Frequently Asked Questions

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Peak Midlife Solutions specializes in comprehensive perimenopause and menopause care for women in Anchorage, Alaska. We provide expert bioidentical hormone replacement therapy (BHRT), thyroid optimization, weight management support, and lifestyle counseling specifically for women experiencing perimenopause and menopause symptoms.

Our services include treatment for hot flashes, night sweats, mood swings, weight gain, fatigue, and other perimenopause and menopause symptoms. We offer both in-person consultations at our Anchorage clinic and convenient telehealth appointments throughout Alaska.

Kari Ivany, MSN, FNP-BC, is a board-certified Family Nurse Practitioner with over two decades of experience in women's health. She has completed specialized training through the North American Menopause Society (NAMS), the Heather Hirsch Academy, and the BHRT Training Academy, making her uniquely qualified to treat perimenopause and menopause.

Located in Anchorage, Alaska, Kari combines evidence-based medicine with personalized care to help women navigate perimenopause and menopause with confidence. Her expertise includes bioidentical hormone therapy, thyroid optimization, and comprehensive midlife wellness care.

Yes, we recommend maintaining your relationship with a primary care provider while receiving perimenopause and menopause care at Peak Midlife Solutions. We specialize exclusively in hormone therapy, perimenopause, and menopause treatment, but we don't replace the need for routine health screenings, preventive care, or management of other medical conditions.

What if I don't have a primary care provider? If you don't currently have a primary care provider in Anchorage or Alaska, we strongly recommend establishing care with one to manage your routine health needs and any medical concerns outside our scope of perimenopause and menopause care.

Peak Midlife Solutions is a cash-based menopause clinic in Anchorage, which means we don't bill insurance directly. This allows us to provide personalized, comprehensive perimenopause and menopause care without insurance restrictions on treatment time or hormone therapy options.

Insurance Reimbursement Options:

•We provide detailed receipts (superbills) for insurance submission

•Many patients receive partial reimbursement for out-of-network benefits

•HSA and FSA accounts can typically be used for our services

•Contact your insurance provider to verify your out-of-network menopause care benefits

Why cash-based care benefits you:

•Longer appointment times for thorough perimenopause and menopause evaluation

•Access to bioidentical hormone therapy options not always covered by insurance

•Personalized treatment plans without insurance limitations

Specialized Expertise: Unlike general practitioners, we focus exclusively on perimenopause and menopause care. Kari Ivany, NP, has completed advanced training through NAMS, Heather Hirsch Academy, and BHRT Training Academy.

Comprehensive Approach: We address all aspects of perimenopause and menopause - hormones, thyroid, weight management, nutrition, and emotional wellness - not just prescribing hormones.

Time and Attention: Our cash-based model allows for longer appointments to thoroughly evaluate your perimenopause and menopause symptoms and create personalized treatment plans.

Alaska Accessibility: We serve women throughout Alaska with both in-person care in Anchorage and convenient telehealth appointments.

We treat the full spectrum of perimenopause and menopause symptoms, including:

Physical Symptoms:

• Hot flashes and night sweats
• Irregular periods (perimenopause)
• Weight gain and difficulty losing weight
• Fatigue and low energy
• Sleep disturbances
• Joint aches and muscle pain

Emotional and Cognitive Symptoms:

• Mood swings and irritability
• Anxiety and depression
• Brain fog and memory issues
• Decreased motivation

Sexual Health:

• Low libido
• Vaginal dryness
• Painful intercourse

Metabolic Issues:

• Thyroid dysfunction
• Insulin resistance
• High cholesterol

Yes! We offer secure telehealth appointments for perimenopause and menopause care throughout Alaska. Many women prefer telehealth for:

•Follow-up hormone therapy appointments

•Symptom monitoring and medication adjustments

•Lifestyle and nutrition counseling

•Convenience for busy schedules or remote locations

Initial consultations can often be conducted via telehealth, though some patients prefer in-person visits for their first comprehensive perimenopause or menopause evaluation.

Bioidentical Hormone Replacement Therapy (BHRT) uses hormones that are chemically identical to those your body naturally produces. At Peak Midlife Solutions in Anchorage, we use BHRT to treat perimenopause and menopause symptoms by replacing declining estrogen, progesterone, and sometimes testosterone.

Benefits of BHRT for perimenopause and menopause:

• Relief from hot flashes and night sweats
• Improved sleep and energy
• Better mood stability
• Enhanced cognitive function
• Support for bone health

Our BHRT approach:

• Customized dosing based on your symptoms and lab results
• Regular monitoring and adjustments
• Multiple delivery methods (creams, patches, pills)
• Comprehensive safety protocols

As a cash-based menopause clinic in Anchorage, our fees vary based on the services you need:

Initial Consultation: Comprehensive perimenopause/menopause evaluation and treatment planning 

Follow-up Visits:Hormone therapy monitoring and adjustments 

Lab Work: Hormone testing and thyroid evaluation 

Bioidentical Hormones:Costs vary by type and dosage

Payment Options:

•Cash, check, or credit card accepted

•HSA and FSA accounts can typically be used

•Detailed receipts provided for insurance submission

•Payment plans available for comprehensive treatment packages

Contact us at (907) 312-5345 for specific pricing information.

Scheduling your perimenopause or menopause consultation at Peak Midlife Solutions is easy:

Phone: Call (907) 312-5345 to speak with our team 

Email: Contact us at peakmidlifesolutions@gmail.com 

Location:2804 W Northern Lights Blvd, Anchorage, AK 99517

What to expect:

•Comprehensive symptom evaluation

•Review of medical history and current medications

•Discussion of treatment options including hormone therapy

•Personalized treatment plan for your perimenopause or menopause journey

Telehealth: Available for patients throughout Alaska who prefer virtual consultations.