Perimenopause & menopause support

Question 1

How is a specially trained menopause provider different from my regular OB-GYN or PCP?

Answer

Amazon One Medical designed its menopause treatment program in response to a common concern from patients in midlife: that doctors often dismiss or ignore their menopause-related symptoms. When you're experiencing the change, you don't want to be told that your symptoms are just due to stress or aging, or that they're "in your head."

That's why One Medical menopause providers are specially trained to recognize, validate, and treat the full spectrum of perimenopause and menopause symptoms—not just hot flashes—so you get women's healthcare that connects the dots.

Question 2

Can One Medical help me with my menopause symptoms?

Answer

Through a program developed with Dr. Erin Duralde, MD, Menopause Society Certified Practitioner (MSCP), many One Medical locations now offer comprehensive menopause care through enhanced provider training in this stage of life. One Medical menopause providers can help you navigate your physical and emotional symptoms—like hot flashes, mood issues, low energy, fatigue, and sleep problems—that may disrupt your quality of life in the perimenopause, menopause, and postmenopause years.

With Amazon One Medical, you can find menopause relief with providers who are knowledgeable, compassionate, and available when you need them.

Question 3

Where are One Medical menopause providers available?

Answer

One Medical currently has primary care doctors' offices with menopause providers in or around the following locations:

Atlanta, GA

Austin, TX

Boston, MA

Chicago, IL

Columbus, OH

Connecticut

Dallas-Ft. Worth, TX

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Houston, TX

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Los Angeles, CA

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Miami-Ft. Lauderdale, FL

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New Jersey

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New York

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Orange County, CA

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Phoenix, AZ

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Portland, OR

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Raleigh-Durham, NC

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San Diego, CA

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Seattle-Tacoma, WA

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San Francisco Bay Area, CA

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Washington D.C. Metro Area (DMV) and Northern Virginia

In-Person Visits are scheduled appointments with the provider of your choice. Scheduled Video Visits are virtual appointments with the provider of your choice and are available in U.S. states where One Medical offices are located.

In-Person and Video Visits are not included in membership and are billed to you/your insurance; copays and deductibles may apply.

Find out more about One Medical locations, including One Medical Seniors offices, on the location page.

Question 4

Are menopause visits covered by insurance?

Answer

Yes. Scheduled In-Person and Video Visits for menopause symptoms can be billed similarly to primary care visits. As long as One Medical is in-network, we can bill the visit to your insurance. Copays and deductibles may apply.

Question 5

How does Amazon One Medical protect my health information?

Answer

Amazon One Medical protects customers’ protected health information (PHI) with stringent, Health Insurance Portability and Accountability Act (HIPAA)-compliant privacy and security practices to keep information safe and secure.

We’re committed to building an infrastructure that fosters and promotes a culture of customer privacy and a strong commitment to safeguarding health information. We maintain administrative, physical, and technical safeguards to protect customer information. This includes conducting rigorous security reviews and testing during product development, using encryption to protect data, and providing features like two-step verification to help customers protect their accounts.

Amazon does not sell customers’ personal information, including PHI.

Question 6

Should I take menopause hormones or not?

Answer

Menopause hormone therapy (MHT), also called hormone replacement therapy (HRT), is a type of menopause treatment that focuses on hormones depleted during the menopause transition. Providers prescribe MHT to improve symptoms, quality of life, and overall health. As a person's hormones naturally fluctuate through the menopause transition, the dose that helps you feel your best may change over time.

According to both the Menopause Society and the Endocrine Society, hormone therapy is the most effective treatment for hot flashes. MHT has also been shown to help prevent the bone loss associated with menopause.

But MHT isn't the only treatment option available for menopause symptoms. Before recommending next steps, your One Medical menopause provider will want to get a holistic view or who you are and what's best for you. This process starts with a one-on-one consultation, a thorough review of your health history and symptoms, as well as lab testing when appropriate. Then you and your provider can discuss all available treatment strategies—including non-hormonal medications, lifestyle guidance, and supportive therapies.

Question 7

What are some lesser known symptoms of menopause?

Answer

In addition to common menopause symptoms like hot flashes, some people may notice the following when they experience the change:

• Cognitive changes like attention deficits and trouble finding words

• Disrupted sleep

• Increase in abdominal fat

• Low sexual desire

• Thinning hair

• Dry skin

• Heart palpitations

• Bone loss

• Fatigue

• Joint pain

• Vulnerability to new or worsened cardiometabolic disease

• Vulnerability to new or worsened depression or anxiety

• Vulnerability to new autoimmune conditions

If you're experiencing any of these lesser known symptoms of the menopause transition, your One Medical provider is ready to listen.

Question 8

What is early menopause?

Answer

Menopause doesn't always occur within the typical age range of 46 to 55. It can happen earlier due to health issues like primary ovarian insufficiency (POI) or induced menopause, when ovaries are removed or damaged for medical reasons like chemotherapy or surgery. When this happens, it's important to work closely with a healthcare provider to understand your physical and emotional risk.

Menopause that occurs before age 45 is called early menopause. When you experience menopause before age 40, it's called premature menopause.

Question 9

What are hot flashes?

Answer

Hot flashes and feelings of temperature dysregulation may be the most recognizable sign of menopause, with about 75% of women experiencing these vasomotor symptoms during the menopause transition. A hot flash typically feels like a sudden sensation of heat. It can be intense and uncomfortable, causing the skin to flush or sweat for 1 to 5 minutes at a time. Hot flashes that occur at night can result in night sweats.

Question 10

What is genitourinary syndrome of menopause (GSM)?

Answer

Genitourinary syndrome of menopause, or GSM, is the name for a variety of menopause symptoms that affect the labia, clitoris, vagina, urethra, and bladder due to lower estrogen levels in the bloodstream. The term "vaginal atrophy," which doesn't fully describe these symptoms, is an outdated term for GSM.

GSM can cause vaginal dryness, pain during sex, leaky bladder, and other uncomfortable physical changes. About half of women in the menopause transition experience these symptoms, which become more common as time passes. GSM can be successfully treated with vaginal estrogen creams, rings, or inserts.

Question 11

Clinical sources

Answer

1. Ambikairajah, A., Walsh, E., & Cherbuin, N. (2022). A review of menopause nomenclature. Reproductive health, 19(1), 29.

2. Duralde, E. R., Sobel, T. H., & Manson, J. E. (2023). Management of perimenopausal and menopausal symptoms. BMJ (Clinical research ed.), 382, e072612.

3. Sarri, G., Pedder, H., Dias, S., Guo, Y., & Lumsden, M. A. (2017). Vasomotor symptoms resulting from natural menopause: a systematic review and network meta-analysis of treatment effects from the National Institute for Health and Care Excellence guideline on menopause. BJOG : an international journal of obstetrics and gynaecology, 124(10), 1514–1523.

4. Stuenkel, C. A., Davis, S. R., Gompel, A., Lumsden, M. A., Murad, M. H., Pinkerton, J. V., & Santen, R. J. (2015). Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline. The Journal of clinical endocrinology and metabolism, 100(11), 3975–4011.

5. “The 2022 Hormone Therapy Position Statement of The North American Menopause Society” Advisory Panel (2022). The 2022 hormone therapy position statement of The North American Menopause Society. Menopause (New York, N.Y.), 29(7), 767–794.

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