Empowering you to thrive through the transition with expert care, tailored to your lifestyle.
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We blend a patient-centered approach with evidence-based medicine so you will know you are receiving proven, safe, high- quality healthcare that is current and specific to meet your individual needs and goals.
Below you will find services offered at Coastal Well Woman addressing hormone health, sexual Health, metabolic health, and wellness/longevity. All services are available via telehealth or in-person. When booking on-line you can elect from a drop down menu the service and type of visit you prefer.
Our deep-dive session into perimenopause, menopause symptoms and solutions. We also cover hormone balance and optimization, for both the short and long term. We’ll review your history in detail and co-create a clinical treatment plan tailored to your body’s unique needs.
A dedicated clinical session to jumpstart your metabolic health. We’ll review your labs, weight history, and hormonal profile to create a realistic and sustainable strategy that may include prescription weight-loss support, medical nutrition therapy, movement and lifestyle support.
Sexual health is a vital component of well-being that is frequently overlooked during the perimenopause and menopause transition. As hormonal levels shift, many women experience clinical symptoms including decreased libido, dyspareunia (painful intercourse), vaginal dryness, and diminished orgasmic response. These physiological and psychological changes are common, yet treatable, and should not be accepted as an inevitable consequence of aging.
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The annual preventative exam is designed to ensure you continue to feeling your best. We will review progress, adjust prescriptions (HRT or
weight-related), and pivot your plan as needed. We will check vital signs, laboratory and diagnostic studies ordered as indicated, prescription refills provided, review of systems, and lifestyle recommendations are
provided as part of the annual visit. We will also cover any recommended health and cancer screenings.
The initial follow-up maintenance schedule is to ensure you are feeling your best year one of your management. We will review progress, adjust prescriptions (HRT or weight-related), and pivot your plan as needed. This is the space to ensure your treatment plan is safe, effective and optimized to your goals.
*This follow-up is for all visit types (menopause, metabolic, sexual health) following your initial consultation.
Follow-up appointments for all visit types are important to monitor safety and effectiveness of any medications provided in your treatment plan. It is expected that patients come in routinely for follow-up appointments so we can manage your treatment plan and ensure sustainable success. Routine follow-up is required for prescription refills or medication adjustments.
Routine follow-up exams as recommended for- or requested by established patients. Follow-up visits can address new symptoms, medication issues, prescription review and refills, or other women’s health issues.
In Midlife and Menopause can significantly impact skin health, often leading to dryness, loss of elasticity, and increased wrinkles. As estrogen levels decline, estrogen receptors in the skin receive less stimulation. Supporting the skin with estriol and other evidence-based anti-aging ingredients, such as retinoids, may help improve hydration, texture, and overall skin quality.
A well-designed skincare regimen, combined with targeted hormonal and topical support, can help women maintain healthy, resilient skin throughout the midlife changes and beyond.
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Feeling overwhelmed by the options? This session focuses on education and advocacy. We’ll review your
symptoms and labs to provide you with a personalized roadmap of treatment recommendations and a
"what to ask your doctor" guide.
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This is a non-prescriptive service focused on strategy, behavior change, and support.
If extensive medical records, diagnostic studies, or labs are provided for review and require more than 30 minutes, or if multiple prescription adjustments or controlled substance refills are needed, additional fees may apply. Please ask our staff — we are happy to help with any questions.
We appreciate your interest and welcome questions about our services. For additional questions or inquiries, please visit our contact page or call our office at 805-455-4425. We look forward to connecting with you soon!
At Coastal Well Woman, you are our priority. We ensure that each appointment provides ample time for a comprehensive and thoughtful women's healthcare experience. By blending a patient-centered approach with evidence-based medicine, we excel in midlife and menopausal healthcare and wellness services. Our commitment, expertise, and passion for serving women during this special phase of life set us apart. Additionally, we offer a full spectrum of healthcare services for women of all ages.
We specialize in the unique needs and complexities related to the menopausal journey. We offer complete consultation, evaluation, education and relevant studies (laboratory studies, diagnostic testing, etc.) to determine your health and wellness at that moment in time. By having a complete understanding of your current health status, we can focus on providing you current data on the most effective and safest solutions to optimize your health and wellness. This comprehensive approach also allows you to make a well-informed decision on the best path forward in meeting your healthcare and wellness goals during menopause and beyond, while also allowing room for exploration of alternative therapies and practices.
We do not accept insurance. We feel it is more important to provide a unique healthcare experience through a comprehensive evaluation and understanding of you and your goals, which are prioritized over any medical insurance limitations or requirements. Therefore, we are a cash-based women’s healthcare provider and payment is required at the time of visit. However, you will be provided a super bill upon request that includes all necessary codes and information for reimbursement by your insurance carrier. For an additional fee, the Coastal Well Woman team can submit your claim for you.
