Menopause care that sees the whole you.
A comprehensive, year-round program for perimenopause and menopause — combining convenient telemedicine, in-person care when you want it, and specialist expertise you won’t find anywhere else in our area.
Join the Waitlist & Get Updates
Be the first to know when enrollment opens. No obligation.
You’re not imagining it — and you shouldn’t have to piece it together alone.
Perimenopause and menopause rarely show up as a single symptom. Sleep, mood, weight, energy, memory, intimacy, and bladder health are all connected — and they tend to arrive together. Yet most care treats them one complaint at a time, in separate appointments, leaving you to connect the dots yourself.
We do it differently. We start with your whole picture, build a plan around you, and stay with you all year.
The Difference a Managed Plan Makes
Care as usual
Your Vitality membership
You notice a symptom and book a visit
We assess your whole picture before problems escalate
Advice is given, then the visit ends
You receive a written, personalized plan you keep
Nothing happens until you call again
We check in, track progress, and adjust all year
One complaint at a time
Every area of your health, connected in one plan
The bottom line: you’re not paying for appointments — those are billed to your insurance, just as always. You’re investing in a managed, year-round plan built around you, instead of a series of disconnected visits.
Every area menopause touches — addressed together.
At enrollment, we assess and support every area menopause touches — not just the symptoms that brought you in.
Hot flashes & night sweats
Sleep, mood, anxiety & brain fog
Weight, metabolism & cholesterol
Muscle & bone strength
Energy & overall vitality
Bladder health & recurrent infections
Sexual health, comfort & intimacy
Nutrition, movement & longevity
Highlighted areas are specialty focus: bladder health, pelvic floor, and sexual health — where most menopause programs fall short.
Everything in your membership, explained.
Whole-body assessment
A comprehensive review across every area above, written up so you see your full picture in one place.
Personalized nutrition plan
A meal and nutrition plan built for your body and goals — not generic advice.
Individualized exercise plan
A pelvic-floor-safe program covering strength, aerobic, and balance training.
Hormone therapy roadmap
A clear plan for hormone therapy optimization, with milestones and adjustments over time.
Longevity & prevention protocols
Forward-looking strategies for bone, heart, metabolic, and brain health.
Year-round structure
Scheduled check-ins, plan refreshes, written progress summaries, and easy program access all year.
The expertise most menopause programs don’t have.
Convenient telemedicine — with in-person care whenever you want it.
Most of this care fits beautifully into a telemedicine visit, on your schedule, from home. But unlike telehealth-only services, we have a real office right here in Sparta — so when you want to be seen in person, you can be. You get the convenience of virtual care without giving up a true medical home.
Specialist expertise most menopause programs simply don’t have.
Our program is led by Dr. Paul Littman, a board-certified urogynecologist and certified menopause practitioner. Bladder health, pelvic floor, and sexual health are central to midlife — and they’re exactly where most menopause care, especially national telehealth services, falls short. Here, they’re a core part of caring for the whole you.
Simple to start. Structured all year.
Enroll
Complete your whole-body questionnaire before your first visit.
Your comprehensive assessment
Meet in the office or by telemedicine — whichever you prefer.
Receive your personalized plan
A written, personalized plan built around your goals — yours to keep.
Stay on track all year
Scheduled check-ins, progress summaries, and plan updates keep your care active.
$150 per year
Easy start: just $50/month for your first three months, then $150 annually.
Your medical visits are billed to your insurance, the same whether or not you join. The membership covers your personalized plans and year-round program support — it is not a charge for medical visits and does not replace insurance.
Frequently Asked Questions
Does the membership replace my insurance?
No. Your office and telemedicine visits are billed to your insurance exactly as they are now. The membership covers the program around your care — your written plans, year-round structure, and progress tracking.
Do I have to come into the office?
Only if you want to. Most of the program works well by telemedicine, but in-person visits are available in Sparta whenever you prefer.
Can I just book regular visits instead of joining?
Absolutely. You’re always welcome to be seen as a regular patient. The membership is for women who want a structured, proactive, year-round plan rather than visit-by-visit care.
Take charge of your midlife health — with a team that sees all of you.
Join the waitlist today and be among the first to enroll when the program opens.
Join the WaitlistWhat Clients Say
Explore the Latest Articles and Practice Updates
I regularly share educational resources, practice news, and women’s health insights to help patients feel informed, empowered, and confident in their care decisions.
