Start with what has changed for you
You do not need to arrive with a diagnosis or a perfectly organized symptom diary. Describe what has changed, when you noticed it and how it affects everyday life. Your history and priorities help shape a useful conversation.
Perimenopause is the transition before natural menopause. Changes in periods and symptoms can occur during that time. A physician can help you discuss those changes and consider whether something else needs evaluation.
- Changes in menstrual patterns or questions about the menopause transition.
- Sleep, hot flashes, mood or comfort concerns you want to discuss.
- Questions about how midlife health fits with prevention and ongoing primary care.
What can you discuss at a first visit?
Bring your questions, current medicines and supplements, and any relevant records you already have. Your physician can review your concerns alongside your medical history and explain what further evaluation may be appropriate.
There is no single visit checklist or treatment that fits everyone. Tests, treatment options and follow-up depend on the individual assessment. Ask which next steps can be provided within the practice and which may involve outside care.
Keep the conversation connected to your overall health
A family-medicine relationship gives you a place to return as questions develop. Menopause concerns can be discussed in the context of your other health priorities rather than as an isolated issue.
At follow-up, tell your physician what has changed and which concerns remain. Ask how to contact the practice between appointments and when another visit would be appropriate. The plan should be clear enough that you know your next step.
Ask about care options that fit your circumstances
If you are interested in a particular treatment, bring that question to the physician. Suitability depends on your history, preferences and clinical needs. Your physician can explain which options are appropriate and the reasons for a recommendation.
Cibolo's membership supports primary care. Your physician can explain when gynecologic, specialist or other outside care would be appropriate. A family-medicine physician's role is different from that of an OB-GYN.
Membership and outside costs
Cibolo Family Medicine uses a Direct Primary Care membership model. Adults are $165 per month each. Children are $35 per month each when at least one adult is included; a child-only household pays $95 per month for each child.
Membership is not health insurance. Outside laboratory work, imaging, prescriptions, specialist and hospital care, and some tests or procedures can involve separate costs. Ask the practice what is included for your needs before enrolling.
Review pricing and build your household estimateTalk with the San Antonio office
Meet Ashley Sommerhalder, M.D. and learn about the physician's background and qualifications. Contact the office to confirm current membership and appointment availability.
San Antonio, TX 782579:00 AM–12:00 PM and 1:00–5:00 PM, Monday–FridayCall (210) 946-3100Office details and directions →
Further information
External sources provide general educational information. They do not define the services or treatments available to an individual at Cibolo.
Published by Cibolo Family Medicine. This page provides general information, not an individual diagnosis or treatment plan. Discuss medical questions with your physician. Please keep private medical information out of public membership inquiry forms.