We provide varying hours throughout the week to make visiting us more convenient, including early mornings, days, evenings and occasional weekend appointments. We understand women have varying demands and schedules, so it is important to us to meet you where you are! We want you to have a convenient and relaxing experience.
We offer a telehealth option for clients' consideration. Please visit our Services page for more information regarding the telehealth experience.
For the Initial consult you can a 45-50 minute visit where we review your health history, along with psychosocial factors that may also impact your health (work, home environment, stressors, lifestyle, etc.), along with understanding your goals and preferences to ensure sustainable and realistic outcomes. Our goal is to support you in improving and optimizing your quality of life.
At Coastal Well Woman each patient’s unique needs are individually assessed, so we can find the safest most effective options for you. Therefore, we offer FDA-approved bioidentical and synthetic hormones, as well as compounded bioidentical hormones. We also like to review other treatment options, so women can make a well-informed decision regarding their health.
The most popular medications currently used are the GLP1 agonists, semaglutide and tirzepatide. These do offer very safe and effective weight loss, while also providing additional health benefits. FDA has approved several medications for weight loss, as listed here: GLP-1 agonists, including liraglutide (Saxenda), semaglutide (Wegovy), and tirzepatide (Zepbound), orlistat (Xenical and Alli), phentermine/topiramate (Qsymia), naltrexone/bupropion (Contrave), setmelanotide (Imcivree), appetite suppressants, including phentermine (Adipex-P or Lomaira)
If you have labs that were completed within 6 months of our appointment, we would appreciate you bringing those or sending them in ahead of your appointment. If you have not had lab work done within the last 6 months, we would prefer to order lab work in time for your appointment. It can also bordered at the time of your visit.
Track your symptoms, bring in associated lab/blood work, and any diagnostic studies (mammogram, breast ultrasound, DXA Bone Density) if performed within the last year. Complete health history and Menopause Intake forms prior to your appointment.
On average, a woman reach menopause at the age of 51-52. Menopause is defined as going 12 consecutive months without a period.
There are three stages of the menopause transition: perimenopause, menopause, and postmenopause. Some practitioners may break it down even further, early and late transitions, but this is not required to understand your symptoms and get the right treatment.
Irregular and unpredictable menstrual cycles, brain fog and memory problems, weight gain, fatigue, hot flashes/night sweats, mood shifts, and sleep difficulties. Each women may experience all, some or additional symptoms.
Early signs of perimenopause occur as you are approaching menopause, and menopause is defined as cessation of menses (stopping your periods) for 12 consecutive months.
Early signs of perimenopause occur as you are approaching menopause, and menopause is defined as cessation of menses (stopping your periods) for 12 consecutive months.
The best move is to connect with a menopause-trained expert, who will consider your health history and symptoms to help determine whether you’re experiencing shifting hormones or other potential causes.
When your quality of life is affected, and/or you feel out of sorts, it’s time.
"What sets Laura apart is her ability to connect with patients on a personal level. She always took the time to respond to their concerns with kindness and empathy, ensuring they felt heard and supported. Her commitment to excellence, clinical expertise, combined with her compassionate approach, made her an invaluable part of our team at Sansum Clinic OB/GYN. I am confident that Laura will continue to make a significant impact in the field of women's health!" - Michelle M., NP, MSN (Colleague)
"I first met Nurse Practitioner Laura Abrignani in 1997. Laura is one of the most experienced and compassionate medical providers I have met. Laura is passionate about women's health, incredibly knowledgeable, and takes her time with you. Over the many years I have known her, I have felt heard and understood. I highly recommend Laura." - Maria R. (Patient)
"Have hesitation or doubt, DON’T! Laura puts you at ease the moment you meet her. No question is ever foolish to ask, and there is never a rush while you are in her care, which is so refreshing and much appreciated. Knowledgeable, classy, patient, and kind. What more could you ask for!” - Laura D. (Patient)
At Coastal Well Woman we offer both in-person and telehealth services for your convenience. As a fee-for-service practice we accept all major credit cards, HSA accounts, cash and Square. Payment is expected at time of service.
Operating outside of insurance networks allows us to prioritize exceptional care and provide individualized services to our clients. While we do not accept medical insurance, a superbill will be provided upon request.
334 S. Patterson Ave., Suite 201
Santa Barbara, CA 93111
P: 805-455-4425 | F: 805-259-4016
334 S. Patterson Ave.
Suite 201
Santa Barbara, CA 93111
P: 805-455-4425
F: 805-259-4016
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