Menopause and Midlife Health

Menopause is a natural part of life, but struggling through it shouldn’t have to be. If your symptoms are getting in the way of sleep, work, relationships or how you feel in your body, you deserve real answers. At the Providence Swedish Women's Health Institute, we have the expertise to help, offering personalized treatments and whole-body support.

Care Built Around Midlife

We offer compassionate support during every part of your midlife health – from managing perimenopause symptoms to new health risks that can occur after menopause.

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Perimenopause

Perimenopause often starts in your 40s when your hormone levels begin to shift. In addition to irregular periods, you may have physical and mental changes like night sweats and trouble concentrating.

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Menopause

Menopause occurs when a woman hasn’t menstruated for a year. While some symptoms improve, others may continue for years more. During post-menopause, women can experience an increase in long-term health risks.

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Telemenopause

Get expert menopausal care from home. Connect with a specialist virtually, without taking time off work or driving across town, for patients across Washington and several additional states.

5 Things to Know About Perimenopause

Learn five ways to navigate perimenopause with confidence, straight from the specialists at the Providence Swedish Women’s Health Institute.

Find Care That's Close to You

Choosing the Right Menopause Care

Finding the right menopause care starts with understanding your symptoms, your health history and your goals. Whether you're just starting to notice changes or have been managing symptoms for years, our team of specialists, OB/GYNs, midwives, advanced registered nurse practitioners and family medicine clinicians will meet you where you are and helps you decide what comes next.

Menopausal symptoms vary widely, and so do the options for managing them. Treatment may include medications like antidepressants, clonidine or gabapentin, and even plant-based supplements like soy or flaxseed. Vaginal estrogen creams may improve dryness and discomfort during intercourse.

You also can talk to your doctor about whether hormone replacement therapy (HRT) is a good treatment option for you based on your health history. Your care plan is built around your personal health history, your preferences and what's working – never a one-size-fits-all protocol.

The hormonal changes you experience during perimenopause affect your whole self, including your heart, bones, metabolism and mood. Our team helps you stay ahead of those changes with monitoring, screening and lifestyle guidance tailored to where you are in your midlife journey. We also connect you with specialists across the Women's Institute, including heart, bone and behavioral health, so your long-term wellbeing is supported, not just your symptoms.

Our menopause and midlife specialists bring more than clinical training; they bring personal investment. Our experts span a range of ages and experiences, which means you're likely to find someone who understands where you are – clinically and personally. Many of our specialists have pursued additional education in areas like hormonal management and complex gynecologic care. And because we've built a team that takes menopause seriously, patients often tell us they feel heard in a way they haven't before.

Mood changes, anxiety, irritability and what many patients call "brain fog" are real symptoms of hormonal shifts. Depression can also emerge or worsen during perimenopause and menopause. Many women are surprised to learn that what they're experiencing has a name – and a treatment.

We screen for these changes as part of your care and connect you with behavioral health support when needed. You don't have to manage these changes alone, and you don't have to wait until they become severe to ask for help.

Providers Specializing in Menopause and Midlife Health

At Swedish, you'll have access to a vast network of dedicated and compassionate providers who offer personalized care by focusing on treatment, prevention and health education.

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Menopause and Midlife Care Resources

Your wellbeing goes beyond any single appointment. Explore additional resources and services designed to support the whole you throughout your midlife.

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Physical Therapy

Non-surgical support for pelvic floor changes common during menopause.

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Gynecologic Care

Expert gynecologic care built around your needs, from annual exams to complex conditions.

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Behavioral Health

Support for mood changes, anxiety and emotional shifts that can come with menopause.