This article was clinically reviewed by Haley C., FNP.
Menopause and perimenopause are natural events, but can be overwhelming experiences for some, and ones that are not talked about nearly enough. For those of us in LGBTQIA+ community, managing menopause can bring additional challenges. This might include reconciling the effects of hormone therapy or needing care that is sensitive to your gender identity or sexual orientation.
If you’re a lesbian, a bisexual or queer woman, or a gender queer or nonbinary person, you might not have had the best healthcare experiences to date. We’re here to change that. Whether you're navigating perimenopause, experiencing menopause symptoms for the first time, or looking for supportive healthcare options to manage ongoing needs, FOLX is here to offer the affirming care you deserve.
Our LGBTQIA+ specialized clinicians, including our Menopause Society Certified Practitioners, are dedicated to helping you manage perimenopause and menopause with care that is tailored to you, without judgment. From virtual appointments and hormone therapy to a wealth of resources and a vibrant Community Platform, FOLX is here to support your journey.
What are Perimenopause and Menopause?
Perimenopause and menopause are key phases of hormonal transition related to aging that bring about distinct changes in your body. Perimenopause often begins in your 40s, while menopause typically occurs between ages 45 and 55.
Understanding Perimenopause vs. Menopause
- Perimenopause is the transition leading up to menopause. It involves fluctuating hormone levels, often resulting in unpredictable symptoms. This stage can last several years and is characterized by irregular periods, hot flashes, mood swings, and changes in sexual health.
- Menopause is defined as the point when you have not had a menstrual period for 12 consecutive months. It marks the end of reproductive cycles and is associated with symptoms such as hot flashes, night sweats, irritability and mood changes, sleep problems, vaginal dryness and cognitive effects like difficulties concentrating and "brain fog."
Symptoms You May Experience
Many symptoms overlap between perimenopause and menopause, but they may present differently:
- Irregular Periods: During perimenopause, you might notice changes in cycle length, flow, or frequency, whereas menopause means menstrual periods have ceased entirely.
- Hot Flashes and Night Sweats: Both stages involve hot flashes, but during perimenopause, they tend to be more unpredictable.
- Mood Swings: Fluctuating hormone levels during perimenopause can lead to increased irritability or anxiety, while menopause may bring longer-lasting mood changes.
- Cognitive Effects: Both phases can bring on a feeling of "brain fog" or difficulties with memory and concentration.
- Sleep Disruptions: Fluctuating hormone levels, especially during perimenopause, can lead to sleep difficulties.
- Changes in Sexual Health: Both stages can result in vaginal dryness, decreased libido, or discomfort during sex, which can be especially challenging without inclusive and affirming care.
- Physical Changes: Unexplained weight gain, especially around the abdomen, and changes in skin elasticity or hair growth.
How FOLX Clinicians Can Help Manage Perimenopause and Menopause
FOLX clinicians take a personalized approach to your care, recognizing that both perimenopause and menopause require thoughtful, tailored support. We also understand the nuances of queer and gender diverse experiences with menopause and are committed to providing care that respects your identity. Whether you're experiencing natural menopause or menopause as a result of hormone therapy or surgery, we ensure that your care plan is comprehensive and affirming.
Treatment options include:
- Hormone Therapy: We offer hormone replacement therapy (HRT) to alleviate symptoms such as hot flashes and mood changes. This includes options like combined oral contraceptives, estradiol, progesterone, and local vaginal estrogen during perimenopause, and HRT for menopause-related symptoms. Testosterone therapy can also be used for symptoms of low-libido during perimenopause. And some people use menopause as a time to explore a broader gender transition for themselves. Your FOLX clinician can discuss your goals and treatment options to provide a well-rounded plan.
- Non-Hormonal Treatments: If hormone therapy isn’t right for you, we offer non-hormonal medications to manage symptoms such as hot flashes or vaginal dryness. There are multiple medication options to help treat menopause symptoms if hormone therapy is not right for you. Your FOLX clinician can discuss all of your options to help you choose the right treatment for you.
- Lifestyle and Nutritional Guidance: Nutrition, exercise, sleep, and stress management can significantly improve quality of life during both perimenopause and menopause. Our clinicians work with you to create a comprehensive lifestyle plan that fits your needs.
