Menopause and Perimenopause Care in Seattle
Perimenopause and menopause can reshape your sleep, mood, energy, weight, and focus, often years before anyone connects the dots. At Kosmos Medical Group, that care is led by Dr. Carolan Constantine, a board-certified physician with a women's health focus, inside a membership practice built on time and access. You get an unhurried conversation, real measurement, and a plan that treats you as a whole person, not a list of symptoms handled one visit at a time. Hormone therapy is part of the toolkit when it fits your history and goals, alongside the metabolic, cardiovascular, and bone health that matter most in midlife.
A different kind of menopause care
Most menopause care is built around short, single-issue visits, and many women come to us after being rushed or dismissed. Kosmos works differently. As a member, you have a physician who knows your history, answers directly, and has time to actually listen. Perimenopause can last a decade, so the relationship matters as much as any prescription.
Care led by a female physician
Dr. Carolan Constantine leads women’s health at Kosmos. She is board-certified, with dedicated training in women’s health and years of emergency and internal medicine experience. For many women, having a physician who has lived these conversations and these symptoms changes how the visit feels from the first appointment.
What care looks like at Kosmos
- An unhurried first conversation about your symptoms, history, and goals
- Comprehensive hormone and midlife health screening, not a single lab in isolation
- Hormone therapy when it is clinically appropriate, explained honestly, and adjusted over time
- Non-hormone and lifestyle options when those are the better fit
- Attention to the things that shift in midlife: metabolic health, heart health, bone density, sleep, and mood
- Coordination with OB-GYN, endocrinology, or other specialists when you need them, with your physician staying involved
Whole-person, not just hormones
Menopause does not happen in isolation. The same years often bring changes in weight, cholesterol, blood pressure, and bone strength. Because Kosmos is your primary care home, your physician manages all of it together, so menopause care is connected to your long-term health rather than separated from it.
Who this is for
- Women in their late 30s and 40s noticing the early signs of perimenopause
- Women in menopause weighing hormone therapy and wanting an honest, individualized conversation
- Women who feel rushed or dismissed and want a physician with time and continuity
- Women who want menopause care connected to their broader health, not treated in isolation
Your physicians
Three physicians. 100 families each.
What members say
The relationship is the difference.
5.0 stars on Google
“I have been part of multiple practices in town and have had a hard time getting through to my physician, especially when I do not feel well. That changed the moment I joined Kosmos.”
“We feel incredibly fortunate to have found Dr. Dodd at Kosmos as my husband’s concierge physician. The level of care, attention, and responsiveness he provides is truly exceptional.”
“I highly recommend Kosmos and Dr. Bhaskar. The experience is a refreshing departure from the traditional clinic model. With a fraction of the patient load you would find at a typical practice, the level of care, attention, and accessibility is exceptional.”
FAQ
Common questions.
- Yes. Women's health is a core focus at Kosmos, led by Dr. Carolan Constantine, a board-certified physician with dedicated women's health training. We care for women through perimenopause, the menopause transition, and the years after, as part of an ongoing membership relationship rather than a one-off visit.
- Yes, when it is clinically appropriate and after a real conversation about the benefits, the trade-offs, and your goals. We do not prescribe from a single lab value. We look at your symptoms, your history, and the full picture, start conservatively, and adjust over time. When a non-hormone or lifestyle approach is the better fit, we will tell you.
- Most menopause clinics and apps treat menopause and nothing else, often per visit or over video. Kosmos is a membership primary care practice, so your physician manages menopause alongside your metabolic, heart, and bone health, knows your history, and is directly reachable. You get continuity and a whole-person plan, in person, not a single-issue visit with a stranger.
- Yes. Women's health at Kosmos is led by Dr. Carolan Constantine. Members also have a team of three physicians involved in their care.
- Kosmos is a membership practice. Premium Care is $575 per month and Optimal Care, which adds advanced preventive testing and diagnostics, is $1,250 per month. We do not bill insurance for primary care. Most members keep insurance for specialists, imaging, labs, and hospital care, and your physician coordinates those referrals.
- Yes. Kosmos provides care through membership, which is what makes the time, access, and continuity possible. The best first step is a no-pressure call to see whether it is the right fit.
Speak with our physicians.
An unhurried conversation about your health and whether Kosmos is the right fit. No obligation, no pressure.