Menopause Midi Health
Menopause is a normal stage of life, but the symptoms and health changes that come with it can affect sleep, mood, energy, weight, sexual health, bones, and overall well-being.
Midi Health provides specialized virtual menopause care for women who want more focused support during this stage. Its clinicians are specially trained in menopause and midlife health and consider your symptoms, menstrual history, medical history, medications, risk factors, and treatment goals when creating a personalized Care Plan.
You do not need to know exactly where you are in the menopause transition before booking a visit. Your clinician can help determine what stage you may be in and what care may be appropriate for you.
What Is Menopause?
Menopause is defined as 12 consecutive months without a menstrual period when there is no other medical explanation for the absence of periods.
It marks the end of the reproductive years and occurs because the ovaries stop releasing eggs and produce substantially less estrogen and progesterone.
The transition leading up to menopause is called perimenopause. During perimenopause, hormone levels fluctuate and periods may become irregular. After menopause, hormone levels remain lower.
Midi provides care across both perimenopause and menopause, but the evaluation and treatment plan can differ depending on where you are in the transition.
Menopause vs. Perimenopause
The two stages are related but not the same.
Perimenopause is the transition before menopause. Periods may still occur, but their timing, duration, and flow can change.
Menopause is reached after 12 consecutive months without a menstrual period.
Postmenopause refers to the years after menopause.
If you are unsure which stage you are in, you do not need to diagnose yourself before booking. Midi clinicians can review your symptoms, age, menstrual history, and other health information to help determine the appropriate care.
Common Menopause Symptoms
Menopause affects everyone differently. Some people experience several symptoms, while others have only a few.
Midi currently provides care for concerns including:
Hot flashes and night sweats
Sleep problems and insomnia
Brain fog and forgetfulness
Mood swings and emotional changes
Low energy and fatigue
Weight changes and weight gain
Low sex drive
Vaginal dryness and painful sex
Urinary and bladder symptoms
Hair loss or changes in hair growth
Skin changes
Bone, muscle, and joint pain
Symptoms can occur together and may affect your work, relationships, sleep, exercise, and everyday life.
Hot Flashes and Night Sweats
Hot flashes are one of the most recognizable symptoms of menopause.
They can cause a sudden feeling of heat, sweating, flushing, and discomfort. Night sweats can wake you repeatedly and make it difficult to get enough restorative sleep.
If hot flashes or night sweats are interfering with your daily life, Midi clinicians can discuss both hormonal and non-hormonal treatment options.
Sleep and Insomnia During Menopause
Sleep can change during menopause even when night sweats are not the main problem.
You may have difficulty falling asleep, wake during the night, wake earlier than expected, or feel tired even after spending enough time in bed.
Midi’s menopause care can address sleep concerns alongside other symptoms rather than treating insomnia as an isolated problem.
Brain Fog and Forgetfulness
Some women notice changes in memory, concentration, focus, or mental clarity during menopause.
You may find yourself forgetting names, losing your train of thought, or having difficulty concentrating on tasks that previously felt easy.
Brain fog can have multiple causes, so Midi clinicians consider your overall health, sleep, mood, medications, and other symptoms rather than automatically attributing every cognitive change to menopause.
Mood Changes During Menopause
Hormonal changes, sleep disruption, and other midlife factors can affect mood.
Some women experience irritability, anxiety, low mood, emotional changes, or increased sensitivity during menopause.
Midi clinicians can evaluate mood symptoms as part of your overall menopause care and determine whether lifestyle changes, hormone therapy, non-hormonal medication, or another form of support may be appropriate.
Weight Changes During Menopause
Changes in body composition and weight are common concerns during midlife.
You may notice that maintaining your previous weight becomes more difficult or that body fat is distributed differently, particularly around the abdomen.
Midi’s care can address weight alongside menopause symptoms, nutrition, physical activity, metabolic health, sleep, and other factors that influence weight.
Vaginal Dryness and Painful Sex
Lower estrogen levels can affect vaginal and urinary tissues.
Some women experience:
Vaginal dryness
Burning or irritation
Pain or discomfort during sex
Reduced sexual comfort
Urinary urgency
Other bladder symptoms
These symptoms are often associated with genitourinary syndrome of menopause, or GSM.
Midi can discuss treatment options for vaginal and sexual health, including local vaginal estrogen when clinically appropriate.
Low Libido During Menopause
Changes in sexual desire can occur during menopause.
Low libido may be related to hormonal changes, vaginal dryness, painful sex, sleep problems, stress, mood, medications, relationship factors, or other health concerns.
Midi clinicians can discuss the different factors that may be affecting your sexual health and develop a treatment approach based on your individual situation.
Bone and Joint Health
Estrogen plays an important role in maintaining bone health. Bone loss accelerates around and after menopause, which can increase the risk of osteoporosis and fractures over time.
