trouble sleeping
Weight gain
hot flashes
brain fog
painful sex
moodiness

What we treat

Moodiness, anxiety + depression

Ups and downs in mental wellbeing—even drastic ones—are a natural part of hormonal change. We’ll help you regain control, and feel like yourself again.

treatment options can include:

Hormones: oral contraceptives
Prescriptions: SSRIs and SNRIs
Supplements: ashwaganda
Lifestyle: cognitive behavior therapy

Weight + body changes

Shifting hormones can cause you to gain weight, add belly fat, lose muscle tone, or (sorry!) all three. We’ll work with you on solutions, which range from lifestyle tweaks to prescription medication.

treatment options can include:

Prescriptions: ​​Metformin
Supplements: review evidence for options like green tea
Lifestyle: muscle-building activity at least 2x/week

Hot flashes + night sweats

Dealing with hot flashes that come out of nowhere and night sweats that wreck your sleep? We’ll work with you to find the right evidence-based solutions—from prescription meds to supplements and lifestyle hacks.

treatment options can include:

Hormones: estrogen
Prescriptions: Gabapentin
Supplements: black cohosh
Lifestyle: acupuncture

Trouble sleeping

A full 61% of women of report difficulty sleeping during the menopause transition. Maybe you struggle to fall asleep, or find yourself wide awake in the middle of the night. Your energy might be low, even after a solid eight hours. Let's solve your sleep mystery and get you the rest you deserve.

treatment options can include:

Hormones: menopausal hormone therapy
Prescriptions: low doses of Gabapentin
Supplements: melatonin
Lifestyle: avoiding caffeine in late afternoon

Period problems

At midlife, your periods may get more frequent, or less, or wildly unpredictable. Your flow might be heavy or light, clumpy or spotty.  Tell us all about it so we can stabilize your cycle (and save your sanity).

treatment options can include:

Hormones: progestin IUDs
Supplements: Slow Flow
Lifestyle: period tracking

Painful sex, vaginal dryness + libido change

Half of menopausal women experience painful sex and vaginal dryness, which often go hand in hand with low libido. Yet this is one of the most treatable symptoms of hormone change. We’ll work with you to make it better.

treatment options can include:

Hormones: vaginal estrogen cream
Prescriptions: testosterone
Supplements: water-soluble lubricants
Lifestyle: vaginal dilators

Brain fog + memory lapses

Words and names—not to mention keys and phones—go missing. Focus is a challenge. Women often panic about early Alzheimer's at midlife, but hormone change is the likely culprit. Research-backed solutions can help to clear your mind.

treatment options can include:

Hormones: menopausal hormone therapy
Supplements: adaptogenic herbs
Lifestyle: activities / games to keep the mind active

Hair + skin changes

Estrogen plays a significant role in the health of your hair and skin, so when it declines during the menopausal transition, you may see the aging process pick up speed. Changing your care routines, as well as medications and supplements, can help.

treatment options can include:

Hormones: hormone creams for skincare
Prescriptions: retinol creams
Supplements: peptides
Lifestyle: keeping skin hydrated

Joint pain, bone loss + fracture risk

On average, women lose up to 10% of their bone mass in the first five years after menopause. Testing and preventative treatment can help you reverse that, and protect your long term bone health.

treatment options can include:

Hormones: menopausal hormone therapy
Prescriptions: Dexa scan screening
Supplements: vitamin D
Lifestyle: weight-bearing exercises

Breast + gynecological cancer effects

Many therapies that help women beat breast cancer also impact estrogen levels, causing some of the same symptoms natural menopause does, but faster. The good news: every one of them can be improved with treatment.

treatment options can include:

Hormones: Tamoxifen can lower risk for breast cancer for some women
Prescriptions: genetic screening
Supplements: L-theanine
Lifestyle: diet focused on plant based proteins
Treatment starts with testing
To truly understand how your body is weathering midlife, Midi goes deeper, ordering blood tests and imaging as needed. The results help us precisely dial your treatment and recommend preventative steps to keep you healthy for the long haul. To make it easy, our Care Coordinators can direct you to a local lab.
Our treatments
In addition to lifestyle coaching, Midi offers evidence-based solutions ranging from prescription meds to botanical remedies.
Hormonal prescriptions

