Does this sound like too much?

I had an appointment with a menopause specialist office and before treatment (I’m already on hrt just looking for an option other than MIDI) they need a pelvic ultrasound done at their office to assess my ovaries and lab work. I’m pretty sure treatment should be based on symptoms as labs in Peri are all over the place. they also provide supplments, meal and exercise plan, and meds if needed. does this place sound scammy or legit?