FAQ

A: A concierge practice is a membership-based model where you have direct, unhurried access to your physician. At Lamorinda Women's Health, every visit is directly with Dr. Hajyan no nurse practitioners, no handoffs, no rushed appointments. You are never a number here.

A: Lamorinda Women's Health is built around time, attention, and continuity - the things that are hardest to offer in an insurance-based model. Because membership is limited, Dr. Hajyan can offer longer visits, minimal wait times, and care that's never rushed. Your visit is shaped around what you actually need, not a fixed time slot. Care decisions are guided by your health and goals not by billing codes or coverage restrictions. That means more flexibility, more availability, and a relationship with your physician that feels personal rather than transactional.

A: Yes. Always. Every visit, every time. You will never be seen by a nurse practitioner, physician assistant, or anyone other than Dr. Hajyan herself. This is the foundation of our concierge model.

A: Appointments typically run 60 to 90 minutes, depending on the nature of your visit. This extended time allows for a thorough evaluation, thoughtful discussion, and personalized care planning one of the real advantages of a direct-pay practice where your care is shaped around you, not a fixed appointment slot.

A: We invite you to start with a free 15-minute phone consultation with Dr. Hajyan. Call us at (925) 385-7023 ог submit an inquiry through our website and we will be in touch within one business day.

A: Members enjoy same-day and next-day appointment access. No more waiting weeks or months to be seen. No more three-month waits just to see any provider, let alone a board-certified OB/GYN.

A: Yes. Telehealth is a key component of care at Lamorinda Women's Health. Whether you're across town or traveling elsewhere in California, we're able to offer telehealth visits to keep your care consistent no matter where you are in the state. This flexibility lets us address many concerns remotely, saving you time while maintaining the same personalized attention you'd receive in the office.

A: Yes. In special circumstances, Dr. Hajyan and the Lamorinda Women's Health team will come to your home, providing care in the comfort and privacy of your own space. Visits are equipped with the same instruments used in-office, allowing us to perform exams, collect necessary samples, and deliver the same standard of care you'd expect at our practice.

A: Yes. Members have direct phone and text access to Dr. Hajyan for urgent concerns. This is one of the key benefits of our concierge membership model.

A: Dr. Hajyan holds hospital privileges with Alameda Health System and performs procedures at Aspen Outpatient Surgery Center. Should your care ever require a hospital or surgical setting, you'll be in familiar, capable hands cared for by a team Dr. Hajyan knows and trusts.

A: Many concerns are complex enough to benefit from the ongoing relationship membership provides particularly conditions that require more than a single visit to properly evaluate, manage, and follow through on. These include menopause and perimenopause, cardiometabolic health, weight management, pelvic pain, abnormal uterine bleeding, fibroids, endometriosis, infertility, sexual health, PEMOS (formerly PCOS), urogynecology, skin and bone health in menopause, and genitourinary syndrome of menopause (GSM). If your concern involves ongoing management or monitoring, membership ensures you have consistent, unhurried access to Dr. Hajyan throughout your care journey.

A: Choose a Focused Visit for quick, straightforward concerns such as vaginal discharge or urinary symptoms, birth control refill or method change, emergency contraception or STI testing, pregnancy test, IUD check, Pap smear only, or a prescription refill for an existing stable condition. A Focused Visit is also a great option if you simply need a one-time visit and aren't ready to commit to membership membership isn't required for this type of visit.

A: We know that investing in your health matters, and we want care to feel accessible. While payment is generally expected at the time of service, we understand that circumstances vary and we're happy to discuss flexible arrangements on a case-by-case basis. If cost is a concern, we encourage you to reach out to our office before your appointment for a confidential conversation.

A: No. Lamorinda Women's Health is a direct-pay, membership-based practice and we don't bill insurance for visits with us. This allows us to spend more time with you and keep your care free from insurance-driven limitations. By remaining independent of insurance, we're able to offer longer visits, flexible scheduling, and care shaped entirely around you never rushed, and never limited to a one-size-fits-all checklist.

A: Yes. Often. Labs, imaging, and prescriptions are typically billed separately by the lab, imaging facility, or pharmacy - not through our membership and many of these may be covered by your insurance plan just as they would be anywhere else.

