerful life transition.
✧ Couples Hormone Health
Hormonal changes rarely affect just one person in a relationship. Many of our female clients tell us that while they’re navigating perimenopause or menopause, their partner is also noticing the effects of declining testosterone.
That’s why we offer hormone care for men as well as women, and many couples choose to come in together for back-to-back evaluations.
💡 Special Offer: When you and your partner both schedule your hormone evaluations, you’ll receive $50 off your initial visit for the man (men’s evaluations and ongoing care are not covered by health insurance).
✨ Supporting each other through this transformation can make the journey more successful and more connected.