Hormones & midlife, taken seriously.
When sleep, mood, cycles, libido, or weight stop feeling familiar, you deserve more than a shrug and a ten-minute visit. PURR starts with your symptoms and your labs — and builds a plan around both.
What we treat
Perimenopause and menopause symptoms: disrupted sleep, hot flashes and night sweats, mood shifts, irregular or heavy cycles, brain fog, vaginal dryness, low desire, and weight change that diet alone doesn't explain.
How care works at PURR
Your first visit is 45–60 minutes with Dr. Gomez-Ratush. We review your history and symptoms, order the labs that actually matter, and go over the options honestly — from lifestyle and non-hormonal treatment to bioidentical hormone therapy, including BioTE pellet therapy where it's appropriate. You leave with written next steps, not a maybe.
In the office, online, or both
Evaluation, pellet insertion, and procedures happen in our Hamilton Park office. Follow-ups, lab reviews, and refills are moving online for New York, New Jersey, and Florida — see online perimenopause care.
Questions, answered
Do I need labs before we treat?
Usually, yes. Treatment decisions at PURR are made from your symptoms and your lab work together, not from a guess.
Is hormone therapy safe for me?
That depends on your history, which is exactly what the first visit is for. Dr. Gomez-Ratush will go over your personal risks and benefits candidly.
Do you take insurance?
PURR is a private cash-pay practice. We accept HSA/FSA and provide superbills for out-of-network reimbursement where your plan allows.