Joint and muscle discomfort can also become a concern during midlife.
Midi’s menopause care can include support for bone health, strength, and muscle health. When clinically appropriate, your clinician may recommend testing or additional medical evaluation.
Cholesterol, Blood Sugar, and Blood Pressure
Menopause care is not only about symptom relief.
Midi’s current menopause service also addresses longer-term health areas such as:
Cholesterol
Blood sugar
Blood pressure
Metabolic health
Bone health
Muscle and strength
Nutrition
Weight management
Targeted testing may be recommended when appropriate to better understand your overall health and guide your Care Plan.
How Does Midi Diagnose Menopause?
Menopause is generally identified based on the absence of menstrual periods for 12 consecutive months when there is no other explanation.
For many women over 45, hormone testing is not necessary to confirm menopause because hormone levels naturally fluctuate during the transition.
Midi clinicians consider your age, menstrual history, symptoms, medical history, medications, and other factors.
If there is uncertainty or another medical condition needs to be considered, your clinician may recommend targeted laboratory testing or additional evaluation.
Will I Need Hormone Testing?
Not necessarily.
There is no single blood test that can tell every woman exactly where she is in the menopause transition.
Midi may recommend targeted laboratory testing when it could help rule out another cause of symptoms, guide treatment, or evaluate areas such as thyroid, metabolic, bone, or cardiovascular health.
Testing decisions are individualized rather than automatically required for every menopause visit.
Midi Menopause Care Plans
Midi creates personalized Care Plans rather than giving every patient the same treatment.
Depending on your symptoms, health history, risk factors, and preferences, your Care Plan may include:
Hormone prescriptions
Non-hormonal prescriptions
Lifestyle coaching and support
Supplement integration
Targeted labs and testing
Follow-up care and treatment adjustments
Your treatment can be adjusted as your symptoms and needs change.
Hormone Replacement Therapy for Menopause
Hormone replacement therapy, also called menopause hormone therapy or MHT, can be an effective treatment for many menopause symptoms.
Midi’s hormone specialists evaluate whether hormone therapy is appropriate based on your symptoms, health history, age, risk factors, and treatment goals.
HRT may help relieve symptoms such as:
Hot flashes
Night sweats
Vaginal dryness
Sleep problems
Some mood symptoms
Brain fog
Certain menopause-related sexual symptoms
HRT is not appropriate for everyone, so treatment should be individualized.
What Types of HRT Does Midi Prescribe?
When appropriate, Midi prescribes FDA-approved bioidentical hormone therapies.
Depending on your circumstances, treatment may include:
Estrogen
Estrogen plus progesterone or progestin
Local vaginal estrogen
HRT may be available in different forms, including pills, patches, vaginal rings, creams, gels, and other topical forms.
Your clinician selects the treatment and dose based on your symptoms, health history, whether you have a uterus, and your treatment preferences.
Estrogen Therapy
Estrogen is often the primary hormone used to treat menopause symptoms such as hot flashes and night sweats.
It can be administered in different ways.
Transdermal estrogen, such as a patch, gel, or spray, delivers estrogen through the skin. Oral estrogen is another option for some patients.
Your clinician will consider your individual risk factors when deciding which form may be appropriate.
Progesterone and Estrogen
If you have a uterus and use systemic estrogen therapy, progesterone or another progestogen is generally added to protect the uterine lining.
Women who have had a hysterectomy may not need progesterone for this purpose.
Your clinician will determine the appropriate hormone combination based on your medical history and whether you have a uterus.
Vaginal Estrogen
Local vaginal estrogen can be used to treat symptoms affecting the vaginal and urinary tissues.
It may help with:
Vaginal dryness
Pain during sex
Vaginal discomfort
Some urinary symptoms
Vaginal estrogen is different from systemic hormone therapy because it is intended to act primarily on local tissues.
Whether it is appropriate depends on your individual medical circumstances.
Non-Hormonal Menopause Treatment
Hormone therapy is not the right option for everyone.
Some women cannot take systemic hormones because of their medical history, while others prefer non-hormonal treatment.
Midi can consider non-hormonal prescription options when clinically appropriate.
Depending on the symptoms being treated, options may include medications used for hot flashes, sleep concerns, mood symptoms, or other menopause-related problems.
Fezolinetant for Hot Flashes
Fezolinetant is a non-hormonal prescription medication used to treat moderate to severe vasomotor symptoms such as hot flashes.
It works differently from hormone therapy and may be considered for patients who need a non-hormonal option.
Your clinician will determine whether it is appropriate based on your symptoms, health history, medications, and other factors.
Other Non-Hormonal Medications
Depending on the symptoms and your medical history, a clinician may consider other non-hormonal medications.
Certain antidepressants, gabapentin, and other prescription treatments may be used for specific menopause symptoms.
