Serving States: VA, MD, D.C.
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Expert Telehealth for Perimenopause, Menopause, and Midlife Wellness

“Feeling “OFF” but told your labs are fine?” You’re exhausted, moody, struggling to concentrate, struggling with intimacy and yet, your trusted healthcare provider tells you, “Everything looks normal. The labs say you’re fine.” But your body disagrees.

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Virtual Care
From Your Home

Feeling Off? These Are the Problems We Solve for Women in Midlife

Before Discreet Health, many women told us they felt dismissed, unheard, or brushed aside by traditional care. We recognize the gaps in conventional care and offer compassionate, personalized support for hormonal, emotional, and lifestyle shifts during this critical stage.
Your symptoms are real. Let’s talk about them.

We Don't Guess. We Investigate.

Our comprehensive approach is designed to dig deeper. Through detailed history-taking and advanced testing, we identify whether your changes are due to hormonal shifts, vitamin deficiencies, or other hidden imbalances.
  • 1
    WHAT’S CHANGING

    We start with a real conversation about what’s changed in your body — symptoms, mood, sleep, weight shifts, energy, intimacy, all of it. You get unhurried time with a clinician who actually listens and takes you seriously.

  • 2
    ADVANCED LABS & METRICS

    We can go beyond basic labs. That may include hormones, thyroid, nutrient status, inflammation, metabolic health, and other advanced testing. You’ll always know what we’re testing and why — or simply because you want the data.

  • 3
    YOUR PERSONALIZED PLAN

    You get a plan built for your phase of life, not a generic handout. This may include hormone therapy when appropriate, targeted supplements, nutrition and sleep support, medication if needed, and small, realistic changes you can actually live with.

  • 4
    CONTINUOUS SUPPORT

    We check in, adjust, and keep supporting you instead of telling you to “follow up in a year.” You’ll have ongoing follow-ups and direct access for questions, so you’re never left to figure it out alone.

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Your symptoms
are real and treatable
You don’t have to keep guessing. Talk one-on-one with a clinician who actually understands perimenopause and midlife changes.
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Ready to Transform?

Take our quick symptom quiz to see if you're a good fit.

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Who We Serve: Is Discreet Health Right for You?

We offer evidence-based midlife care that takes time, commitment, and support.We work with highly motivated women — typically ages 35–55 — who are ready to:
  • Regain steady energy and zest for life
  • Restore clear focus and mental sharpness
  • Stabilize mood and emotions
  • Feel comfortable and confident in their body and intimacy
  • Sleep deeply and wake restored
We’re your partners in this process — guiding, adjusting, and supporting you every step of the way.
"Our strongest outcomes come from shared work—your commitment, our guidance, one steady step at a time."

Hear from Women Like You

discreet health client testimonial

"Keonte' was incredibly gentle, kind, and attentive from the moment my appointment began. She made me feel completely comfortable and genuinely cared for. What stood out most was that she actually took the time to listen, never rushing, never dismissing my concerns. Her calm and compassionate approach is rare, and it made a world of difference in my visit."

M. D.

Age 38, Mother, Medical Case Manager

"I received the utmost care from Mrs. Fisher during a difficult period of my life. Her expertise and treatment plan during this time truly helped me to navigate this challenging phase of life."

discreet health client testimonial
D. D.
Age 59, Research Surveyor

"Keonte' has extensive medical knowledge. She listens intensely to your concerns and addresses them. Very kind, and patient."

discreet health client testimonial
A. F.
Age 50, Business Owner
Telemedicine Coverage
Virginia • Maryland • Washington, DC
Clinician-Led, One-on-One
Every visit with a licensed NP who listens
Evidence-Based Midlife Medicine
Hormones when appropriate; integrative options too
All-in-One Midlife Care
Hormones • Sleep • Mood • Metabolism • Intimacy

