Physician-led perimenopause care · California
You've heard all of it.
But has anyone talked to you about what perimenopause actually looks like? It starts long before the hot flashes and can be treated earlier too. At Mná, we treat symptoms first.
Join the founding member waitlistNo commitment required · Currently serving California
Sound familiar?
"You've described your symptoms. You've been told it's stress, anxiety, or just getting older."
"You left an appointment with antidepressants when you needed hormones."
"You've researched HRT. You couldn't get a straightforward answer."
"You're not imagining it. And you're not overreacting."
You simply haven't found the right physician yet.
What we do differently
01
The full hormone protocol
Estrogen, progesterone, and testosterone are the three hormones a woman's body makes, and all three decline. So why replace only two? Testosterone is the missing piece most prescribers aren't mentioning.
02
Symptom-first care
No unnecessary barriers to starting care. We treat what you're experiencing, not just what shows up on a test.
03
Metabolic support
GLP-1 options alongside hormonal optimization. Body composition and hormonal health are not separate conversations.
Testosterone for women
Testosterone plays a real role in how women feel, supporting energy, focus, libido, muscle, and mood. Yet it's rarely offered. At Mná, it's considered from your first consultation.
What women commonly report
Energy returned. Brain fog lifted. Feeling like themselves again for the first time in years.
Why it's often overlooked
It takes physician expertise and careful, low-dose prescribing. That's exactly what Mná is built around.
How it's delivered
Compounded cream or gel. Low dose. No injections. No complexity.
How care works
01
Tell us how you feel
A short online intake. Describe your symptoms in your own words. No unnecessary barriers to getting started.
02
Meet your physician
A consultation with a board-certified physician. Not a nurse practitioner. Not an algorithm. A physician.
03
Start your protocol
Your personalized compounded protocol is prescribed and delivered to your door. Adjusted as you need.
Many women report feeling a meaningful difference within 6 to 8 weeks.
Our approach
Hormonal change is not driven by a single pathway. Mná uses a thoughtful combination of estradiol, micronized progesterone, and, when appropriate, testosterone, tailored to your physiology, symptoms, and stage of life.
We treat how you feel. We trust what you tell us. We put your comfort first. And because your body is not static, your treatment shouldn't be either.
Symptom-first
We prescribe to relieve what you feel, not to satisfy a reference range.
Early intervention
Perimenopause can begin in your mid-30s. We don't wait for crisis to act.
Your format, your choice
Cream, gel, patch, spray, or oral. Whatever suits your body and your life.
Longitudinal care
Your treatment evolves as your physiology does. This is ongoing, responsive care.
Pricing
A cash-pay practice.
No insurance accepted, by design.
Our membership includes ongoing physician oversight, protocol management, and direct access to your care team. Medication costs vary by protocol.
We believe the women we serve deserve care that isn't dictated by what an insurance company will approve.
HSA and FSA funds accepted for eligible services.
Treatments
Compounded and dosed to your symptoms, not a reference range. Your physician will guide the right combination for your physiology.
Core hormone protocol
Estradiol
The primary estrogen. Addresses hot flashes, sleep disruption, mood instability, and cognitive changes.
Micronized progesterone
Restores hormonal balance, supports deep sleep, and reduces anxiety. Oral form has additional documented sleep benefits.
Testosterone
Low-dose. Restores energy, libido, focus, and muscle tone. The missing piece for many women in perimenopause.
Vaginal estrogen cream
Local estrogen for vaginal dryness, discomfort, and urinary symptoms. Minimal systemic absorption.
Delivery format
Cream
Topical
Gel
Fast-absorbing
Patch
Wear & forget
Oral
Daily pill
Compounded cream
Most prescribedApplied to the inner arm, thigh, or abdomen. Precise dosing of all three hormones in one application.
Best for
Women combining all three hormones, those preferring to avoid oral medications.
Compounded gel
Fast absorptionLightweight, clear, fast-drying. Particularly suited to testosterone delivery with no transfer concerns.
Best for
Active women, those using testosterone alongside a patch or oral protocol.
Transdermal patch
Twice weeklySteady, controlled release. Change every 3 to 4 days. No daily routine needed.
