PrimeLife clinic Services

Hormone health

We specialize in optimizing and balancing hormones for both women and men. If your hormones are low, we help fill the gap to prevent cellular depravation, which can lead to symptoms and potential disease and lack of vitality.

For men, we offer testosterone replacement therapy (TRT) while ensuring estrogen levels are balanced. We also consider replacing progesterone, a forgotten hormone in men. PrimeLife prefers to work with men as part of a couple, rather than as an individual patient.

For women, we manage polycystic ovary syndrome (PCOS), perimenopause symptoms, and menopause symptoms for women. It is a privilege of live long enough to go through the menopause transition and while menopause is a mandatory; suffering is not! Testosterone, estrogen, and progesterone replacement are considered for all women. This is part of what sets our clinic apart, we replace testosterone as needed in women.

PrimeLife believes it is time for you to live life to the fullest! Our customized plans support your overall well-being, vitality, and longevity.

Cost:

Initial consultation is $300 for one hour. To ensure a productive meeting, we kindly ask you to bring your lab results, a list of your current medications with doses, a list of symptoms you are experiencing, and any questions you have for the provider.

Follow up office visits:

$180 for 30 minutes.

$100 for 15 minutes.

Up to one 30-minute visit every 4 months is complementary when receiving testosterone replacement therapy (TRT).

Note: Ordering labs is complimentary. Cost to run the labs varies based on insurance coverage. A cash pay option with provider pricing is available.

TRT for men cost is $200 per month (pre-paying 4-6 months at a time). Cost includes medication, self-injection supplies, and medical management.

Cost for testosterone pellet insertion for men varies is $800 each insertion. Pellets usually last 4-6 months. Cost includes pellets, procedure, and medical management.

TRT for women is $100 per month ($400/pre-paying 4 months at a time). Cost includes medication and medical management.

Systemic transdermal estrogen through a national compounding pharmacy cost is $40 per month for a low to mid-range dose and $80 per month for high dose. Local vaginal estrogen and oral progesterone are ordered through a local pharmacy. Cost at a local pharmacy varies based on the product ordered and insurance coverage. With insurance, most women do not pay more than $30 per month for vaginal estrogen and oral progesterone. Systemic transdermal estrogen patch is typically $25 per month. Total cost for most women receiving all four hormones (testosterone, systemic estrogen, local vaginal estrogen, and progesterone) ranges from $145 to $180 per month.

What to expect during your Hormone replacment journey

First visit: Together we will review your labs, review completed symptom assessment questionnaires, document your health history, review medications and supplements, obtain a baseline InBody scan, and discuss risks versus benefits. After this initial consultation, telehealth visits are an option for follow up appointments.

Second visit: Repeat hormone lab collection six to ten weeks after starting BHRT. Together, we will review your lab results, reassess your symptoms, and then prescribe HRT with dose adjustments as needed.

Third visit: Same as the second visit.

By the third or fourth visit, most individuals achieve optimized and balanced hormones. If receiving testosterone replacement, we can prescribe up to six months of Testosterone. For those who are not receiving testosterone, we can prescribe up to 12 months of BHRT.

It is important to note that a clinic visit with lab work is helpful each time hormones are prescribed. This ensures that your treatment continues to align with your ongoing needs.

PrimeLife carefully and slowly fills your body’s unique hormone needs.

LABS:

Please note that PrimeLife does not accept or work with insurance.

Comprehensive serum labs are needed prior to your initial consultation to help guide your treatment.

You have three options to complete labs:

1. Use insurance: Please confirm your coverage details prior to your lab draw to avoid unnecessary or unexpected fees.

2. Primary Care Provider: You may ask your in-network primary care provider to order the necessary labs.

3. Cash Pay: Pay directly through Fullscript. Your PrimeLife provider will create an account for you and enter lab orders upon request. The total cost ranges between $265 and $300. For sex hormones only, the cost is $60. 

* PrimeLife does not charge a fee to order labs.

No Surprises Act & Good Faith Estimate

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For additional information you can also visit www.cms.gov/nosurprises/ Ending-Surprise-Medical-Bills or call 1 800 985 3059.

For information about your rights under Washington State law visit their website at: https://app.leg.wa.gov/wac/default.aspx?cite=284-43B-020

Weight Loss

Weight gain is a common symptom during the menopause transition and at PrimeLife, we understand that this is not a matter of willpower. Various factors, including hormone imbalances, contribute to weight changes during this time. We provide personalized plans that include routine assessments, InBody composition scans, medications, supplements, exercise objectives, and nutritional goals.

Our expert medical management may include offering a Glucagon-like peptide-1 receptor agonist (GLP-1RA), such as, semaglutide (Ozempic or Wegovy), tirzepatide (Mounjaro or Zepbound), or Liraglutide (Victoza or Saxenda).

FDA approved indications of use:

  • Type 2 diabetes

  • Obesity (BMI >30),

  • Sleep apnea

  • Metabolic dysfunction–associated steatohepatitis (MASH)

  • Reduce the risk of cardiovascular events

To ensure comprehensive care is tailored to your needs, PrimeLife providers use national compounding pharmacies when prescribing generic GLP-1RAs (semaglutide, tirzepatide, or liraglutide) and supports a variety of on and off label indications.