Medication selection depends on the reason for treatment and your individual health profile.
Menopause and Vaginal Health
Menopause can cause changes to vaginal and urinary tissues because estrogen levels decline.
Midi can provide care for vaginal dryness, painful sex, libido changes, and related symptoms.
Treatment may include local vaginal estrogen or other approaches depending on your symptoms and medical history.
Menopause and Sexual Health
Sexual health is an important part of menopause care.
Changes in hormones, vaginal tissue, libido, sleep, mood, and overall health can all affect sexual well-being.
You can discuss these concerns directly with your Midi clinician without having to treat them as a separate issue from your menopause care.
Menopause and Bone Health
Bone health becomes increasingly important after menopause.
Your clinician may review your bone health history and determine whether additional assessment or testing is appropriate.
Care may include guidance around:
Strength training
Physical activity
Nutrition
Calcium and vitamin D intake
Bone-density testing when appropriate
Other medical treatments when indicated
Midi’s menopause service specifically includes follow-up support related to bone density, strength, and muscle health.
Menopause and Heart Health
Cardiovascular health is another important part of midlife care.
Midi may recommend targeted testing or monitoring related to areas such as:
Blood pressure
Cholesterol
Blood sugar
Metabolic health
Menopause care should be considered alongside regular preventive healthcare and age-appropriate screenings.
Lifestyle Support During Menopause
Medication is only one part of menopause care.
Midi’s Care Plans may include lifestyle coaching and support tailored to your needs.
Strength and Muscle
Strength training can help support muscle mass, strength, physical function, and bone health.
Nutrition
Nutrition guidance can be tailored around weight, cravings, metabolic health, overall health, and your personal goals.
Sleep
Improving sleep habits and treating symptoms that interfere with sleep can be an important part of menopause care.
Daily Habits
Your clinician may discuss physical activity, nutrition, alcohol, caffeine, stress, and other lifestyle factors when they are relevant to your symptoms.
Supplements and Menopause
Midi may include supplement integration as part of an individualized Care Plan.
Supplements are not automatically recommended for every patient.
Your clinician can consider your diet, medications, medical history, symptoms, and goals before recommending a supplement.
How the Midi Menopause Process Works
Midi’s menopause care follows a virtual care model.
1. Book a Virtual Visit
You schedule a virtual menopause appointment and provide information about your symptoms and health history.
2. Meet Your Clinician
You meet with a clinician trained in menopause and midlife health.
You can discuss anything that concerns you, including symptoms you are not sure are related to menopause.
3. Review Your Health
Your clinician considers your symptoms alongside your medical history, medications, menstrual history, risk factors, and treatment goals.
Targeted labs or testing may be recommended when appropriate.
4. Receive a Personalized Care Plan
Your Care Plan may include hormone therapy, non-hormonal prescriptions, lifestyle support, supplements, testing, or a combination of these options.
5. Follow Up and Adjust
Menopause symptoms can change over time.
Follow-up visits allow your clinician to review your response to treatment and adjust your Care Plan when appropriate.
Can Menopause Care Be Done Virtually?
Yes.
Midi provides menopause care through virtual visits. Many aspects of menopause care can be managed remotely, including symptom evaluation, treatment discussions, prescription management, and follow-up.
If your clinician believes you need an in-person examination, imaging, testing, or another type of medical evaluation, they can recommend appropriate follow-up care.
Virtual care does not replace emergency or in-person medical care when those services are necessary.
What If I Had a Hysterectomy?
You can still book a menopause visit after a hysterectomy.
If you no longer have a uterus, your menstrual history cannot be used in the same way to identify the menopause transition. Your clinician can instead consider your symptoms, age, surgical history, medical history, and other factors.
Your hysterectomy history can also affect whether progesterone is needed if hormone therapy is prescribed.
Can Midi Help With Menopause After Cancer Treatment?
Menopause can sometimes occur because of cancer treatment or surgery rather than natural ovarian aging.
Midi’s current menopause service includes support for women whose menopause began after surgery or cancer treatment.
Because treatment decisions can be more complex after certain cancers, your medical history is especially important. Your Midi clinician can determine whether virtual care is appropriate and whether coordination with your oncology or other medical team is needed.
What If I Experience Bleeding After Menopause?
Bleeding after menopause should not automatically be considered a normal menopause symptom.
If you have gone 12 consecutive months without a period and then experience vaginal bleeding, it is important to discuss it with a healthcare professional so the cause can be evaluated.
Your clinician may recommend additional testing or an in-person evaluation depending on your circumstances.
Is Hormone Therapy Safe?
Hormone therapy can be appropriate for many women, but it is not suitable for everyone.
The decision depends on factors such as your age, time since menopause, symptoms, medical history, medications, risk factors, and personal preferences.
Midi’s clinicians review your health history before determining whether HRT is appropriate.
