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.
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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.
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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.
Hot Flashes
Mood Changes
You’re not imagining it. And you’re not alone.
Sleep Problems
Weight Changes
Brain Fog
Hormonal Changes
WHY CHOOSE THE TELEPAUSE
Care built around time, attention, and answers.
A different kind of menopause care designed to give you the time, expertise, and support you deserve.
Time to Actually Be Understood
Your first visit is a comprehensive 60 minute consultation with time to tell your full story. Every follow up is an unhurried appointment focused on your progress, not a rushed check in.
A Physician Who Specializes in Menopause
Your care is provided by Dr. Siân West, a board certified OB-GYN and Menopause Society Certified Practitioner who focuses exclusively on perimenopause and menopause.
Evidence, Never Trends
Every recommendation is based on current medical evidence. When hormone therapy is appropriate, you'll understand why. No unnecessary supplements. No wellness gimmicks. Just personalized care grounded in science.
Real answers. Thoughtful care. A plan built around you.
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.
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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.
Perimenopause & Menopause Evaluations
Personalized evaluations to understand your symptoms, answer your questions, and create a treatment plan tailored to you.
Hormone Therapy
Individualized management of estrogen, progesterone, and testosterone when appropriate using current evidence and FDA approved therapies.
Non Hormonal Treatment Options
Effective alternatives for women who cannot or choose not to use hormone therapy, including newer FDA approved medications and lifestyle strategies.
Symptom Relief
Support for hot flashes, night sweats, brain fog, sleep disruption, mood changes, fatigue, weight concerns, and other menopause related symptoms.
Sexual & Vaginal Health
Compassionate treatment for vaginal dryness, painful intimacy, recurrent urinary tract infections, and other common midlife concerns.
Healthspan & Long Term Wellness
Care that goes beyond symptom relief by supporting sleep, nutrition, movement, metabolic health, bone health, and healthy aging.
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Dr. Siân West
Dr. Siân West is a board-certified OB-GYN and Menopause Society Certified Practitioner. She founded The TelePause to provide women with evidence-based care that respects their time and expertise. Her practice is dedicated to long-term healthspan and personalized treatment plans delivered with clinical precision and warmth.
Board-Certified OB-GYN
Specialized in Menopause & Perimenopause
Menopause Society Certified Practitioner
MS, Clinical Medicine
The Patient Journey
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Book Your Consultation
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Meet with Dr. West
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Begin with a comprehensive physician consultation designed around your symptoms, your goals, and your long-term health.
Connect with Dr. Siân West, a board-certified OB-GYN and Menopause Society Certified Practitioner, for a 60-minute online visit.
Continue with Care
Receive evidence-based treatment plans and personalized long-term support through secure online visits and membership care.
60-Minute Visits
Comprehensive physician-led consultations designed to address your unique health journey with the depth of time and expertise you deserve.
Board-Certified Expertise
Guided by Dr. Siân West, a specialist in menopause and perimenopause, ensuring your care is delivered with clinical precision and professional authority.
Evidence-Based Care
Rooted in clinical research and clinical practice, we provide treatment plans that prioritize your long-term healthspan over fleeting wellness trends.
Long-Term Support
Personalized care that extends beyond a single visit, providing the continuous support you need to navigate perimenopause and menopause with confidence.