FDA-approved for the treatment of symptoms of hormone transition

Natural and bioidentical (chemically and biologically similar to what your body produces naturally)

Prescribed in the form that’s right for you (patches, pills, vaginal rings, topical creams and gels)

Non-hormonal
prescriptions
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Safe for women who shouldn’t use hormones, or prefer to avoid them

Used for hot flashes, mood problems, libido, weight management, and more

Supplements
+ botanicals
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Evidence-based and curated by Midi’s team of expert physicians

Third-party tested to ensure quality and purity

How to get your treatments
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Hormonal prescriptions
Enjoy the time savings and convenience of receiving your recommended supplements, hand-selected by our clinicians, shipped to your home.
Yellow circle with plus sign iinside
Hormonal prescriptions
Enjoy the time savings and convenience of receiving your recommended supplements, hand-selected by our clinicians, shipped to your home.
Hormonal prescriptions

FDA-approved for the treatment of symptoms of hormone transition

Natural and bioidentical (chemically and biologically similar to what your body produces naturally)

Prescribed in the form that’s right for you (patches, pills, vaginal rings, topical creams and gels)

Non-hormonal
solutions
Pill icon

Safe for women who shouldn’t use hormones, or prefer to avoid them

Used for hot flashes, mood problems, libido, weight management, and more

Given in the lowest effective dose to improve your symptoms and help you meet your goals

Supplements
& botanicals
Leaf icon

Evidence-based and curated by Midi’s team of expert physicians

Third-party tested to ensure quality and purity

Personalized to support your unique symptoms and lifestyle

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Your Midi Care Plan

Your experience of hormonal change is unique—your treatments should be too. Your Care Plan may include hormonal and non-hormonal prescription medications, wellness therapies, supplements, and lifestyle coaching.

Joan’s Care Plan

Sleep, Stress, Weight

Notes & Next Steps

You’re experiencing daytime hot flashes, night sweats that disrupt your sleep, and weight changes.  

Our new recommendations: timed eating and daily walks for metabolism; lavender and melatonin for insomnia; and a higher dose of your natural, bioidentical estrogen for hot flashes. We’ll check in next week to see how you’re doing!

Penelope’s Care Plan

Painful sex, low libido

Notes & Next Steps

If it hurts to be touched, it’s natural to have low desire. Let’s address your pain first, with lubricant and vaginal estrogen cream.  

We’re adding Maca to boost libido, but it’s also important to work on the health of your relationship. Date nights are a must! We’ll recommend a sex therapist if needed.

Carole’s Care Plan

Hot flashes, mood changes, family history of breast cancer

Notes & Next Steps

We know your mother was recently diagnosed with breast cancer, and you’re worried about using hormones. We’ll treat your hot flashes and irritability with hormone-free Effexor and L-theanine.

Also try interval cardio and minimize alcohol. Both will make you feel better and lower your breast cancer risk.

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Joan’s Care Plan

Exercise

Increase walking to 4x/week

EstroGel

1 pump daily

Mānuka honey

1 tsp daily

How it works

After 40, your body changes. Your care should, too.

Blue Midi logo
What are you experiencing?

Select all of your symptoms.

Trouble sleeping
Period Problems
Brain fog
Anxiety
Hot flushes
Weight Changes

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.

Blue Midi logo
Cheri Barzottini, NP

Meet your Midi clinician

Discuss your symptoms and health history in depth with a nurse practitioner trained in perimenopause and menopause.

Hormone levels: FSH, E2, AMH, testosterone free and total
Vitamin & mineral tests: Ferritin, vitamin D, vitamin B12

Get the tests you need

We’ll send you to a convenient local lab that accepts your insurance. The results will help us personalize your treatment.

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.

The right care makes all the difference

Because when women 40+ are at their best, the whole world thrives.