Let’s be real: perimenopause and menopause can feel like you’ve landed in a new country without a map. Symptoms crop up in unexpected ways, like hot flashes, brain fog, mood swings, plus sleep issues, and suddenly, you’re left wondering where to turn for help. The good news? You have options. Here’s a straightforward guide to the types of practitioners who can help, how their approaches differ, and what to consider as you build your support team.

Primary Care Physicians (PCPs): Your Healthcare Home Base

Most women start with their primary care physician. PCPs can help identify whether your symptoms are related to menopause or another health issue, order bloodwork, and discuss first-line treatments. They can prescribe hormone therapy, non-hormonal medications, and recommend lifestyle changes such as diet and exercise.

The advantage of seeing a PCP is their broad medical knowledge and ability to coordinate your overall care, including referrals to specialists. However, many PCPs receive limited training in menopause management, which can mean their knowledge of current menopause treatments may be outdated. If your PCP is not comfortable managing menopause symptoms, ask for a referral to a provider with more expertise.

OB/GYNs: Specialists in Women’s Health

Obstetrician-gynecologists are trained in hormonal transitions and reproductive health. They can address common menopause symptoms such as hot flashes, night sweats, irregular bleeding, and vaginal dryness. OB/GYNs are typically able to prescribe and manage hormone replacement therapy (HRT), offer non-hormonal treatment options, and provide procedures for abnormal uterine bleeding if needed. They also have experience managing the long-term health risks associated with menopause, such as bone loss and cardiovascular disease. The main drawback is that not all OB/GYNs have advanced menopause training, so asking about their experience is essential. Appointments may also be less frequent than with a PCP.

Mental Health Providers: Addressing Mood, Anxiety, and Insomnia

Emotional symptoms—like anxiety, depression, and mood swings—are common in menopause. Mental health professionals, including psychologists, therapists, social workers, and counselors, can provide support and evidence-based treatments.

Cognitive behavioral therapy for insomnia (CBT-I) is a proven, non-drug approach to improving sleep and is especially effective for menopause-related insomnia. Therapy can also help with coping skills, stress management, and mood regulation. The pros are that it has no medication side effects and provides long-term skills for managing symptoms. The cons are that it requires time and commitment, and it can take effort to find a provider who is familiar with menopause-related challenges.

Naturopathic Doctors: A Holistic, Natural Approach

Naturopathic doctors focus on treating the whole person, using nutrition, supplements, botanical medicine, and lifestyle counseling. They may recommend herbal remedies, dietary changes, and mind-body practices for symptom relief. Naturopaths often spend more time with patients and address prevention and root causes of symptoms. However, the scientific evidence for some natural treatments is limited, and not all naturopathic therapies are regulated or covered by insurance. If you choose this route, look for a licensed naturopathic doctor with experience in menopause care.

 

Other Practitioners: Expanding Your Support Team

• Endocrinologists: Specialists who can help with complex hormonal issues, such as thyroid disease, diabetes, or adrenal disorders, which sometimes overlap with menopause symptoms.

• Pelvic Floor Physical Therapists: Help address bladder control, sexual function, pelvic pain, and other Genitourinary Syndrome of Menopause (GSM) symptoms.

• Registered Dietitians and Nutritionists: Provide guidance on nutrition for bone health, heart health, weight management, and overall wellness during menopause.

• Pharmacists: Can review medications and supplements for interactions and advise on over-the-counter remedies.

Telehealth: Making Care More Accessible

Telehealth has made it easier than ever to access menopause care. Virtual visits allow you to consult with menopause-informed providers from home, which is especially helpful if you live far from specialists or have a busy schedule. Telehealth can be used for initial consultations, prescription management, therapy (including CBT-I), and follow-up care. It offers privacy, convenience, and access to a broader range of expertise. Many women find telehealth less intimidating and more flexible than traditional in-person appointments.

How to Find the Right Provider

The right provider listens, takes your concerns seriously, and stays current on menopause science. Don’t hesitate to seek a second opinion if you feel dismissed or unsupported. It’s common to work with multiple providers over time, depending on your needs. For a curated list of menopause-informed practitioners, including those offering telehealth, visit WakeHerUp.co’s directory.

Pros and Cons: A Quick Comparison

• Primary Care Physicians: Accessible, can coordinate care, but may lack menopause expertise.

• OB/GYNs: Specializing in women’s health, can manage complex cases, but may have limited menopause-specific training.

• Mental Health Providers: Effective for mood and sleep, but requires time and finding a good fit.

• Naturopathic Doctors: Holistic and preventive, but evidence for some treatments is limited, and coverage varies.

• Other Practitioners: Offer targeted support for specific symptoms or health concerns.

• Telehealth is convenient, private, and broadens access to expertise, but not all services may be available in every region.

Questions to Ask When Choosing a Perimenopause and Menopause Healthcare Provider

Here are some practical questions to ask when choosing a healthcare provider for perimenopause or menopause care:

• What is your experience treating women in perimenopause and menopause?

• Are you familiar with the latest guidelines and treatments for menopause symptoms?

• What is your approach to hormone therapy? Do you also offer non-hormonal options?

• How do you stay up-to-date on menopause research and best practices?

• What is your process for follow-up and adjusting treatment if my symptoms change?

• How do you address concerns about sexual health, sleep, and mood during menopause?

• Are you comfortable discussing alternative therapies or supplements?

• Do you offer telehealth appointments?

• How do you coordinate care with other specialists if needed?

• What is your availability for urgent questions or concerns?

These questions can help you gauge a provider’s expertise, communication style, and whether their approach matches your needs.

Bottom Line

Menopause is a significant life transition, but you don’t have to navigate it alone. There are multiple paths to support—medical, mental health, lifestyle, and alternative approaches. Start by identifying your main symptoms and goals, then seek out the right blend of providers to help you feel your best. Advocate for yourself, ask questions, and remember: quality care is your right, not a privilege.