Best for
Women who travel frequently, those preferring set-and-forget delivery.
Oral
Simple daily routineA daily compounded capsule. Oral micronized progesterone has documented sleep benefits.
Best for
Women preferring a familiar routine, those for whom sleep benefit is a priority.
Metabolic support: add-on program
Weight gain during perimenopause is hormonal, not a failure of willpower.
GLP-based therapy
Oral. Physician-prescribed. Supports body composition and metabolic function. No injections.
Low-dose testosterone
Paired alongside GLP therapy to preserve lean muscle. Protects against depletion and supports vitality.
Prescribed together as a coordinated plan. Not sold separately.
GLP-1 availability subject to regulatory status at time of prescribing. Your physician will advise at consultation.
Beauty & skin
To feel as good on the outside as you now feel on the inside. Physician-prescribed, delivered to your door.
Tretinoin
The gold standard in skin renewal. Reduces fine lines, improves texture, and restores radiance. Compounded to your skin type.
Topical creamMinoxidil
Physician-prescribed for hair thinning, a common and under-discussed symptom of hormonal change in women.
Topical solutionLatisse
Clinically proven to grow longer, fuller, darker lashes. Prescribed by your Mná physician.
Ophthalmic solutionOur story
"Mná began with a conversation Hannah was already having.
Long before we built anything, she was hearing the same story from women in her life: friends, colleagues, women she trusted. Fatigue they couldn't explain. Rage that came from nowhere. A feeling of not being themselves that no clinician seemed to take seriously.
Hannah recognized something before she had the language for it. The gap wasn't just clinical. It was access. Women were being failed quietly, offered explanations that didn't fit and treatments that didn't help.
Then it happened to her.
She described fatigue, brain fog, disrupted sleep, and mood changes that were quietly dismantling her quality of life. She was 39. And when she sought answers, she was offered an antidepressant. Hannah knew she wasn't depressed.
When a man presents with fatigue, cognitive changes, mood disruption, and loss of vitality, medicine looks for a physiological cause. Hormones are checked. Treatment is offered. When a woman presents with the same symptoms, she is far more likely to be told it is psychological. Stress. Anxiety. The threshold for a physiological explanation is higher.
The symptoms of perimenopause are not psychological. They are physiological. There are measurable, treatable hormonal changes driving every one of them. The science is not ambiguous. The access to that science, for women, has been.
That moment, watching my wife be handed a prescription for something she didn't need while the real answer went unexamined, was the moment I couldn't look away.
What Hannah was experiencing was perimenopause, earlier than most clinicians recognize. The evidence pointed clearly to a complete protocol including testosterone, a hormone most people don't associate with women, but one that plays a profound role in energy, cognition, mood, and quality of life.
I became a member of the International Society for the Study of Women's Sexual Health. I am completing the Menopause Society's credentialing examination. I have spent the last two years immersed in the most current clinical literature, because Hannah deserved a physician who knew. And so does every woman like her.
Mná is the practice we built together. Hannah identified the gap. I built the clinical foundation to close it. The name is Hannah's, the Irish word for women, from her own language. Because this was always her company as much as mine.
We built it for the woman who knows something is wrong. Who has been handed the wrong answer. Who deserves a physician who actually looks.
Co-Founder & Chief Medical Officer
Dr. Michael Maloney MD
Board-Certified Physician · Anesthesiologist · California
Member, ISSWSH
Menopause Society Credentialing Candidate
Co-Founder & Chief Consumer Officer
Hannah Maloney
Mná Medical, California
Mná
Pronounced "mnaw" · Irish for women
In Irish culture, language carries identity. We chose this name because women's health deserves to be spoken about with the same weight, specificity, and respect.
Begin care
A few quick questions to guide your care. No account needed.
Every protocol is reviewed by a board-certified Mná physician before your consultation.
Founding membership
Founding member spots are limited. Join the waitlist and be first in line when we launch.
You're on the list.
We'll be in touch as soon as founding spots open in California.
No commitment required · We'll reach out when your spot is ready
Questions? info@mnamedical.com