Partnering with The Menopause Society

Menopause

Get answers and treatments for a variety of perimenopause and menopause symptoms from OBGYNs certified by The Menopause Society.

Locations

10 easy-to-access Twin Cities locations

Physicians

Choose from 65+ board-certified OBGYNs and APPs

Personalized medicine

Explore Menopause

Ensure support for one of the biggest challenges and puzzles facing women over 40. Hot flashes, mood changes, sleeplessness, dryness, and just not feeling like yourself are common, but no two experiences are exactly alike. Bone, heart, bladder, pelvic floor, mental, sexual, vaginal health can all be impacted if left untreated. 

Menopause treatment requires a personalized and comprehensive approach based on your history, risk factors, and conditions.

When menopause starts before age 40, it’s called premature menopause. It may occur naturally or as a result of medical treatments, such as chemotherapy or surgery. Alongside fertility concerns, it can bring early symptoms like hot flashes or mood changes. Care includes hormone support, fertility guidance, and emotional reassurance through a complex, often unexpected transition.
Perimenopause begins years before menopause, and symptoms can show up long before your periods stop. You might notice irregular cycles, night sweats, or mood shifts. Managing this stage involves tracking changes, balancing hormones as needed, and helping you feel less overwhelmed by the slow, steady shifts occurring in your body.
Menopause is a new chapter, not the end of one. Hot flashes, dryness, and sleep disruptions are common but manageable. Whether you choose hormone therapy, lifestyle shifts, or natural options, the goal is feeling steady and strong through every change — physically, emotionally, and long-term.

Cancer treatment may bring menopause on earlier or intensify symptoms. If you’re in treatment, remission, or recovery, your needs shift. Care includes managing side effects, monitoring hormone-sensitive symptoms, and ensuring long-term wellness, with sensitivity and a plan tailored to your experience.

Estrogen plays a key role in protecting your bones. As levels drop, the risk for osteoporosis increases. Bone health care includes screening (like DEXA scans), diet support, movement strategies, and sometimes medication — all aimed at helping you stay active and independent as you age.

Post-menopause, breast tissue changes become less dense but still need regular monitoring. Care includes mammograms, self-exam guidance, and attention to any new changes. Especially if you’re using hormone therapy, staying current with screenings helps detect concerns early and maintain long-term breast wellness.

Leaks, urgency, and recurring UTIs are common after menopause due to thinning tissues and pelvic floor shifts. But they’re not “just part of aging.” Bladder care includes pelvic therapy, estrogen creams, or behavioral strategies, helping you feel more in control and less disrupted by symptoms.

Heart disease risk rises after menopause. Estrogen once protected your vessels — now, blood pressure and cholesterol deserve more attention. Heart care includes lab checks, lifestyle support, and early prevention strategies, all designed to help your heart stay strong through every stage of aging.

Hormone therapy can ease hot flashes, night sweats, and vaginal dryness. It’s not right for everyone, but for many, it offers significant relief. Your provider will help weigh the risks and benefits and choose a treatment plan that supports your comfort, safety, and peace of mind.

Sudden warmth, sweating, and flushed skin — hot flashes are one of the most recognizable menopause symptoms. Some last seconds, others minutes. Triggers include stress, alcohol, or spicy foods. Relief may come from hormone therapy, lifestyle changes, or non-hormonal medications, chosen based on your comfort and needs.

Mood changes, irritability, and brain fog may surface or intensify during menopause. It’s not “just in your head” — your brain feels hormonal shifts, too. Support includes talk therapy, medication when needed, and understanding that mental health is a vital part of the menopause experience.

You may notice changes in your body, from weight gain in the belly to a slower metabolism. This is hormonal, not just behavioral. Metabolic support includes lab tests, nutritional adjustments, and activity plans focused on strength and energy, helping you adapt without shame or frustration.

Menopause can impact your relationships, work, and sense of identity. Social wellness encompasses being seen and supported, whether through conversation, community engagement, or counseling. Your experience is valid, and you’re not meant to navigate it alone.

Insomnia, night sweats, or anxiety can interrupt deep rest. Menopause sleep care involves exploring bedtime routines, sleep hygiene, and potential treatments such as melatonin or hormone therapy. Sleep is a building block of wellness that deserves as much care as anything else.

Desire, comfort, and confidence may shift with hormonal changes. That doesn’t mean intimacy is over, but your body may need more time, care, or communication. From vaginal dryness to low libido, sexual wellness includes options like estrogen therapy, lubricants, or simply having a safe place to talk.

After menopause, less estrogen can lead to dryness, irritation, or changes in discharge. Local treatments, such as estrogen creams or vaginal moisturizers, can help restore balance and comfort. We can help you decide what works best, based on your symptoms and lifestyle.

Postmenopausal bleeding, cramping, or unusual discharge should be checked promptly. Uterine care includes regular pelvic exams, imaging, and biopsies if needed. Most issues are treatable when caught early, and this care protects your health, even after your period ends.

Even after menopause, ovaries can develop cysts or tumors. Symptoms like bloating, pelvic pain, or irregular bleeding warrant attention. Regular check-ins help track changes and catch concerns early. Even if your ovaries are less active, they still need monitoring, especially with a family history of reproductive cancers.

I am lucky to have Dr. Ormsby. She really does care and listen to me! She has been very kind and supportive to me over the years and remembers me and all that is going on in my life. We work together to better my health. Very refreshing to be honest.

~ Andrea

A different kind of care

Get to Know Almara

Almara Women’s Health is an independent practice that is owned and operated by physicians. This gives us the ability to build a more comprehensive and personalized health care delivery system specifically around the needs of women. Learn more about how to get a personalized, evidence-based, and comprehensive approach for your life and longevity. 

The practical science women need

Get to Know You

Get answers

Menopause FAQs

What is menopause?

Menopause is a natural stage of life. It’s defined as missing a period for 12 consecutive months and occurs at 51.

Menopause comes on gradually over time, starting in your late 30s and 40s in a phase called perimenopause. In this phase, the amount of estrogen in your body begins to decline, often causing a host of uncomfortable side effects, although this varies.

Menopause is an excellent time for a health checkup at Almara. They’ll evaluate your symptoms and recommend appropriate screening tests and discuss options for treatment

Initially, you may see changes in your periods. They may become more frequent, less frequent, lighter, or heavier, until they stop. 

As your estrogen levels decline in the years leading to menopause, you may experience a range of symptoms, including, but not limited to:

  • Hot flashes
  • Night sweats
  • Mood swings 
  • Vaginal dryness
  • Brain fog
  • Trouble sleeping

     

It’s important to note that menopause is an individual experience. No two women experience the same symptoms. Some women don’t suffer from menopausal symptoms, while others do.

What are the health risks of menopause?

The decline in your estrogen levels may increase your risk of heart disease and osteoporosis, among other conditions. You may lose bone more quickly in the initial years after menopause. This accelerated process of bone loss can increase your risk of osteoporosis, which makes you more susceptible to broken bones.

Visit your provider at Almara if you notice menopausal symptoms or if you have questions about the changes you’ve seen in your body or emotional state.

 

Your provider will discuss how a healthy, active lifestyle may smooth your transition to menopause and may recommend vitamins or supplements to prevent bone loss. 

 

You and your provider may explore hormonal and nonhormonal therapies to help relieve menopause symptoms. Therapy is individualized based on your personal history, risk factors, and preferences.

The practice of Almara is here to help you navigate this normal life change. Call the office to discuss your menopausal symptoms.

Join Our Newsletter