The sleep-hormone connection
Common sleep disruptors:
Powerful, personalized treatment
Your treatment may include:
MIDI IS CHANGING WOMEN'S LIVES
How it works
In midlife, your body changes. Your care should, too
What are you experiencing?
Select all of your symptoms.
Cheri Barzottini, NP
Dr. Mindy goldman
Follow-up visit
Discuss how your plan is going
Designed to be better for midlife, in every way
Traditional
Healthcare
All clinicians trained in perimenopause & menopause care
Protocols designed by experts in menopause
Care coordinator assigned to every patient
Integrative approach to medicine
No waitlists for treatment
24/7 access to guidance & support
Flexible follow-ups & adjustments, until you feel better
Service offering
With 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
Care coordination
Have questions about insurance, scheduling, anything? We’re here for you. Call or email us and we’ll jump in to help.
Free
Free
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
Why does sleep suffer during menopause?
Before menopause, estrogen and progesterone provide sleep-boosting benefits. Estrogen plays a role in the sleep-wake cycle and helps keep body temperature low at night while progesterone, a “relaxing” hormone, has a mild sedative effect. When these hormone levels drop during menopause, women may experience trouble sleeping. In fact, 71% of Midi patients have sleep complaints.
Additional factors may affect sleep during menopause. These include: other menopause symptoms you’re experiencing (hot flashes, night sweats, joint pain, body aches, and frequent nighttime urination); sleep disorders (insomnia, restless leg syndrome, and sleep apnea); mood disorders (such as anxiety and depression); normal midlife stressors; and certain medications (like some blood pressure meds, cold and allergy decongestants, pain medications, mood and anxiety meds).
If you’re experiencing sleep disruptions in midlife, a Midi clinician can prescribe a treatment plan to help you get the sleep you need and deserve.
Which sleep disorders are common during menopause?
Common sleep disorders during menopause include:
Insomnia: People with insomnia have difficulty falling asleep at least 3 nights a week for 3+ months. Those with sleep maintenance insomnia have difficulty going back to sleep after awakening.
Restless leg syndrome: You may feel the urge to move your legs and experience an uncomfortable sensation in legs (such as creeping, tingling, burning, itching).
Sleep apnea: Sleep apnea is characterized by breathing interruptions while sleeping (snoring, snorting, and gasping). These interrupt sleep, which causes daytime fatigue. The risk of sleep apnea increases during menopause, and hormones may play a role.
How does Midi treat insomnia and sleep trouble?
Your Midi clinician will take your symptoms and health history into account when treating insomnia and sleep trouble. Your Care Plan may include:
- Evidence-based supplements (including melatonin, lavender, and cortisol managers)
- Hormonal medications (HRT)Hon-hormonal medications (like low doses of gabapentin)
- Lifestyle coaching, and wellness therapies (such as cognitive behavioral therapies).
Traditional sleeping pills may have side effects and can be habit-forming, which is why Midi uses them as a last resort.
What are the benefits of getting good-quality sleep?
Getting enough sleep is important at any age, but especially during midlife (the recommended amount is seven to nine hours of sleep a night). Poor sleep is associated with increased risk of coronary heart disease, osteoporosis, and decreased cognitive function. Plus, a lack of sleep can worsen other menopause symptoms—hot flashes, brain fog, moodiness and weight gain, for starters.