A: Yes. Most of our patients carry insurance, and that's perfectly compatible with membership here. Your coverage still works for labs, imaging, screenings, medications, and referrals. Where membership adds value is beyond what a traditional insurance-based practice typically offers services like DXA bone density scans, skin analysis, red light therapy, and advanced wellness screenings. At your visit, you'll pay directly and we'll provide an itemized superbill you can submit to your insurer for possible out-of-network reimbursement.

A: A superbill is an itemized receipt of the services you received, formatted so you can submit it to your insurance company for possible out-of-network reimbursement. We're happy to provide one for visits that may qualify ask our office for details on what your specific plan may reimburse.

A: If you carry a PPO plan, you may be able to recoup part of our fees through your out-of-network benefits. After your visit, we'll provide a superbill with the billing codes and payment details your insurer needs to process a claim. We'd encourage you to call your insurer before your visit to ask about your specific out-of-network coverage and expected reimbursement rate.

A: We accept all major credit cards, Apple Pay, and Google Pay, with secure payment available directly through our patient portal. Membership fees are also eligible for payment using HSA and FSA funds.

A: No. Lamorinda Women's Health does not participate in or bill Medicare or Medicaid. However, patients with Medicare or Medicaid coverage are welcome to receive care with us outside of those programs. Medicare-eligible patients will be asked to sign a private contract acknowledging this arrangement before receiving care.

A: Absolutely. Menopause medicine is one of Dr. Hajyan's core specialties. She provides evidence-based hormone therapy management, bioidentical hormone therapy, and comprehensive perimenopause and menopause care tailored to your individual health history and goals.

A: Yes. We have an on-site GE Lunar Prodigy DXA scanner for bone density and body composition analysis. This allows us to screen for osteoporosis, assess fracture risk, and track your bone and muscle health over time all in one visit.

A: A DXA (Dual-Energy X-ray Absorptiometry) scan is the gold standard test for measuring bone density and body composition. At Lamorinda Women's Health, we have an on-site GE Lunar Prodigy DXA scanner meaning you do not need to go elsewhere for this important test. The DXA scan measures bone mineral density at the spine, hip, and forearm to screen for osteopenia and osteoporosis, assess your fracture risk using the FRAX calculator, and track changes in bone health over time. It also provides a detailed body composition analysis including muscle mass, fat distribution, and visceral fat - valuable information for metabolic and hormonal health. We recommend DXA scanning for women in perimenopause and menopause, those with risk factors for osteoporosis, and any woman interested in a comprehensive picture of her bone and metabolic health. Results are reviewed directly with Dr. Hajyan, who will create a personalized bone health and treatment plan tailored to your results.

A: No. At Lamorinda Women's Health, you do not have to wait until age 65 to have your bone density evaluated. While traditional guidelines recommend DXA screening beginning at age 65, we believe that waiting that long is too late for many women. Any patient who is going through perimenopause or menopause, or who has risk factors for bone loss such as family history of osteoporosis, low body weight, long-term steroid use, smoking, early menopause, or certain medical conditions will qualify for a DXA scan at our clinic regardless of age. Early detection means early intervention, and that can make a significant difference in protecting your bone health for decades to come. Dr. Hajyan will evaluate your personal risk profile and recommend the right time for your first DXA scan.

A: Yes. Body composition analysis is performed right here in our office using our on-site GE Lunar Prodigy DXA scanner - no outside referral needed. Body composition is routinely done before starting a weight loss treatment program with GLP-1 therapy, giving us a precise baseline measurement of your muscle mass, fat distribution, visceral fat, and bone density. This allows Dr. Hajyan to create a personalized, data-driven weight management plan and track your progress accurately over time ensuring you are losing fat and preserving muscle, which is the key to healthy, sustainable weight loss.

A: Yes. We offer medically supervised weight management including GLP-1 receptor agonist prescribing, metabolic health evaluation, and body composition tracking for sustainable, healthy outcomes.

A: Yes. We have on-site ultrasound capabilities including 3D/4D imaging. We offer a range of ultrasound packages for pregnancy visualization and bonding experiences. Please see our Ultrasound Packages section for details.

