Accepted by most major insurance plans with more on the way.
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It’s not you, it’s your hormones.
Personalized perimenopause treatment
Your Midi treatment may include:
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MIDI IS CHANGING WOMEN'S LIVES
“The year I turned 40, everything began to shift. Brain fog set in, irritability, anxiety, weight gain, no libido. Nothing worked until I found Midi. I’m one month into my regimen and have never felt better!! My clinician gave me back the intimacy in my marriage, the patience I longed for again with my family, and my sanity.”
“After years of suffering from insomnia, my clinician’s understanding of hormones and knowledge of the latest research in safety for bioidentical HRT provided a solution. I am so grateful to her and to MIDI for seeing us women in perimenopause and helping us live healthier, happier lives!”
“I couldn’t get help for my perimenopause symptoms like trouble sleeping. My doctors told me I was too young for hormone therapy, but my Midi clinician actually listened to me. She prescribed HRT in the form of the patch and treatment for my sleep issues. It was a relief to learn there’s a cure for what I’m going through!”
DR. MINDY GOLDMAN
Clinical Professor, Department of Ob/Gyn and Reproductive Sciences at UCSF and Midi Chief Clinical Officer
cancer & survivorship
DR. PAULINE MAKI
Professor of Psychiatry, Psychology and OB/GYN at University of Illinois Chicago
Brain health, mental health, depression, & hormonal health
DR. sheila bouldin
professor of OB/GYN and director of the Women’s Health Division at the University of Mississippi Medical Center
hormone health, obesity & public health
TORI HUDSON, N.d.
professor and former medical director at national university of natural medicine
botanical medicine, & naturopathic remedies
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Dr. Lauren Greenberg
board-certified plastic surgeon
Menopausal hair & skin changes, breast cancer reconstruction
Dr. Don Dizon
Director of Medical Oncology at Rhode Island Hospital
Survivorship & sexual health
Dr. Robert Aptekar
President, Integrative Women’s Care
Bone health, osteoporosis prevention & treatment
Designed to be better in every way
Traditional
Healthcare
All clinicians trained in midlife care
Expertise in hormone replacement therapy
Protocols designed by experts in hormonal change
Midi Clinicians assigned to every patient
24/7 access to guidance & support
Flexible follow-ups & adjustments, until you feel better
How it works
In perimenopause, your body changes. Your care should, too.
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What are you experiencing?
Select all of your symptoms.
Book your virtual visit
Take a few minutes to set up your account, enter insurance, tell us about your symptoms, and choose a time to meet your clinician.
Cheri Barzottini, NP
Meet your Midi clinician
Discuss your symptoms and health history in depth with a nurse practitioner trained in perimenopause and menopause.
Get the tests you need
If bloodwork or imaging can help us personalize your treatment, we’ll send you to a convenient local facility that accepts your insurance
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Dr. Mindy goldman
Follow-up visit
Discuss how your plan is going
Integrate Midi into your health routine
Get all the virtual follow-ups you need to dial your treatment and take preventative steps. We’ll partner with your other doctors, and refer you for in-person treatment when needed.
Transparent pricing
Midi’s care coordinators are available to help you get maximum coverage from your insurance, both for your prescriptions and your Midi visits. If you’re uninsured or Midi care is out of network under your plan, we also offer cash payment for services.
Service offering
Insurance
Self-pay
Initial visit
The Midi Essential Visit gives you ample time for an in-depth conversation.
Only pay standard co-pay and deductible
$250.00
Continued care visits
Follow up visits fine-tune your Care Plan and safeguard your future health.
Only pay standard co-pay and deductible
$120 - $250
depending on visit length and care complexity
Initial visit
The Midi Essential Visit allows time for an in-depth conversation with a trained clinician.
Insurance
Standard co-pay and deductible
Self-pay
$250
Continued care visits
Ongoing visits let us fine-tune your care, address new symptoms, and safeguard your future health.
Insurance
Standard co-pay and deductible
Self-pay
$120 - $250
depending on visit length and care complexity
Frequently asked questions
What is perimenopause?
Perimenopause is defined as the months or years leading up to menopause. During this time, estrogen levels are dropping, but not in a steady way. Instead, they may fluctuate wildly, triggering physical and emotional symptoms.
What is the typical age for perimenopause?
Perimenopause typically starts between 40 and 50, but some women experience it earlier (it in their 30s) or later (in their 50s).
How long does perimenopause last?
The average length is four to six years, but perimenopause can last up to ten years.
How do I know when perimenopause is over?
Once it’s been 12 months since your last menstrual cycle, perimenopause is over and you’ve reached menopause. The average age of menopause is 51.
Can I get pregnant during perimenopause?
Yes, you can still ovulate during perimenopause, so pregnancy is a real possibility. But certain types of hormonal birth control can provide protection and help manage hot flashes and mood swings.
How do I know if it’s perimenopause or PCOS?
Symptoms of polycystic ovary syndrome (PCOS) can be similar to perimenopause. These include irregular or missed periods, mood changes, weight gain, and difficulty sleeping. But PCOS-specific symptoms include acne, facial hair growth, and skin darkening. Your Midi clinician may order blood tests or a pelvic ultrasound to check for PCOS.
Are perimenopause at-home tests reliable?
At-home kits promise to ID if you’ve reached perimenopause. The problem: Hormone levels fluctuate wildly at this stage, so a single test can’t accurately pinpoint your body's overall levels. That’s why Midi doesn’t usually recommend hormone testing. One exception: If you’re having irregular periods during perimenopause, we may test your hormones to see if your ovaries are still functioning.