# Perimenopause & Menopause

Comprehensive perimenopause and menopause care, to help you feel your best in every stage of life. Available both in person and online.

**Open to anyone, not just Millie maternity patients.**

MOST MAJOR INSURANCE PLANS ACCEPTED, INCLUDING some MEDICAID

## The Phases of Menopause

### Perimenopause

The transitional period before menopause when hormone levels fluctuate, leading to irregular menstrual cycles

**Average age**: Late-30s to Mid-50s

**Common Symptoms**:  
Hot flashes • Night sweats • Irregular periods • Mood changes • Brain fog • Vaginal dryness • Sleep issues • Changes in libido

### Menopause

Defined as no menstrual period for 12 months

**Average age**: 51 years old

**Common Symptoms**:  
Hot flashes • Night sweats • Vaginal dryness • Urinary changes • Sleep issues • Mood changes • Brain fog • Changes in libido

### Post menopause

The time from menopause through the end of life

**Average age**: 51 years old and later

**Common Symptoms**:  
Vaginal dryness • Urinary symptoms • Increased risk of osteoporosis • Increased risk of heart disease • Changes in libido

## Expert Care, Grounded in Science

From postpartum to menopause, our team incorporates the full range of proven, evidence-based therapies into your individualized care plan. Treatments include:

- Hormone Therapy  
- Non-Hormonal Medications  
- Vaginal Treatments  
- Lifestyle & Behavioral Interventions  
- Supplemental & Integrative Approaches

Get personalized, expert care.

## Why get _perimenopause & menopause care_ at Millie?

Because your symptoms are real and they matter.

Perimenopause and menopause symptoms can impact nearly every aspect of health. At Millie, we recognize these changes and provide evidence-based care tailored to your body, to help you feel better now and protect your long-term health.

Because you deserve to feel well, through every stage of life.

At Millie we understand the full spectrum of hormonal health — from changes that affect conception, pregnancy, and postpartum, through perimenopause and menopause. We are with you, through all of it.

Because we approach your health holistically.

At Millie, you’re treated as a whole person, not just a set of symptoms. We take the time to understand your unique medical history and consider your mental and emotional health. We offer both in-person and virtual care, to comprehensively assess and treat each patient.

## Get the expert care _you deserve_

## Perimenopause & Menopause FAQ

Need more help?

When should I seek perimenopause and menopause treatment?

It's a good time to seek care if symptoms such as hot flashes, night sweats, sleep disruption, or mood changes are interfering with daily life, if perimenopause may be affecting fertility, or if new bleeding occurs after menopause.

Do I need to be a Millie maternity patient to receive perimenopause and menopause care?

No. These services are open to anyone, whether or not they are planning a pregnancy.

What treatments does Millie offer?

A full range of evidence-based treatments including hormone therapy, non-hormonal medications, vaginal treatments, and lifestyle strategies, tailored to each patient's body and long-term health goals.

Will you prescribe hormone therapy?

Yes, when appropriate and safe, after providers review medical history, symptoms, and goals.

Will my appointment be in person or virtual?

Many perimenopause and menopause visits can be done virtually; an in-person visit at the Berkeley or South Bay clinic is scheduled if lab work, imaging, or a physical exam is needed.

Do you take insurance? Which plans?

Millie currently accepts PPO plans from Aetna, Cigna, United Healthcare, Anthem Blue Cross, Blue Shield of California, GEHA (Berkeley), and HealthNet, as well as some local networks. In Berkeley, Millie accepts HMO plans via Brown & Toland (now Altais) and Hill Physicians. In the South Bay, Millie accepts HMO plans via SCCIPA. Millie also accepts some Medi-Cal plans via Alameda Alliance for Health (AAH) and NEMS.