Hydroquinone Even Tone Cream
A hydrating cream that treats melasma and hyperpigmentation to lighten and fade dark spots on the face.
How
Hydroquinone Even Tone Cream
works:
Cells in the skin known as melanocytes produce a pigment called melanin. As we age, the outer layer of our skin thins and melanocytes increase in size, which may lead to dark spots and dark patches on sun-exposed areas of the body.
Hydroquinone decreases the melanin production of melanocyte cells and decreases the number of melanocytes, helping to lighten and fade the appearance of dark spots and patches.
Learn more about the product
FAQ’s
What are the benefits of Hydroquinone Even Tone Cream?
- Lightens and fades the appearance of age spots, dark patches, and sun damage
- Improves skin tone and reduces signs of aging and pore size
- Hydrates the skin
Is Hydroquinone Even Tone Cream right for me?
To determine if Hydroquinone Even Tone Cream is appropriate for you, book a visit with a Midi Clinician. Once you’ve reviewed your medical history and current symptoms together, your clinician will advise on whether this might be a helpful addition to your skin regimen. She may also recommend additional solutions that support skin health.
How should I apply Hydroquinone Even Tone Cream?
Apply a thin layer of cream to clean dry skin twice daily. Apply to both the face and the neck. Allow the product to absorb fully before applying moisturizer, sunscreen, and/or makeup.
Avoid abruptly stopping use of this product, since this can cause rebound hyperpigmentation. During the last month of use, taper off by applying the product three times per week for two weeks, then two times per week for two weeks, before stopping completely.
What are the ingredients in Hydroquinone Even Tone Cream?
Active ingredients: Hydroquinone 5%, Vitamin C 1%, Niacinamide 4%
Full Ingredients: Hydroquinone, Ascorbic Acid, Niacinamide, Butylated Hydroxytoluene (inactive), HRT Cream Base (Aloe Barbadensis Leaf Juice, C13- 14 Isoparaffin, Caprylic/Capric Triglyceride, Deionized Water, Laureth-7, Phenoxyethanol, Polyacrylamide, Tocopheryl Acetate, Triethylene Glycol
Can I use Hydroquinone Even Tone Cream if I get Botox, skin fillers, or facials?
Yes. Talk with your provider and/or aesthetician about any facial procedures or treatments you plan to complete. This use of this product should typically be stopped two to three days before treatment and resumed two to three days following treatment.
Can Hydroquinone Even Tone Cream be used on darker skin tones?
Yes, this product can be used on all skin tones under the direction of your Midi clinician.
What should I know about safety?
- Women who are pregnant or breastfeeding should not use this product.
- Hydroquinone is intended to treat dark spots and patches and works best if you avoid sun exposure and wear sunscreen and protective clothing consistently.
- Skin irritation, itching, redness, dryness, and flaking may occur when you first start using the product. Let your Midi clinician know if you experience side effects or if you don’t see any improvement in your skin within two months.
- Do not use Hydroquinone Even Tone Cream if you use a benzoyl peroxide product, since the combination can cause excessive drying.
- Do not use Hydroquinone Even Tone Cream more than twice daily. Using too much hydroquinone for too long can lead to side effects, including increased pigmentation.
- If you have a known allergic reaction to any ingredients in the cream, do not use Hydroquinone Even Tone Cream.
- Avoid abruptly stopping use of this product, since this can cause rebound hyperpigmentation. During the last month of use, taper off by applying the product three times per week for two weeks, then two times per week for two weeks, before stopping completely.
Midi Custom Rx
Midi Custom Rx offers a range of products for skin, hair, and sexual health, prescribed by your Midi clinician, and shipped directly to you from Midi’s own formulary.
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Meet our team
On the journey with her patients: I have been a nurse practitioner for 26 years, and I’ve always worked in women's care. I’ve been lucky enough to see women throughout their lifespan: from adolescent gynecological care, to childbirth, right through menopause. Over time, my patients and I have aged together, sharing symptoms like menstrual problems, weight gain, insomnia, body changes, and hot flashes. Because of my patients' and my own experiences with these frustrating and emotionally taxing changes, I began to take an extra interest in the menopausal transition”
No one-size-fits-all: Each individual's needs and challenges are unique as we age, For one patient, it might be insomnia, and for another it might be vaginal dryness that makes intercourse painful. By tailoring our care to each woman, we empower them to thrive during menopause. And witnessing their improved wellbeing at follow-ups is so rewarding.
Taking care of you: By this stage, so many women have prioritized others, whether it's their children, husbands, or aging parents. Midi helps them finally get the care they deserve.
Samantha began her career in cardiac care, but soon moved on to labor and delivery. “That’s where I discovered my love of women’s health,” she says. “And as the mother of four boys, I get my girl time with my patients!”
She eventually transitioned into an OB/GYN practice to care for patients beyond the single moment of childbirth. “It’s an honor to work with women through all the chapters of their lives and walk along this journey with them.”
