Dr. Carrie Leff Opens Concierge Women’s Primary Care Clinic Focused on Midlife Wellness in Farmington Hills
Dr. Carrie Leff, a board-certified internist and Menopause Society Certified Practitioner, has officially launched a new concierge-style women’s primary care practice focused on delivering comprehensive and personalized healthcare for women and adolescent girls ages 16 and older. The practice, which began seeing patients on May 4, 2026, is designed to address the growing demand for integrated, physician-led healthcare that emphasizes prevention, continuity, and specialized support for women navigating midlife and menopause.
Developed in partnership with Monarch, a healthcare company dedicated to helping physicians establish membership-based care models for women’s health, the practice aims to provide a more connected and proactive healthcare experience. The initiative reflects a broader shift within women’s healthcare toward personalized medicine and longer-term physician relationships, particularly for women facing the physical and emotional changes associated with midlife.
Dr. Leff’s new practice combines traditional primary care services with focused expertise in menopause medicine, sexual health, chronic disease management, breast cancer risk evaluation, and preventive healthcare. By integrating these areas into a single physician relationship, the model seeks to eliminate the fragmented care experience many women encounter in traditional healthcare systems, where hormonal health, mental health, and chronic medical conditions are often treated separately.
According to Dr. Leff, women in midlife frequently experience a combination of hormonal, emotional, and physical changes that require coordinated care rather than isolated treatment approaches. She explained that symptoms associated with perimenopause and menopause often overlap with broader health concerns such as sleep disruption, cardiovascular risk, anxiety, metabolic changes, and sexual health issues. At the same time, many women are balancing demanding careers, family responsibilities, caregiving obligations, and personal health challenges.
Dr. Leff emphasized that her care philosophy centers on viewing these issues as interconnected rather than independent concerns. She noted that menopause, mental health, preventive care, and chronic disease management all belong within the broader framework of comprehensive primary care. Her goal is to create an environment where women feel heard, supported, and actively involved in long-term health planning.
The concierge-style model allows the practice to provide extended appointment times, improved physician accessibility, and more individualized follow-up care. Unlike many traditional healthcare environments that rely on shorter appointments and high patient volumes, the membership-based structure enables Dr. Leff to spend more time with each patient, allowing for detailed discussions about symptoms, treatment options, and long-term wellness strategies.
The practice’s annual membership program includes a broad range of services tailored specifically to the needs of women in adolescence, adulthood, and midlife. Patients receive comprehensive primary care that begins with a personalized intake process and annual wellness examination. Membership also includes up to 12 additional visits per year, providing ongoing access to preventive care, chronic disease management, and health monitoring.
A major focus of the practice is menopause and midlife healthcare. Dr. Leff offers evidence-based evaluation and treatment for both perimenopause and menopause, including hormonal and non-hormonal therapies designed to address symptoms such as hot flashes, sleep disturbances, mood changes, cognitive concerns, sexual health issues, and metabolic shifts. The practice also incorporates mental health support as part of menopause management, recognizing the close connection between hormonal transitions and emotional wellbeing.
In addition to menopause care, the practice places significant emphasis on preventive medicine and risk assessment. Services include cardiovascular risk evaluations, osteoporosis and bone health assessments, body composition analysis, and breast cancer risk assessments. Women with a history of breast cancer or elevated cancer risk can also receive survivorship guidance and long-term preventive support.
The clinic additionally provides ongoing management for chronic medical conditions such as hypertension, diabetes, thyroid disorders, and other long-term health concerns. By integrating chronic disease management with menopause and preventive care, the practice seeks to provide patients with a more unified healthcare experience that reduces the need for multiple disconnected providers.
Another key component of the model is improved access and continuity of care. Members can receive same-week appointments for most medical concerns, coordinated referrals to specialists when necessary, and after-hours virtual urgent care support. The goal is to provide patients with timely medical guidance while fostering a stronger and more continuous physician-patient relationship.
Over the past six years, Dr. Leff has built a reputation in Southeast Michigan for her expertise in menopause medicine and evidence-based women’s healthcare. During that time, she integrated menopause-focused care into her broader internal medicine practice, helping patients navigate the often complex physical and emotional transitions associated with midlife.
Her work has earned strong support from patients who value her communication style and collaborative approach to healthcare. Many patients describe feeling listened to, respected, and actively involved in treatment decisions. One longtime patient stated that Dr. Leff carefully explains the reasoning behind her medical recommendations and creates an environment where patients feel comfortable discussing sensitive health concerns. Another patient shared her positive experience in a testimonial video highlighting the physician’s attentive and compassionate approach.
For Dr. Leff, the trust she builds with patients is deeply connected to her ties within the local community. She explained that many of the women she treats are balancing multiple responsibilities at once, including careers, raising children, caring for aging parents, and managing their own health challenges. In her view, many women entering midlife are often encouraged to minimize or dismiss symptoms that significantly affect their quality of life.
She stated that the new practice was designed to provide women with a physician who remains accessible, engaged, and willing to work through complex health concerns over time. Her vision is to create a care environment where women feel supported through every stage of life rather than rushed through short clinical encounters.
Anna Lohrfink, co-founder and CEO of Monarch, said Dr. Leff’s practice represents an emerging model for women’s healthcare in which menopause and midlife health are fully reintegrated into comprehensive primary care. Lohrfink noted that Dr. Leff brings a combination of clinical expertise, community trust, and long-standing patient relationships that is increasingly rare in modern healthcare systems.
The launch of the practice also reflects broader changes occurring within women’s healthcare nationwide. Growing awareness surrounding menopause, hormonal health, and preventive care has fueled demand for healthcare models that prioritize longer appointments, continuity of care, and individualized treatment planning. Many women are increasingly seeking physicians who can address both immediate symptoms and long-term health risks through an integrated approach.
At the same time, concierge and membership-based healthcare models have continued gaining popularity among patients seeking improved access to physicians and more personalized medical experiences. Supporters of these models argue that reduced patient panels allow physicians to spend more time with each individual while focusing on preventive care and long-term wellness rather than episodic treatment.
With the official opening of her new practice, Dr. Leff joins a growing number of physicians working to reshape women’s primary care around the realities of midlife health. By combining preventive medicine, menopause expertise, chronic disease management, and personalized physician access within a single practice model, she aims to provide women with a more comprehensive and supportive healthcare experience tailored to their evolving needs throughout adulthood and beyond.
About Dr. Carrie Leff
Carrie Leff, DO, is a board-certified internist and pediatrician and a Menopause Society Certified Practitioner. She specializes in integrated primary care for women and adolescent girls, with focused expertise in sexual health, mental health, menopause, and breast cancer risk assessment. She is the co-founder of Turning Teen and author of Celebrate Your Body 2. Dr. Leff is widely recognized in Southeast Michigan as a trusted educator and advocate for evidence-based women’s health.
About Monarch
Monarch is the premier service partner for women’s health physicians who want to leave behind high-volume, insurance-driven care and build independent practices that deliver exceptional, personalized care for women at every stage of life. Monarch provides the operational support, technology, and investment physicians need without taking away ownership or clinical autonomy. Monarch’s proven model enables physicians to reduce patient volume, deliver proactive, personalized care, and build stronger relationships with their patients.
