A full 60-minute first visit with a board-certified OB/GYN. Your history, your options, a real plan.
Menopause care that finally takes the time to understand you.
Real visits with a board-certified OB/GYN who specializes in exactly this, and who has the time to actually listen. No seven-minute appointments. No being told it’s “just aging.” A treatment plan built around your body, and a clinician who stays with you.
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A full 60-minute first visit with a board-certified OB/GYN. Your history, your options, a real plan.
Menopause care that finally takes the time to understand you.
Real visits with a board-certified OB/GYN who specializes in exactly this, and who has the time to actually listen. No seven-minute appointments. No being told it’s “just aging.” A treatment plan built around your body, and a clinician who stays with you.
Menopause care that finally takes the time to understand you.
Real visits with a board-certified OB-GYN who specializes in exactly this, and who has the time to actually listen. No seven-minute appointments. No being told it’s “just aging.” A treatment plan built around your body, and a clinician who stays with you.
PHYSICIAN-LED ONLINE MENOPAUSE & PERIMENOPAUSE CARE SERVING MICHIGAN & (CALIFORNIA COMING SOON)
You’re not imagining it. And you’re not alone.
The 3am wake-ups. The brain fog that makes you doubt yourself in your own meetings. The heat that arrives out of nowhere. The rage you don’t recognize. A body that stopped responding to everything that used to work.
You’ve probably already been told it’s stress. That you’re too young. That your labs are normal, so nothing’s wrong. Maybe you asked about hormones and were handed an antidepressant instead.
None of that was an answer. What you’re feeling is real, it’s common, and with the right care, it’s very treatable. You just haven’t been offered that care yet.
Sound familiar?
Waking at 3am, drenched, and unable to get back to sleep
Brain fog that makes you second-guess yourself at work
Periods gone haywire, flooding one month and missing the next
Rage or anxiety that shows up out of nowhere
Weight settling around your middle that won’t budge no matter what you do
Sex that’s become uncomfortable or painful, and no one warned you
A heart that races for no reason, aches no one can explain, hair thinning, skin changing
The sense that you’ve become a stranger in your own body
If you’re nodding at even a few of these, you’re in the right place.
How We Help
This was never only about symptoms.
Getting your sleep back and quieting the hot flashes is where we start, not where we stop. Perimenopause and menopause sit at the center of your long-term health: your bones, your heart, your brain, your metabolism, the next thirty years of your life. So alongside your hormones, we work on the things that actually move the needle on your healthspan: sleep, nutrition, movement, and the metabolic shifts that quietly change how your body works. These are the parts a seven-minute visit never has room for.
Brain Fog
Hot flashes
Sleep changes
Anxiety & mood changes
Weight Gain
or Loss
Recurrent UTIs
Night Sweats
Irregular or Absent Periods
Painful sex or vaginal dryness
Overlapping Symptoms
The goal isn’t only to feel like yourself again. It’s to put you back in the driver’s seat of your health for the decades ahead.
Care built around time, attention, and answers.
Time to actually be understood.
Your first visit is a full, unhurried consult, long enough to tell your whole story and have it heard. Your follow-ups are real appointments, not rushed check-ins.
A physician who specializes in exactly this.
Your care is led by a board-certified OB/GYN and Menopause Society Certified Practitioner, focused only on perimenopause and menopause. Not a questionnaire. Not an algorithm. Not a rotating panel.
Evidence, never trends.
We recommend what the science supports, including hormone therapy when it’s right for you, and we explain the why at every step. We don't sell unjustified supplements or snake oil.
How We Care For You
The TelePause runs on a Direct Specialty Care model: we work directly with patients rather than through insurance, which lets us offer both single-visit and membership options so you can choose the level of support that fits.
Whether you want a consultation or ongoing care through membership, you’ll receive the same thoughtful, physician-led approach at every time.
Our Services Include
Perimenopause and menopause consultations
Menopausal hormone therapy (MHT/HRT) evaluation and management
Non-hormonal treatment options
Ongoing physician access through membership
Consistent follow-up and treatment adjustments
A Note From Dr. West
“I came to medicine the long way, through a household that didn’t trust it. So I understand, from the inside, why women stop trusting doctors after years of being told they’re too young, their labs are normal, and maybe they should just try an antidepressant. I built The TelePause to be what I wish those women could have found first: a real doctor with the time to listen, and a plan built for your body.”
Dr. Siân West, board-certified OB/GYN, MSCP
Getting started is simple.
Book your consult.
A comprehensive first visit: your full history, your symptoms, the hormone-therapy risk-and-benefit conversation, and baseline labs. You leave with a plan you understand.
Continue as a member.
