Please contact our office AT LEAST 2 weeks prior to the start of your menses.  It can take a minimum of 2 weeks for you to receive your medications and to be certain all necessary prior authorizations are in place.  Of course, if you have not yet had your new patient consultation, we often book those out months in advance and therefore recommend setting your consult up as soon as you know you are ready to get started.  After your initial consultation you can begin treatment with the start of your next cycle (if there is enough time to receive all your meds) but are also free to wait a few months to get started. If your cycles are irregular, then once you have your meds, you can come in for a baseline and begin your treatment.