Samantha is especially interested in the menopause transition. “I love this niche because it’s incredibly satisfying to relieve the specific pain points of menopause. I’m actually looking forward to going through it with my friends and patients. It’s all part of sisterhood,” Samantha says. “And with services like Midi, the whole experience can be easier and more lighthearted.”
Finding her focus: “My journey into healthcare began as a labor and delivery nurse in 2000, where I was inspired by a remarkable midwife. Her passion led me to pursue a dual degree, specializing in midwifery and women’s health. When I entered perimenopause myself, I realized the gaps in care and sought additional training in hormone therapy. Now, I’m a nationally certified Women’s Health Nurse Practitioner focusing on women's midlife health, providing the support I wished I had received.”
Care for the body, mind, and spirit: “In addition to my formal education, I’ve delved into various Eastern and esoteric practices, such as yoga, Kundalini certification, and holistic health coaching. These experiences have enriched my approach to healthcare, helping me to address not only the medical but also the psychosocial, emotional, and even spiritual aspects of women’s well-being.”
Guidance from a perimenopause veteran: “What I find most rewarding about providing this kind of care is being a guide for women navigating perimenopause, a phase often marked by confusion and frustration. Many women aren’t educated about hormone therapy and are left feeling lost, abandoned by the medical system. I was in their shoes once, and I know the emotional toll it takes. I’ve found the answers and support I needed, and now extend my hand to guide others through this transition.”
“In medicine, we like to put people in a box and standardize care, but every woman’s menopause experience is dramatically different,” says Loryn. She learned that from her mentor, a gynecologist who is certified by the North American Menopause Society (NAMS). “Working with her, I saw how important it was to individualize every patient’s treatment.”
Now Loryn is NAMS certified herself, and pursuing a certificate in Sexuality Counseling and Sexual Education to better serve Midi patients. She has attended the NAMS conference for the past six years. “It’s like going to menopause school for four days!” she says.
Whether Loryn is helping her patients with hot flashes, sleep, painful sex, or any other midlife symptom, “I try to give all encompassing care. I always ask about stress, because women have so much on their plates at this stage. Making them feel heard and validated helps me advise them on how to be kinder to themselves. Then we get to work on fixing their symptoms."
Amanda has been caring for women for 17 years, and feels that the growing popularity of telemedicine helps her connect with patients. “It lets me create a safe space for a patient to come, tell their story, talk about their struggles, and for us to partner to make them feel like the best version of themselves,” she says.
Follow-ups are crucial, Amanda explains: "It's a collaboration between patient and provider, to put the puzzle pieces together to help the patient reach their health goals. For example, better sleep turns into a better mood, which turns into more energy.
“Women at this age settle too quickly for ‘ok’ but my goal is to get them feeling great. That’s why I’m earning my functional medicine certification, which encourages looking at the person as a whole and finding connections between various parts of their health.”
Cheri Barzottini has devoted herself to women’s health throughout her career, with 20 years of experience at Kaiser Permanente San Francisco, the last 10 as Nurse Practitioner Lead for Ob/Gyn. One of the many things that excites her about the Midi model? Getting enough time with patients. “Modern health care can feel like a hamster wheel, with just 15 minutes to see a patient, not nearly enough time to devote to listening. When I heard that Midi allows clinicians far more time with each patient, I realized how different this would be. I have time to get a picture of her whole life, not just a quick snapshot. I can really hear her, and allow her to be involved in shaping her Care Plan.”
Cheri is particularly invested in women’s needs at midlife. “I want to help them recognize that no part of their life should end just because their period ends. Their sex life shouldn’t end. Quality sleep shouldn’t end. Feeling good shouldn’t end, because there are treatment options out there for all of this. It’s a new chapter, and I want them to approach it positively.”
Throughout her 11 years of caring for women, Jessica has prioritized attentiveness. “The number one thing I pride myself on as a clinician is listening,” she says. “If a patient feels heard, they become an active participant in their care plan, and make progress much faster.”
She initially wanted to go into pediatrics, “but I realized quickly that the best way to help children is to give them a healthy mom,” Jessica says. “That’s what’s going to leave a legacy of wellbeing for the entire family.”
Her commitment to overcoming barriers in women's health led her to Midi. "I think menopause is one of the last big topics we don’t talk about,” she explains. “As women, we’re called to lift each other up and break these taboos. It’s fulfilling to be part of a movement that brings us together as a community of women."
Looking beyond symptoms: “I’ve dedicated nine years to nursing, and for the past five, I’ve served as a Nurse Practitioner. My career began in mental health, later transitioning to internal medicine, where I focused on managing chronic diseases, promoting weight loss, addressing sexual health, and exploring hormone therapy. Through these experiences, I’ve come to understand that a person is more than just a collection of symptoms; the mind and body are intricately connected, highlighting the importance of comprehensive care beyond immediate symptoms.”
