Modern Menopause Care — What Today’s Women Deserve (and Often Aren’t Getting)

Menopause is the single most predictable hormonal change in a woman’s life, yet many women arrive unprepared—or worse, dismissed. For decades, menopause care was shaped by outdated fears and oversimplified research. Today’s evidence tells a different story.

At ICONA, our goal is to give women access to modern, comprehensive menopause care grounded in data, clarity, and dignity.


What Menopause Actually Is

Menopause is reached after 12 consecutive months without a menstrual period. The average age in the U.S. is 51.

But the symptoms leading up to menopause—sleep changes, brain fog, hot flashes, mood shifts—often begin years prior during perimenopause.


Why So Many Women Feel “Ignored” During Menopause

Research shows that up to 75% of women experience vasomotor symptoms (hot flashes, night sweats). Many also experience:

  • Metabolic changes

  • Weight gain despite consistent habits

  • Vaginal dryness or painful intercourse

  • Sleep disruption

  • Mood changes and anxiety

  • Declining libido

  • Joint pain

  • Brain fog

Yet fewer than 20% receive evidence-based treatment, often due to outdated training or misconceptions about hormone therapy.


The Truth About Hormone Therapy

Since 2002, many women were incorrectly told hormone therapy was unsafe. Modern studies—including re-analyses of the Women’s Health Initiative—show:

  • For healthy women under 60 or within 10 years of menopause, hormone therapy has a strong safety profile.

  • Estrogen therapy is the gold standard for hot flashes and night sweats.

  • Vaginal estrogen is safe and effective for sexual discomfort.

  • Hormone therapy supports bone health and may benefit mood and cognitive function.

  • Risks must be evaluated individually—dose, timing, delivery method, and personal health history all matter.


What Comprehensive Menopause Care Looks Like

Menopause deserves more than a 10-minute appointment or a generic prescription.

At ICONA, treatment may include:

  • Hormone therapy (when appropriate and evidence-supported)

  • Non-hormonal therapies for symptoms like hot flashes or mood changes

  • Metabolic support (including weight loss strategies)

  • Sexual wellness support

Our approach to personalized, lasting results: 

Step 1: Initial Visit – Meet with our experienced provider to complete a comprehensive assessment of your symptoms, medical history, lifestyle and goals.

Step 2: Custom Plan – Receive a made-for-you, evidence-based treatment plan. 

Step 3: Follow-Up Visits – Provide feedback about your treatment plan so our provider can make adjustments and refine your plan to better serve your goals. 

Step 4: Ongoing Support – Follow-up with our provider every 3 to 6 months to ensure your treatment plan is still effective and hormone levels are optimal.  

Menopause is not the end of vitality. It’s the beginning of a new physiological chapter—and with modern tools, women can feel grounded, energized, and connected to themselves again.

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Perimenopause 101 — The Early Hormone Shifts Every Woman Should Understand

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Low Testosterone in Men — How to Recognize It, Test for It, and Treat It Safely