A: Yes. We provide early pregnancy care including confirmation of pregnancy, initial prenatal evaluation, early ultrasound, and guidance as you begin your pregnancy journey. Because Lamorinda Women's Health is a boutique direct-pay practice focused on gynecologic and wellness care, we gently transition patients to an OB practice or midwifery group for ongoing prenatal care and delivery, typically between 10-12 weeks. We'll make sure this transition feels seamless - providing a full summary of your care to date and helping you find the right fit.

A: Yes. We provide compassionate adolescent gynecology care including first gynecologic visits, menstrual concerns, contraception counseling, and reproductive health education for young women.

A: Yes. Dr. Hajyan performs advanced minimally invasive gynecologic surgery including laparoscopic hysterectomy, hysteroscopy, labiaplasty, and laser treatment of vulvar lesions. All surgical consultations and pre- and post-operative care are coordinated directly with Dr. Hajyan.

A: Yes. We provide initial fertility evaluation and workup for women experiencing difficulty conceiving, including hormonal assessment, ovarian reserve testing, and referral coordination with fertility specialists when appropriate.

A: Yes. We offer comprehensive advanced laboratory testing including hormone panels, metabolic screening, thyroid function, cardiovascular markers, nutritional assessments, hereditary genetic testing, and cancer screening. We partner with major laboratories located less than a mile from our clinic, making testing fast and convenient. All lab results are reviewed directly with Dr. Hajyan and used to build a personalized, data-driven care plan.

A: Yes. We offer personalized bioidentical hormone replacement therapy for women experiencing hormonal imbalance, perimenopause, menopause, and related symptoms. Using hormones structurally identical to those naturally produced by the body, Dr. Hajyan creates individualized treatment plans including estradiol, progesterone, and testosterone therapy in oral, transdermal, vaginal, and pellet forms.

A: Yes. We offer colon cancer screening including Cologuard and the Shield blood-based colorectal cancer screening test a simple, non-invasive option for eligible patients. We also provide referrals for colonoscopy when indicated. Early detection is a cornerstone of preventive care at Lamorinda Women's Health.

A: Yes. We offer comprehensive VISIA skin analysis a state-of-the-art imaging system that evaluates skin health, aging patterns, sun damage, pore size, texture, and more. As part of our holistic aesthetic assessment, we also evaluate eyebrow and eyelash health, thinning, and loss which are often early signs of hormonal imbalance, thyroid dysfunction, or nutritional deficiencies. Results are used to guide personalized aesthetic and hormonal skin treatment planning tailored to your individual skin profile.

A: Yes. We offer evaluation and treatment for hair thinning and hair loss in women, which is often hormonal in origin. Our approach includes hormonal assessment and optimization (estrogen, testosterone, thyroid), topical minoxidil, spironolactone, low-level laser therapy referrals, nutritional and supplement guidance including biotin, iron, and collagen support, and platelet-rich plasma (PRP) referrals when appropriate. Hair loss in women is frequently connected to menopause, thyroid dysfunction, nutritional deficiencies, or hormonal imbalance all of which Dr. Hajyan addresses as part of a comprehensive, whole-body treatment plan.

A: Yes. We offer facial estrogen treatments as part of our integrated approach to hormonal skin aging. Facial estrogen therapy helps restore skin quality, hydration, elasticity, and vitality addressing the skin changes that often accompany hormonal decline and menopause.

A: Yes. We provide comprehensive evaluation and management of acute and chronic pelvic pain, including endometriosis, adenomyosis, fibroids, pelvic floor dysfunction, vulvodynia, and interstitial cystitis. Dr. Hajyan creates personalized, minimally invasive treatment plans tailored to each patient's history and goals.

A: SoLa Therapy is an innovative, FDA-cleared, non-invasive pelvic wellness treatment that uses low-intensity focused shockwave energy to stimulate tissue regeneration, improve blood flow, and restore pelvic floor function. It is used to treat chronic pelvic pain, urinary incontinence, sexual dysfunction, and genitourinary syndrome of menopause (GSM). Treatment sessions are quick, comfortable, and performed in our office with no downtime required. SoLa Therapy is an excellent option for women seeking a natural, drug-free approach to pelvic and sexual health improvement.

