Menopause

As you age, your health needs change.

Hot flashes. Irregular periods. Headaches. Weight gain. Anxiety and depression. Changes in sexual desire and health. Brain fog. Every woman experiences menopause differently. We are here to help you find relief and adjust to your new normal.

Support For Midlife Health

As part of your care, you will receive a comprehensive health evaluation to better understand where you are in your menopause journey and what the right next step is for you, including:

• Risk assessments and screening for common, chronic health conditions midlife women face
• Management of menopause related symptoms, including menopause hormone therapy (MHT)
• Education and recommendations for a healthy midlife lifestyle
• Recommendations on books, courses, podcasts and professional organizations

Get a Referral

If you’re ready to find effective treatments for your perimenopause or menopause symptoms, call CentraCare - Urology Clinic at 320-259-1411 to see if you are a candidate for the Menopause program. Please press 1 for Scheduling and then press 1 to speak to the Referral department.

We are ready to listen to you and offer guidance through these stages of life!

Menopause

What to Expect at Your Visit

Get information about how to prepare for your initial Menopause visit and what you can expect during your appointment.

Virtual Visits Available

We make it convenient for you to meet with your provider without leaving home. Virtual Care (video visits) make it easy for you to get care without travel.

Frequently Asked Questions

What Stage Am I In?

  • Perimenopausal – Defined as the onset of subtle menstrual cycle changes and/or new symptoms consistent with the menopause transition. Perimenopause typically begins in the late 30s and early 40s.
  • Menopausal – Menopause is one day in our life. It is the day when we have gone 12 consecutive months without any menstrual cycles or bleeding. It also occurs when both ovaries are removed. The average age of menopause is 52 but it is normal to happen between 45-55. 
  • Postmenopause – Once you have reached menopause, you are postmenopausal for the rest of your life.

Am I a Candidate for Menopause Hormone Therapy (MHT)?

If you’re over the age of 40 or surgically menopausal before 40 and are looking for relief from disruptive menopausal symptoms, MHT may be a good option. The ideal candidate for MHT has menopause-related symptoms and is perimenopausal to 10 years postmenopause without conditions that would make hormone therapy unsafe.

If you are 65 or older, the CentraCare Menopause program will not prescribe MHT. If you are 65 or older and already on MHT, the CentraCare Menopause program would be able to help you manage your therapy.

Are There Other Treatments If I’m Not a Candidate for MHT?

While MHT can be effective for many menopause-related symptoms, women can still live their best menopause life in the absence of MHT. Some may not choose MHT, others may not be good candidates. Other medications and strategies can be used to treat symptoms and optimize general health. For women who have genital and urinary symptoms related to menopause, vaginal hormone therapy is available to anyone without contraindications or age limits.

Is It Menopause or Something Else?

If you are still in your 30s, we recommend working with your primary care provider to evaluate other causes of new symptoms you might be experiencing before attributing them to perimenopause. Perimenopause and menopause symptoms are different from long-term chronic symptoms. Typically, the symptoms related to perimenopause and menopause are new. If you are experiencing long-term symptoms before the age of 35, it may not be perimenopause and working with your primary care provider is recommended.  


Menopause Is an Evolution

Joni Zehm-Steffens, CNM, is a certified menopause provider with extensive experience in women's health. She provides insights into the signs of menopause, its potential symptoms and available treatments, including menopause hormone therapy (MHT).

Watch Joni's video to hear her advice for women looking for reliable information during this changing stage of life.

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