
These are some of the mostly commonly asked questions about our practice, the care we provide, and the direct gynecology model.
30s: A Proactive Start
Hormonal changes begin earlier than most people expect, often affecting energy, metabolism, sleep, and overall wellness. This stage is an opportunity to build a strong long-term health foundation with preventive, individualized care. We focus on thorough evaluations—hormones, heart health, inflammation, and bone strength—along with tailored nutrition and lifestyle guidance.
40s: Expert Support Through Perimenopause
Perimenopause can last years and is frequently overlooked or mismanaged. Instead of treating symptoms one by one, we address the full hormonal picture. With specialized training in midlife and hormone health, we provide evidence-based care to support mood, sleep, metabolism, and sexual well-being so you can feel like yourself throughout the transition.
50s+: Thriving in Menopause and Beyond
This phase brings shifts that can affect bone density, muscle mass, heart health, and cognition—but proactive care makes a meaningful difference. We emphasize long-term strength, metabolic health, cardiovascular protection, and sexual wellness to help you stay active, independent, and vibrant.
All Life Stages: Relationship-Based Gynecology Care
Membership is open to women at any age who want personalized, continuity-focused care. You’ll have direct access to Dr. Li for routine visits, ongoing guidance, and comprehensive support tailored to your goals.
I keep my practice intentionally small so you receive truly personalized care. You’ll have longer, unhurried visits, direct messaging, timely appointments, and consistent one-on-one care with me. Unlike traditional practices that rely on midlevel providers or rigid protocols, I bring extensive gynecology experience and advanced training in menopause and hormonal health. I take the time to understand your full story, and you can reach me directly whenever you need support.
The fee covers excellent gynecologic office visits with no copay. This includes the following: annual wellness exams, problem visits, follow-up visits, gynecologic office procedures all with minimal wait times in the office. The fee also covers direct communications with your doctor: phone, text, video chat or email.
Both! You can choose what best suits your needs.
No! The terms are often mistakenly used interchangeably, but they are not the same. Both direct care and concierge practices charge a periodic fee, however, under the concierge model, this fee only gets you access; that is, it doesn't actually cover any of your care. Instead a concierge practice still bills insurance for your visits and you are still responsible for insurance dictated co-pays and deductibles. Under direct care, your visits and other care are included in your fee.
My philosophy is that care is most effective when nothing stands between you and your doctor. For that reason, I don’t contract with insurance plans. Traditional insurance models can shorten visits, limit treatment options, and create unnecessary administrative hurdles. Practicing outside of that framework allows me to spend more time with you, be directly available when questions arise, and provide simple pricing so you always know what to expect. My patients are my only concern.
For Medicare beneficiaries, I am currently unable to provide care to those due to federal regulations. However, we have a waitlist for when we start taking these patients. Click "Get Started" and mention Medicare, we will add you to the waitlist.
Are you ready to become a member? Great! We’re excited to have you on board. Just fill out the form to get the ball rolling and we’ll be in touch.
Still want to learn more about Vibrant Gynecology? Check out our FAQ page for answers to many common questions.
Get in touch! We’re happy to chat and answer questions, at no obligation to you.
1920 Lernhart St
Suite A
Napa, CA 94559