- Mental Health Support: Whether it's perimenopause or menopause, mood changes can be tough. FOLX offers treatment options for anxiety, depression, and insomnia, along with therapy and referrals to LGBTQIA+-inclusive mental health professionals.
- Community Resources: As a FOLX member, you gain access to our Community Platform, where you can connect with others experiencing similar transitions, share insights, and find support.
By integrating care that acknowledges the unique aspects of perimenopause, FOLX ensures you receive the comprehensive, affirming support you need during this crucial life stage. Not only cis-women experience perimenopause and menopause symptoms and we are here for you!
How to Prepare for Your Perimenopause or Menopause Visit with FOLX
To get the most out of your virtual visit, consider tracking your symptoms in advance. Pay attention to patterns in hot flashes, night sweats, mood shifts, or any changes in your sexual health. If you're already using hormone therapy, keeping a journal of how you're feeling can help your clinician make necessary adjustments to your dosage or medications.
Additionally, have a list of your current medications and any supplements you’re taking. It is also helpful to list the treatments you have already tried to help your symptoms. This helps your FOLX clinician provide the most informed and holistic care possible.
FOLX's Unique Approach to Perimenopause and Menopause Care
At FOLX, we are committed to empowering you in your healthcare journey. Our clinicians do more than just prescribe medications—they provide a safe space to discuss how menopause is affecting you physically, mentally, and emotionally. And unlike traditional healthcare providers, we tailor our services specifically to the needs of LGBTQIA+ people, so you can expect affirming care that centers you as an individual.
This care may also include ordering recommended screenings and lab tests recommended during this stage of life. This may include mammograms (regular mammograms are required to receive MHT at FOLX), metabolic screening, dexa scans, thyroid screening and other primary care needs.
Beyond clinical care, you also gain access to a supportive community. Our Community Platform connects you with others going through menopause, offering a space to share stories, resources, and encouragement.
Frequently Asked Questions
Can FOLX clinicians prescribe hormone therapy for menopause?
Yes, FOLX clinicians can prescribe hormone replacement therapy (HRT) to help alleviate perimenopause and menopause symptoms.
What if I’m already on hormone therapy?
FOLX clinicians can adjust your existing hormone therapy to better suit your needs during menopause. We're here to ensure that your treatment remains effective and supportive of your overall well-being.
Is there a community aspect to menopause care at FOLX?
Absolutely! FOLX offers a Community Platform where you can connect with other members, share experiences, and access additional resources tailored to your journey through menopause.
Are hormone labs required or recommended during menopause?
No. Hormone labs are not required or recommended for the treatment of menopause. Professional organizations recommend the treatment of menopause based on the symptoms, as the hormone levels fluctuate greatly throughout the month and low levels are not required to treat symptoms.
Does estrogen cause cancer?
Menopausal hormone therapy does slightly increase the risk of breast cancer. This is why FOLX requires regular mammograms for breast cancer screening. There are also non-hormonal medications to help treat menopause symptoms for those you cannot have hormone therapy due to personal risk for breast cancer.
What types of hormone therapy do you offer at Folx?
FOLX can prescribe menopausal estrogen hormone therapy in the form of a patch, cream, vaginal cream, or oral tablet. Progesterone is prescribed orally or vaginally. Testosterone can be in the form of injections, gels, or cream
In summary
Navigating menopause can be a complex experience, but you don’t have to do it alone. At FOLX, we’re committed to providing the care, resources, and community you need to manage menopause on your own terms, in a way that affirms your identity and your unique health needs. Sign up for FOLX today and let us support you through this next chapter of your life.
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FOLX Health is the first digital healthcare company designed by and for the LGBTQIA+ community. Our services include primary care, gender-affirming hormone therapy including estrogen and testosterone (HRT), mental health care, sexual and reproductive health care, and fertility consultations. FOLX memberships give you access to LGBTQIA+ expert clinicians, peer support, thousands of LGBTQIA+ resources, and more. Whether you’re lesbian, gay, bisexual, transgender, queer, gender non-conforming, nonbinary, or another identity, you can find LGBTQ-specialized health care that helps you meet your wellness goals. Get all the benefits of becoming a FOLX member and sign up today!