A: Yes. We offer targeted pelvic floor and genitourinary wellness treatments addressing urinary urgency, leakage, vaginal laxity, pelvic pressure, and genitourinary syndrome of menopause (GSM). Our integrative approach includes hormonal therapy, SoLa Therapy, and pelvic wellness devices.

A: Yes. We are partnered with local pelvic floor physical therapists in the Lamorinda and greater East Bay community. When pelvic floor therapy is recommended as part of your care for pelvic pain, urinary incontinence, prolapse, postpartum recovery, or sexual health concerns - Dr. Hajyan will provide a warm referral to a trusted local pelvic physical therapist and coordinate your care to ensure a seamless, integrated treatment plan.

A: Yes. We provide comprehensive, confidential evaluation and treatment of sexual health concerns including low libido, painful intercourse, vaginal dryness, arousal difficulties, and genitourinary syndrome of menopause. Sexual health is an important part of overall wellbeing and is always addressed with sensitivity and respect.

A: Yes. We offer a comprehensive approach to sexual health and enhancement. This includes sexual health counseling and therapy referrals, testosterone therapy for low libido, topical estrogen and estradiol for vaginal and vulvar health, DHEA (Intrarosa) for genitourinary syndrome of menopause, vaginal moisturizers and lubricants, ospemifene (Osphena) for painful intercourse, bremelanotide (Vyleesi) and flibanserin (Addyi) for hypoactive sexual desire disorder (HSDD), topical sildenafil (topical Viagra) for genital arousal and sensation, and personalized bioidentical hormone therapy tailored to your sexual health goals. Dr. Hajyan takes a whole-person approach addressing hormonal, physical, emotional, and relational factors that affect your sexual wellbeing.

A: Yes. We provide thorough evaluation and management of irregular, heavy, or abnormal uterine bleeding using the PALM-COEIN clinical framework. Causes addressed include polyps, adenomyosis, fibroids, hormonal imbalance, ovulatory dysfunction, and more. Treatment options range from hormonal therapy to minimally invasive surgical intervention.

A: Yes. We offer comprehensive contraception counseling and management including oral contraceptives, patches, rings, hormonal and copper IUDs, implants, and barrier methods. We take the time to find the right contraception option for your life, your health, and your goals.

A: Yes. We offer focused gynecologic care for a wide range of straightforward and urgent concerns. This includes STI testing and treatment, vaginitis evaluation and management (bacterial vaginosis, yeast infections, trichomoniasis, and atrophic vaginitis), IUD insertion and removal, contraceptive implant placement and removal, emergency contraception, pregnancy testing, and same-day sick visits for acute gynecologic concerns. Membership is not required for focused visits we are here for you whenever you need us.

A: Yes. We offer same-day and next-day appointments for quick evaluations including Pap smears, breast exams, pelvic exams, STI testing, vaginal or vulvar concerns, skin evaluations, blood pressure checks, and any other urgent gynecologic need. At Lamorinda Women's Health, you should never have to wait weeks for something that needs attention today. Members receive priority scheduling, and focused visits are available even without a membership because timely care should never be out of reach.

A: As a direct-pay practice, we're not bound by insurance referral requirements. If a specialist is recommended, we'll help coordinate that referral directly. Dr. Hajyan has developed strong relationships with a wide range of trusted providers across the Bay Area to ensure you receive the comprehensive care you need.

A: We are located at 970 Dewing Ave, Suite 301, Lafayette, CA 94549 in the heart of the Lamorinda community, conveniently serving Lafayette, Moraga, Orinda, Walnut Creek, Danville, and the greater East Bay. Our practice is conveniently located near the Lafayette BART station and offers easy access from Highway 24 and Interstate 680, with major freeway access nearby. We are a convenient destination for patients throughout the greater East Bay and Bay Area. Get Directions on MapQuest →

A: Please call us at (925) 385-7023 or visit our website to confirm current office hours. Members also have direct access to Dr. Hajyan by phone and text.

A: Yes. Free parking is available at our building on Dewing Ave.

A: Absolutely. All patient information is protected under HIPAA and stored securely in our encrypted, HIPAA-compliant EHR system. Your privacy is our highest priority at every step of your care.