What we treat
Treatment as unique as you are
You may not be a candidate for hormone replacement therapy, but that doesn't mean you can't find relief for symptoms like hot flashes and vaginal dryness. Midi offers a wide range of alternatives and guides you toward a personalized combination that will work for you.
At risk for cancer?
We're here for you.
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Dr. Mindy goldman
Follow-up visit
Discuss how your plan is going
Our care is led by world class experts
Midi's Chief Clinical Officer, Dr. Mindy Goldman, is a nationally recognized expert in the menopause symptoms cancer survivors experience. She designed our holistic approach to treatment and oversees our care for cancer survivors and at-risk women.
Midi
Cheri Barzottini, NP
Guidance rooted in science
We partner with you and your cancer team to find the most effective treatment that follows the guidelines of all major cancer organizations.
Support when you need it
You didn't beat cancer just to get sidelined by menopause symptoms. Wherever you are in your cancer journey, and whatever your diagnosis, we can help.
MIDI IS HELPING SURVIVORS THRIVE
“My perimenopausal and post-breast cancer issues are well under control thanks to Midi's personalized approach and availability of leaders in the field of women's health. Thank you, Midi and Dr. Goldman!”
Through Midi, I was able to get guidance from an expert in menopause and cancer survivorship. Dr. Goldman provided me with advice, education and a plan that was tailored specifically for my complex needs. We discussed genetics, my treatment plan for osteopenia and alternatives for optimal sexual health, among other things. It was such a relief to feel understood and supported, all without leaving home.”
Meet Midi's clinical leaders
Our protocols are defined by our Midi medical advisors, doctors with decades of experience in women’s midlife health.
DR. MINDY GOLDMAN
MIDI CHIEF CLINICAL OFFICER AND CLINICAL PROFESSOR, DEPARTMENT OF OB/GYN AND REPRODUCTIVE SCIENCES AT UCSF
Dr. Don Dizon
Director of Medical Oncology at Rhode Island Hospital
Dr. Heather HIRSCH
midi chief of clinical quality
DR. sheila bouldin
professor of OB/GYN and director of the Women’s Health Division at the University of Mississippi Medical Center
DR. PAULINE MAKI
Professor of Psychiatry, Psychology and OB/GYN at University of Illinois Chicago
TORI HUDSON, N.d.
professor and former medical director at national university of natural medicine
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Dr. Lauren Greenberg
board-certified plastic surgeon
Dr. Robert Aptekar
President, Integrative Women’s Care
Ready to feel better?
Frequently asked questions
Why can some cancer treatments bring on menopause symptoms?
It comes down to hormones, and specifically, a major drop in estrogen that can happen when your cancer treatment involves:
- Surgery to remove your ovaries, where most of the body’s estrogen is made
- Anti-estrogen hormone therapies, including Tamoxifen and aromatase inhibitors like Letrozole
- Chemotherapy, which shuts down your ovaries, sometimes permanently
- All these treatments help you beat breast cancer but they also impact estrogen levels, and can cause some of the same symptoms natural menopause does, but even faster.
What are hot flashes and how do you treat them?
Hot flashes are a common side effect of some cancer treatments, and they can be very uncomfortable. Estrogen helps your brain regulate body temperature, so a quick drop throws off your inner thermostat and results in that burning-up feeling that can wake you out of a sound sleep.
So, how do we make hot flashes better without increasing your cancer risk? We start with basic but powerful lifestyle changes such as quitting smoking, and reducing triggers such as caffeine, alcohol, and spicy foods.
From there Midi works with you to determine the best option for your body, which can range from simple integrative therapies to non-hormonal prescription medications that contain zero estrogen.
I’m experiencing vaginal symptoms. Is this something Midi can treat?
Yes! Vaginal dryness and irritation are among the most common symptoms reported and they’re very treatable.
Solutions may include vaginal moisturizers, gels, and soothing agents, as well as topical estrogen for certain patients.
What are some alternatives to hormone replacement therapy?
HRT isn’t the only treatment out there. Midi individualizes your Care Plan based on your symptoms and health history, tapping a wide range of solutions.
We’ll look at all the options and only recommend treatments that help symptoms without increasing cancer risk. For many breast cancer survivors, that means a Care Plan that doesn’t involve hormones. For others, certain kinds of hormones are safe. Other approaches include lifestyle coaching and integrative therapies, non-hormonal prescription medications, and supplements and botanical remedies. Your Midi clinician will talk through the options and partner with you on a Care Plan. We’ll work the problem together, until you feel better.
Will I ever want to have sex again?
It's completely normal to experience lack of desire during and after cancer treatment, and also very possible to regain a satisfying sex life. We look at all the contributing factors to low libido, from medications to pain, insomnia, and body image changes. Together, we'll come up with a mind-body approach to help you get your sex drive back to a place that feels good.