If you want ongoing care, your consult rolls into membership, and your clinician stays with you, optimizing your treatment and your long-term health over time.
The testimonials below reflect individual experiences. Results vary. Shared with permission.
She walked me through what might be going on, answered my questions, and helped me understand my options.
“I left my appointment feeling more heard and supported than I have in years. She took the time to really listen to everything I was experiencing and didn’t dismiss my symptoms or rush through the visit. She considered my other chronic health issues and looked at the whole picture. She walked me through what might be going on, answered my questions, and helped me understand my options. Together we came up with a plan that included education, lifestyle changes, and medication to start addressing my symptoms. I walked out feeling informed, hopeful, and like I finally had someone on my team. It’s such a relief to find a provider who truly listens and takes your concerns seriously. She’s really the best!” [-N.H]
She listens without judgment, is never dismissive, and makes sure you feel heard and understood.
“From the first moment she makes you feel like you’re her only patient. She is incredibly kind, attentive, and truly takes the time to tailor her care to your specific needs. You never feel rushed, and every concern, big or small, is treated as important. She listens without judgment, is never dismissive, and makes sure you feel heard and understood. It’s clear that she genuinely cares about your well-being and wants you to be the happiest, healthiest version of yourself. Having a doctor like her makes all the difference.” [-C.D]
I am finally sleeping through the night and feeling clear headed.
“As I hit my 40’s things began to rapidly change for me. I was gaining weight, having horribly painful periods, and barely sleeping. Not to mention the mood changes- I was angry all the time and would have long depressive episodes. My previous doctor told me that, unfortunately, this was just a stage of life and due to my family history of breast cancer I had no options available to me. My husband convinced me to get a second opinion and I was so lucky to find Dr. West! I started hormone therapy and I have never felt better. She listened to me and let me know that this was absolutely no way to live. After some adjustments we found what works for me. I am finally sleeping through the night and feeling clear headed. I have made consistent gains and PR’s at the gym and have been able to lose weight and gain muscle. Dr. West made me feel heard and seen and developed a clear, informed plan that has truly changed my life.” [- S.B.]
It’s rare to find a physician who combines compassion with such strong clinical knowledge.
“Dr. West is an exceptional OBGYN. Two qualities I strongly value in a physician are truly listening to my concerns and practicing up-to-date, evidence-based care — and she excels at both. I came to her with a problem, and she didn’t dismiss it or rush the visit. She listened carefully, asked thoughtful questions, and offered a clear, modern solution. I could genuinely feel how much she cared about helping me. It’s rare to find a physician who combines compassion with such strong clinical knowledge. I left feeling heard, supported, and confident in my care. I’m incredibly grateful to have found her..” [-D.G]
I honestly feel like she saved my life.
“I don’t even know if I’m able to articulate my appreciation and love for Dr West. She went above and beyond in caring for me. Listened to me. Actually heard me. As a woman going through the rigors of perimenopause, she worked with me to get to the heart of my hormonal and reproductive issues. I honestly feel like she saved my life. Definitely my sanity. I hold her in the highest esteem as a doctor and human being. She is just amazing.” [– C.B.]
Getting started is simple.
We help women navigate perimenopause and menopause with evidence-based care, thoughtful guidance, and the time to be truly heard.
Through secure online visits, we serve patients across Michigan & (California Coming Soon)— making expert menopause care more accessible, personal, and convenient.
Who We Serve
Women in perimenopause, menopause, and beyond who want answers and expert support.
Why we do it
Because every woman deserves to feel heard, understood, and supported.
Where We Serve
Patients across Michigan & (California Coming Soon) via secure online visits.
Who we serve
Women in perimenopause, menopause, and beyond who want answers and expert support.
Why we do it
Because every woman deserves to feel heard, understood, and supported.
Where we serve
Patients across Michigan & (California Coming Soon) via secure online visits.
This stage of life is treatable. You can feel like yourself again.
When you’re ready, your consult is the start of a real plan, and it covers your first month of membership if you continue. And if I’m not the right fit for you, I’ll tell you, and point you toward who is. You won’t waste this visit.
Founding membership is limited to 30 women at launch.
About
The TelePause is a physician-led online practice specializing exclusively in perimenopause and menopause care, founded by Dr. Siân West, a board-certified OB/GYN, osteopathic physician, and Menopause Society Certified Practitioner (MSCP). Practicing a direct, cash-pay model, The TelePause offers a comprehensive first consult and an ongoing membership that covers visits, menopausal hormone therapy (MHT) evaluation and management, non-hormonal options, lab ordering and interpretation, and personalized care for sleep, nutrition, and long-term health, all through secure online visits in Michigan, with California coming soon.