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CLINICIAN ADVICE

How to Choose a Menopause Clinician

We're not here to gatekeep doctors, but let's be real: not every clinician is equipped to handle menopause care well. Whether you're talking to your current doctor or searching for a new one, here's your FLUXX-approved guide to choosing the right clinician to support you through menopause.

What Does "Clinician" Mean to Us?

We use the word clinician across FLUXX to include doctors (MD/DO), nurse practitioners (NPs), physician associates (PAs), OB/GYNs, and other licensed healthcare professionals who can diagnose, prescribe, and treat patients.

But here's the truth: titles alone don’t guarantee menopause expertise.

So we made this page to help you:

  • Understand who can do what

  • Know what to ask

  • Feel confident advocating for the care you deserve

(See also: [Clinician glossary entry])

What FLUXX Recommends You Look For

We recommend clinicians who:

  • Ask about your symptoms and your goals

  • Know when low-dose vaginal estrogen or transdermal therapy may make sense

  • Explain the why behind each treatment option

  • Offer science-backed advice without shame or judgment

  • Stay current with The Menopause Society guidelines and recent research

  • Are certified by the Menopause Society

(See also: [Hormone Therapy 101], [Take the FLUXX Quiz], [Latest Menopause News]

If You're Starting with Your Current Doctor

You may already have a clinician you like and trust. But many general practitioners, OB/GYNs, and internists don't get more than 1-2 lectures on menopause in their entire training.

If you're wondering whether they can help with your menopause care, try asking:

  • "I'm having symptoms I think are related to perimenopause or menopause. Are you comfortable treating that?"

  • "Can we talk about hormone therapy as an option?"

  • "Do you typically prescribe estrogen or progesterone for patients like me?"

  • "What kinds of menopause training or continuing education have you done?"

  • "Are there any restrictions on what you can prescribe here, or do you refer out?"

Tip: Bring a symptom tracker and your goals (e.g., "I want to sleep better," "I want to understand my hormone options") to make the conversation concrete.

If you feel dismissed or unsure after the conversation, that’s useful data. You’re allowed to ask for a second opinion or look elsewhere.

If You’re Looking for a New Clinician

Whether your current clinician isn’t a fit or you’re starting from scratch, here’s where to begin:

Places to Start:

  • The Menopause Society’s directory: Find a Practitioner

  • Telehealth options: Midi Health, Alloy, Elektra.

  • Word of mouth: Ask friends, Facebook groups, local clinics

What to Look For:

  • Do they list menopause or hormone therapy as a specialty?

  • Are they MSCP- or NCMP-certified? (These are real menopause credentials)

  • Do they offer longer appointment times or upfront questionnaires?

  • Do they treat you like a collaborator in your own care?

What to Ask Before You Book:

  • "Do you see patients for perimenopause or menopause care?"

  • "Do you prescribe hormone therapy, including low-dose vaginal estrogen or transdermal options?"

  • "Are you familiar with The Menopause Society guidelines?"

  • "What’s your general approach to treatment planning?"

Preparing for Your First Appointment

Here’s what to bring:

  • Your FLUXX results and symptom tracker

  • A list of your current medications and supplements

  • Any family history of breast cancer, heart disease, clots, or early menopause

  • Your top 3 questions or concerns (written down, because brain fog is real)

  • A notebook or phone for taking notes

Optional but encouraged:

  • A support person

  • A printout of questions like the ones above

  • A clear goal: "I want to understand whether HT is right for me" or "I want help managing sleep and mood swings"

What to Do If They Say No

If a clinician dismisses your symptoms or says no to treatment. 

  • Ask if there’s a menopause specialist they recommend

  • Thank them, and move on

You deserve informed, evidence-based care. Keep going. We’ll help.

(See also: [How to Talk to Your Doctor], [What If They Say No?], [Find a Menopause Clinician])

A Note on Hormone Access by State

Some states restrict what nurse practitioners (NPs) or physician associates (PAs) can prescribe without physician oversight. These laws vary.

We’re working on a 50-state resource that outlines:

  • Prescribing authority

  • Insurance coverage quirks

  • Recent legislative updates

Until then, we recommend checking your state licensing board or using a telehealth service that operates nationally.

(See also: [Coming Soon: Hormone Access by State])

A Note on Menopause Training

There is no universal certification required to treat menopause. That’s why we care about:

  • Menopause Society certification (MSCP or NCMP)

  • Continuing education credits specific to menopause

  • Published or public menopause work (talks, articles, videos)

  • Transparent communication with patients

Anyone can say they treat menopause. Not everyone should.

TL;DR

Choosing a menopause clinician is personal. Your needs, symptoms, health history, and values should guide your choice.

  • FLUXX recommends:

  • Start with your current doctor if you trust them—but ask clear questions

  • Don’t hesitate to shop around

  • Look for someone who listens, explains, and stays current

  • Bring your own goals, symptom list, and questions to appointments

  • If they dismiss you, keep going. The right clinician is out there

You’re not being difficult. You’re advocating for your health. FLUXX is here to back you up.

Find your phase

Want help preparing your questions? Find your phase.

Explore hormone therapy options

We have them listed and explained.

Meet our clinicians

We have a network of trusted clinicians. Find the right one for you.

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