Do not start, stop, or change hormone therapy without discussing it with a qualified healthcare professional.
Is It Too Late to Start HRT?
Not necessarily.
Whether hormone therapy is appropriate depends on your individual circumstances rather than simply your age.
Midi clinicians can review your symptoms, medical history, time since menopause, and potential benefits and risks to determine whether HRT is an appropriate option.
What If I Do Not Want Hormone Therapy?
You do not have to choose hormone therapy.
Midi offers non-hormonal treatment options and lifestyle support for patients who cannot or do not want to use hormone therapy.
Your Care Plan can focus on the symptoms that matter most to you.
Does Midi Menopause Care Include Preventive Health?
Menopause care can include more than symptom treatment.
Midi’s current menopause service addresses areas such as bone density, strength and muscle, nutrition, weight fluctuations, cholesterol, blood sugar, and blood pressure.
Your clinician may recommend targeted testing or other follow-up based on your individual health needs.
Regular preventive screenings and routine medical care remain important as well.
Does Insurance Cover Midi Menopause Care?
Midi is in-network with most major PPO insurance plans, although coverage depends on your specific insurance plan.
Deductibles, copays, and coinsurance may still apply.
Midi also offers self-pay visits for eligible patients.
Insurance participation can change, so check your specific plan before booking.
What Should I Prepare for My Menopause Visit?
Before your visit, it can help to have:
Your last menstrual period date, if known
A record of recent cycle changes
Your main symptoms
Current medications
Current supplements
Relevant medical conditions
Surgical history
Previous hormone therapy
Previous treatments
Recent lab or screening information
Your treatment goals
You do not need to have every answer before your appointment. Your clinician can help organize the information during your visit.
Frequently Asked Questions About Midi Health Menopause Care
Do I need to know that I am officially in menopause before booking?
No. You do not need to determine your exact menopause stage before booking. Your clinician can review your age, symptoms, menstrual history, and medical history to help determine what is happening.
What is the difference between menopause and perimenopause?
Perimenopause is the transition before menopause, when periods and hormone levels may become irregular. Menopause is reached after 12 consecutive months without a menstrual period.
Does Midi treat menopause symptoms without HRT?
Yes. Midi offers both hormone and non-hormonal treatment options, along with lifestyle support and supplement integration when appropriate.
Can I get HRT through Midi?
If you are an appropriate candidate, a Midi clinician may prescribe FDA-approved hormone therapy as part of your Care Plan.
Can I get vaginal estrogen through Midi?
Local vaginal estrogen may be prescribed when clinically appropriate for symptoms such as vaginal dryness and painful sex.
Do I need blood tests before getting HRT?
Not necessarily. Your clinician determines whether testing is appropriate based on your medical history, symptoms, treatment needs, and other factors.
Can I use HRT after a hysterectomy?
Yes, HRT may be appropriate after a hysterectomy. If you do not have a uterus, progesterone is generally not needed to protect the uterine lining. Your clinician can determine the appropriate treatment.
Can menopause cause weight gain?
Menopause can be associated with changes in body composition and weight. Sleep, activity, nutrition, muscle mass, aging, and metabolic factors can also contribute.
Can menopause cause vaginal dryness?
Yes. Lower estrogen levels can affect vaginal and urinary tissues and may contribute to dryness, discomfort, and painful sex.
Can Midi help with hot flashes?
Yes. Hot flashes and night sweats are among the common menopause symptoms Midi treats through hormonal and non-hormonal options when appropriate.
Can Midi help with bone health?
Yes. Bone density, strength, and muscle health are included in Midi’s menopause care. Your clinician can determine whether additional assessment or testing is appropriate.
Can menopause care be handled online?
Many aspects of menopause care can be handled through virtual visits, including evaluation, treatment planning, prescriptions, and follow-up. Some situations may still require in-person care.
Start Your Midi Health Menopause Care
Menopause is not one single symptom or experience.
Hot flashes may be the biggest concern for one person, while another may be struggling with sleep, vaginal dryness, brain fog, weight changes, mood symptoms, or concerns about bone and metabolic health.
Midi Health brings these concerns together in one menopause-focused Care Plan.
Through virtual visits with clinicians trained in menopause and women’s midlife health, you can discuss your symptoms, review your treatment options, and create a plan that can change as your needs change.
Your care may include hormone therapy, non-hormonal prescriptions, lifestyle support, supplements, targeted testing, and follow-up care when appropriate.
Medical Disclaimer
This page provides general educational information about menopause and Midi Health services. It is not a substitute for medical advice, diagnosis, or treatment from a qualified healthcare professional. Menopause symptoms, treatment options, medication suitability, testing needs, and insurance coverage vary by individual. Always discuss treatment decisions with a qualified healthcare professional. If you experience severe or unusual symptoms, seek appropriate medical care.