Hot flashes, restless nights, or mood changes? Perimenopause can be a lot. We take time to listen and build a personalized plan to help you feel like yourself again.
✓ Personalized
✓ Wellness first
✓ APRN oversight
Stephany Reese, APRN
Medical director
Perimenopause care
Perimenopause is the transition before menopause, often starting in your late 30s or 40s, when estrogen and progesterone begin to rise and fall unpredictably. The changes are easy to brush off and hard to live with.
At Epiphany Clinic, Stephany Reese, APRN, FNP-C, looks at your symptoms and your labs together, then builds a personalized plan, which may include bioidentical hormones, to help you sleep, think and feel like yourself again. Learn more about hormone therapy for women.
How it works
01
Tell us what's changed: sleep, mood, cycles, energy. We listen and answer every question, in person or virtually. In the office, we draw your labs at the same visit.
02
Labs check your hormone levels and related markers, with results typically back within 48 hours, so your plan starts from real data, not guesswork.
03
Stephany walks you through your results and options, including creams, injections and hormone pellets, with clear pricing before anything starts.
04
Hormones keep shifting through perimenopause, so we follow up and fine-tune your plan as your body changes.
Typical timeline: Day 1 consultation and labs in our office · results within 48 hours · Day 3 review your results and plan · medication ships the next day, so you could start in as little as 5 days. Doing a virtual consult or live farther away? Get your labs at a Labcorp near you, which usually adds a day or two.
The Epiphany difference
Epiphany Clinic is a wellness-first clinic in American Fork. We take time to hear what you're going through and build a plan around your body, symptoms, and goals.
A typical approach
At Epiphany Clinic
Your visit
Short appointments with little time for questions
Unhurried visits where you're actually heard
Your symptoms
Symptoms looked at one at a time
Hot flashes, sleep, mood, and energy looked at together
Your plan
A one-size-fits-all protocol
A personalized plan built around your symptoms and goals
Philosophy
Focused on a single symptom
Wellness first: whole-person care for this stage of life
Follow-up
Left on your own after the first visit
We check in and adjust your plan as your body changes
Your provider
Hard to reach between visits
An accessible provider, overseen by medical director Stephany Reese, APRN
Pricing
Your hormone consultation is complimentary. Before we recommend anything, we run initial labs so your plan is based on your results, not guesswork, and we walk you through the cost of your ongoing plan before you start.
Consultation
Talk through your symptoms and goals with Stephany Reese, APRN, FNP-C
Initial labs
Comprehensive labs that guide your personalized hormone plan
See all of our pricing in the price guide, or learn about hormone therapy for women.
Who you'll see
Stephany Reese, APRN, FNP-C, is our medical director and leads every hormone plan. She earned her Master's in Nursing from the University of Cincinnati and chairs the Utah chapter of the Aesthetic Safety Network. Patients say she listens, explains everything and never rushes.
Real reviews
★★★★★
“Stephany and her staff are wonderful. They listen and truly care about your well-being. She is treating my perimenopause and I have definitely noticed improvement in my symptoms.”
Andria R. · Google review
★★★★★
“From the very first session I felt seen. Stephany listens. She doesn’t dismiss what you’re feeling… Because of her care I’ve gotten my sleep back, the brain fog has lifted in a huge way…”
Simona C. · Google review
★★★★★
“I’ve been on HRT for about three months and immediately started sleeping through the night and hot flashes gone. Feel better overall.”
Monica C. · Google review
Your questions, answered
What age does perimenopause start?
Many women notice changes in their 40s, and some in their late 30s. Perimenopause can last several years, until periods have stopped for 12 months (menopause).
How do I know if it's perimenopause?
Hot flashes, night sweats, poor sleep, mood changes and irregular cycles are common signs. Labs help us understand what's happening, but we always look at how you feel too, not just the numbers.
Is hormone therapy right for me?
It depends on your health history. Stephany reviews your history and labs before recommending anything and talks openly about benefits and risks. Hormone therapy isn't right for everyone, and we'll tell you if it isn't right for you.
How soon will I feel better?
Every body is different. Many patients notice better sleep and fewer hot flashes within the first few months, and finding your ideal dose usually takes small adjustments over time.
How much does it cost?
Your consultation is complimentary and initial labs are $400. We explain the cost of your ongoing plan before you start. See our price guide.
Do you take insurance?
We don't bill insurance directly, but we can provide a superbill you can submit to your insurance for labs or visits.
Ready when you are
Talk with Stephany about what you're feeling. No pressure, just answers and a plan. Not ready yet? Text us a question and a real person will get back to you.