About — Discreet Health

You are the foundation of your home and your work. Foundations need maintenance. When your health is tended with care, everything you support stands taller.
Meet Your Provider
Based in VA, MD & D.C.
discreet care - this an image
I’m Keonte’ Fisher,
MSN, APRN, FNP-BC
Founder and Chief Clinical Officer of Discreet Health
Keonte’ Fisher is a board-certified family nurse practitioner and the Founder & Chief Clinical Officer at Discreet Health. Practicing as a nurse practitioner since 2012, she has cared for people of all ages through some of life’s most complex moments. Along the way she developed strength in medication stewardship, risk-benefit counseling, and symptom relief. To close gaps in midlife women’s health, she pursued additional coursework in hormone health and functional medicine and built a structured model for perimenopause and menopause care. Keonte’ pairs clear education with targeted labs, metabolic and thyroid assessment, sleep and nutrition strategies, targeted supplementation, and personalized hormonal and nonhormonal therapies. She emphasizes shared decision-making, evidence standards, and sustainable results.

Integrative midlife care

for perimenopause and menopause

Choose Discreet—Because subtle changes deserve careful attention

You are smart, busy, and carrying a lot: career, family, aging parents, a community that leans on you. Lately, your body is not cooperating. Sleep is choppy. Weight is creeping. Your mood and libido feel different. You keep pushing through, because that is what you do...until your body pushes back.

That “push back” moment is why Discreet Health was started. It's founder is a Family Nurse Practitioner who hit her own wall while juggling a career, motherhood, and caregiving. A sudden health scare sent her to the hospital. The tests were inconclusive. She heard a lot of “maybes,” maybe hormones, maybe stress, maybe something else, but no one slowed down to connect the dots. She left with more questions than answers. That experience changed the way she practices.

At Discreet Health, the clinic takes a different path. The team creates space to listen. They aim to connect the dots. They use an integrative, evidence-based approach that combines conventional medicine with thoughtful lifestyle care and hormone therapy when appropriate. They look at the full picture: hormones and thyroid, metabolism and cortisol, iron and nutrients, stress and sleep patterns. They use medication and supplements only when they add clear value to care. They build a plan for real life, with meetings, carpools, and curveballs.

You won’t get a lecture or a one-size-fits-all protocol. You’ll get clear explanations, labs when they’re useful, and steady support. The goal is momentum—not perfection—so you can show up for your people and for yourself without burning out your body to do it.
OUR CORE VALUES
Intentional Care

Health isn’t hush-hush; it’s thoughtful and proactive. We notice subtle shifts, act wisely even when life is full, and protect your energy, privacy, and future with evidence-based care.

Built for Real Life

Visits are 30–60 minutes and explained in plain language. Your plan is realistic and doable. We use hormones when they’re right and alternatives when they’re better, always individualized, monitored, and adjustable.

Safety & Respect

Your symptoms are taken seriously, never brushed off as “just stress.” We screen for red flags, refine your plan over time, and provide care that respects your background, culture, and identity.

Why “Discreet”?

Discreet means careful, thoughtful, private, and respectful. That’s how we approach midlife health—intentional, evidence-based care that strengthens your calm, clarity, and confidence.

Putting your health first isn’t selfish—it sustains everyone who depend on you. When your body is supported, you can lead, love, and support without burning out.

No two women are the same. Every plan fits your body, schedule, and goals.
We refine until it works—because thriving isn’t optional, it’s essential.

Discreet Health Signature Programs

Find the why. Restore balance. Feel like you again.

Clarity Assessment

Make sense of your symptoms.

You share what you’re feeling. The right labs are ordered and reviewed with your clinician so you clearly understand your results. This plan does not include a treatment plan. You can choose to upgrade with Discreet Health to build one or decide to stop here.