Off label indications of use:

  • Pre-diabetes

  • Protect neurological health

  • Decrease systemic inflammation

  • Longevity

  • Support weight loss if overweight or have elevated visceral fat, despite a BMI <25

Cost of GLP-1RAs

Compounded semaglutide (generic Ozempic and Wegovy):

1mg/0.5mL 2.5mL vial (5mg per vial) is $400

5mg/0.5mL 2.5mL vial (25 mg per vial) is $850

This cost includes the medication, syringes, alcohol wipes, InBody body composition scan, and expert medical management (one to three 15-minute follow up clinic appointments). Cost per month is based on the weekly dose used.

Weekly subcutaneous injection dose ranges from 0.25mg - 2.5mg.

Monthly cost range:

$74 for 0.25mg weekly

$680 for 2.5mg weekly

Compounded tirzepatide (generic Mounjaro and Zepbound):

17/2 mg/mL 2mL vial (34mg in the vial) is $900

*Includes one 15-minute follow up clinic visit.

17/2 mg/mL 4mL vial (68mg in the vial) is $ 1200

*Includes up to three 15-minute follow up clinic visits.

Weekly subcutaneous injection dose ranges from 2.5mg - 15mg.

Information about Liraglutide is available upon request. Note this GLP-1RA is a daily injection versus a weekly injection.

Sexual health

Sexual health support encompasses managing:

  • vaginal dryness

  • vulvovaginal disorders

  • urinary health concerns

  • pain with intercourse

  • Hypoactive Sexual Desire Disorder (HSDD)

  • erectile dysfunction

  • premature ejaculation

  • low libido

Treatment options may include hormone therapy, lifestyle changes, cognitive approaches, supplements, and medications.

A significant “orgasm gap” exists between men and women. Men’s orgasm rates range from 70% to 85%, while women’s range from 46% to 58% (Gesselman et al., 2024).

Another study revealed that 95% of men almost always orgasm during sex, compared to just 25% of women. (Psychreg, 2025).

Quality sexual intimacy plays a vital role in enhancing emotional connections which contribute to healthy long-term relationships and improve quality of life. Ultimately, everyone deserves to experience orgasms and enjoy fulfilling sexual experiences.

Gesselman, A. N., Bennett-Brown, M., Dubé, S., Kaufman, E. M., Campbell, J. T., & Garcia, J. R. (2024). The lifelong orgasm gap: exploring age's impact on orgasm rates. Sexual medicine, 12(3), qfae042.

Psychreg News. (2025, March 3). Women’s Pleasure Still Overlooked as the Orgasm Gap Persists. https://www.psychreg.org/women-pleasure-still-overlooked-orgasm-gap-persists/

Longevity medicine

is an emerging field aimed at improving health span and life span by specific dietary and exercise regimes, as well as by biomedical interventions aimed at delaying or slowing the aging process. At PrimeLife we promote healthy lifestyle and offer geroprotectors. A geroprotector is a compound that can stop or reverse the process of cellular aging. Studies have suggested different nutrients, peptides, and hormones can operate as geroprotectors. Some examples are supplements to improve micronutrients, sermorelin, glutathione, NAD+, low dose naltrexone, GLP-1 receptor agonists, metformin, and hormones.

LIVE EVENTS

Join us for free community events focused on hormones, sexual health, and longevity. Our goal is to empower you with knowledge and resources so you can take control of your health.

Sign up to learn more and connect with others on a similar journey toward better well-being!

Free Community education

Please join us for a free informative event: Menopause 101 and Mental Health.

Event Details:

- Date: Saturday, March 7, 2026

- Time: 1:00PM - 3:00PM

- Location: The Saturn Building in Fremont, 3417 Evanston Ave N. suite 310, Seattle, WA 98103

- Free parking available on 34 and 35th street. Handicap parking is available.

Speakers:

- Dana Scharfenberg, FNP-BC, OCN, MSCP (Menopause Society Certified Provider)

- Audra Sanderhoff, Certified Hypnotherapist

If you are a woman aged 40 or older and interested in learning how menopause affects your health and discovering actionable solutions, this event is for you. We will provide light refreshments and healthy snacks.

* To maintain the intended environment, we kindly ask that no children or pets attend.

Space is limited, and registration is required. Please sign up to secure your spot at

https://www.eventbrite.com/manage/events/1983921120477/details

www.audrasanderhoff.com or email dana@1primelife.com

As always, no solicitations, just information to ensure women are receiving quality information.

Past events that may occur again in the future:

Event: Learning about “Low T” and what to do about it.

Date: Saturday July 26, 2025

Time: 2:00 PM - 3:00 PM

Location: Richmond Beach Library.

Event: Menopause 101: Wellness, intimacy, and beyond

Date: Sunday Nov 9, 2025

Time: 11-12 pm

Location: Bothell Library in Bothell, WA.

Watch for Additional Free Education Events at king county and Sno-Isle libraries

“You can’t enjoy wealth if you can’t enjoy health.”

-anonymous