Investment
$359/one-time
Billed in one installment at enrollment
Duration: 4-8 weeks
Talk to an Expert
  • ✔ Initial consultation (up to 60 minutes)--review symptoms, history, and patterns.
  • ✔  Lab ordering and coordination (via insurance or self-pay)
  • ✔ Lab results visit (up to 30 minutes)
  • ✔ Personalized summary report with findings and recommended next steps
  • ✔ Optional brief follow-up phone call within 30 days (to clarify results or discuss next steps)
Note: Labs NOT included. Clients may opt to pay for labs out of pocket at discounted rates, or bill insurance-which may or may not reduce cost of labs. (Avg lab cost: $200 + lab draw fee $35-$75 depending on your choice of vendor).

The Elevated Reset

Integrative concierge midlife care.

Personalized six month plan with monthly visits to help you optimize midlife health. Care in this package focuses on hormone and metabolic restoration along with nutrition and sexual wellness. It’s a complete, guided path to feeling your best.

Investment
$288.75/month
Total: $1,732.50 (card on file, auto-pay)
Pay in full and save 10%: $1,575 one-time at enrollment
Duration: 6 months
Begin Elevated Reset
  • ✔ Initial consultation (up to 60 minutes) — review of symptoms, history, and patterns
  • ✔ Comprehensive lab panel included (hormones, thyroid, insulin resistance, metabolic markers)
  • ✔ $50 lab credit toward one advanced functional test, such as cortisol testing, GI mapping, or food sensitivity testing
  • ✔ Lab results review (up to 60 minutes) connecting hormonal, metabolic, and nutritional insights with a clear action plan
  • ✔ Four monthly follow-up sessions (up to 45 minutes each, months 2–6)
  • ✔ Personalized treatment plan with FDA-approved medications and targeted supplements as clinically appropriate
  • ✔ Supplement savings — 30% off through our professional dispensary
  • ✔ Symptom and progress tracking so you can see changes over time
  • ✔ Direct portal access — secure messages to your clinician between visits
  • ✔  Access to midlife education guides and resources
  • ✔ Sexual and reproductive health optimization support (libido, intimacy, vaginal health) and treatment
  • ✔ Stress and cortisol regulation education, tools for sleep support, and adrenal-friendly strategies
  • ✔ VIP concierge benefits: standing appointment option (pre-book a recurring day/time), first offer on cancellations, and quarterly written care summaries
Bonus value: In this program, the core lab panel (tests that would typically total about $800 on the low end and up to $1,500 at many U.S. labs) is already bundled into your package fee, so you are not gambling on what your insurer decides to pay.
For the Elevated Reset, the cost of your comprehensive lab panel plus a $50 credit toward an advanced test is built into your program price when ordered through our partner labs, so there is no surprise separate bill from us for those included tests.

Choose the payment option that fits you best:
• $1,575 paid in full at enrollment (10% savings)
• $288.75 per month for 6 months (total $1,732.50; auto-pay)

Not sure which program fits? Start with Midlife Clarity Mini-Consult.

15 minutes with a clinician to match your goals, answer quick questions, and outline your next step.

Bring
  • Your top 3 concerns
  • Your main goal for the next 90 days
  • Your preferred schedule window
We’ll cover
  • Fit and program selection
  • Timeline, labs, and pricing
  • How ongoing support works
You’ll leave with
  • The best-fit program for your situation
  • Plain-language overview of the role of labs & timeline
  • Transparent pricing and what’s included
15 minutes. No obligation. We’ll send a short recap to your email.
We work with highly motivated women ages 35–55

Frequently Asked Questions

Get answers to common questions about our telemedicine hormone health program

Get Your Free Hormone Health Quiz

We’ll translate your answers into a simple, actionable summary—what’s likely going on and where to begin.

We’ll email you a quiz interpretation guide. Results are educational, not medical advice. Plus, receive our weekly newsletter with hormone health tips and insights.
You’re in control—unsubscribe anytime
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Your symptoms
are real and treatable

Our Blogs

Get answers to common questions about our telemedicine hormone health program

Ready to Start Your Transformation?

Take the first step toward reclaiming your health and vitality. Book your free consultation today.
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Schedule a complimentary 15-minute discovery call to discuss your symptoms and see if our program is right for you.

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