Strength means reaching for support: “Women possess remarkable strength and selflessness, but they sometimes forget to seek help when they’re in pain. Whether it involves a single treatment or a combination of multiple approaches, assisting women through the challenges of perimenopause and menopause is immensely rewarding.”
We stick with you: “If there’s one piece of advice I could offer women approaching menopause, it’s this: Don't lose hope. We will work together to improve your well-being. While the journey may be challenging, there is light at the end of the tunnel, and I’ll be here every step of the way to guide you toward that healthier future.”
Creating her own niche: “I've spent my 15-year career taking care of women with cancers while working in a gyn/oncology practice in Virginia. In that space, I carved out a niche for myself treating patients in menopause, whether due to natural onset, surgical menopause, or from chemotherapy.”
Tricia’s favorite part of patient care: “I love the moment when I get to follow up with a patient and she's able to tell me that things have improved and she's seeing that there is light at the end of the tunnel.”
Her menopause care mission: “To make sure that women know they're not crazy, that this is something we can handle, and it's a journey that I will go on with them. My goal is to hear each patient, empower her, and educate her. Menopause is not the end of anything but the beginning of the next chapter. Helping women make that transition is incredibly fulfilling.”
Moving beyond fertility: “I began as a labor and delivery nurse, supporting women through some of the most challenging, vulnerable, and special moments of their lives. That led me to reproductive endocrinology, specializing in IVF for five years. But throughout my 15 years as a Nurse Practitioner, I’ve observed the gaps in women’s midlife care. Midi’s holistic and supportive approach drew me in, reflecting my own belief in centering the patient.”
Compassion, rooted in personal experience: “My own experience of immune deficiency and infertility, including multiple miscarriages, shaped the way I treat patients. I understand the importance of active listening in fostering empathetic interactions throughout the midlife journey. I’m thrilled to meet my patients where they are, providing the support that I wish I’d had."
Your midlife guide: “For women in midlife or menopause, know you’re not alone. Life and intimacy continue, and symptoms can be addressed. I focus on education, assuring support, treatment options, and a personalized plan to enhance wellness and take preventive steps.”
From reproductive health to midlife care: “For 25 years, I’ve been a practicing nurse, drawn to women’s health from the start. After earning my master’s, I became a Certified Nurse Midwife and Women’s Health Nurse Practitioner in 2008. Throughout my career, I’ve served diverse patients, specializing in reproductive healthcare and, for the past decade, working in a general practice covering OB patients and general gynecology. Recognizing a knowledge gap in midlife care, I delved into research through The Menopause Society to enhance my expertise in caring for women during this phase.”
With patients now, and for years to come: “Unlike traditional healthcare visits, Midi's continuous health journey builds lasting relationships between clinician and patient, offering a deep understanding of each patient’s values. This approach enables personalized strategies for achieving their unique health goals.”
Facing menopause challenges? “Don't accept limited options. I like to explore various solutions with patients—prescriptions, supplements, or non-pharmacological approaches. Together, we can find ways to make you feel better, and like yourself again.”
An early passion: “My mom was a labor and delivery nurse, so all I ever wanted to be was an OB/GYN. I did my residency in OB/GYN and ultimately switched to focus on gynecology exclusively, with a focus on hormonal health. Currently I’m the only Menopause Society certified menopause provider in my zip code in Texas. Women need the help down here!”
Her weight loss experience: “I have a speciality in weight wellness, and I’ve learned from personal experience, as well. As I approached my 50th birthday, I realized I had gained weight. I decided to change my entire regimen: I switched up my supplement routine, joined a gym, cut out processed foods, cut down snacks and carbs, and made a bunch of other lifestyle changes. It took five months but I lost 35 pounds.”
Offering empathy, and options: “When a patient is struggling I can tell them that I’ve been there, I know how this feels, how tough it is to go to the gym when you’re tired. As a doctor I know the supplements to decrease inflammation, increase antioxidants, and boost metabolism, which are key to losing weight. And of course I can also look at the weight loss medications and add those if appropriate. It’s so gratifying to see the improvement patients experience. I just saw someone whose LDL cholesterol dropped 50 points!"
As a Women’s Health Nurse Practitioner with more than 20 years of experience, Tammie has cared for patients through many transformative phases. "But the 40 to 60 range has always been the most exciting to me because you can help these patients so much," she explains. "The therapies we can offer midlife women are more targeted and effective than some of the solutions for younger women. And those therapies are safer than ever."
Tammie’s recent work at a fertility clinic showed her the need for comprehensive care that looks at the whole woman, not just her reproductive goals. "Patients in their 40s were told they had diminished ovarian reserve, which was true,” she says. “What no one ever said was, this is perimenopause, and it comes with other symptoms we should discuss. While we focused on helping a patient build her family, there was so much more needed to help that woman—so much more to offer to help her feel her best.”
Her personal experience has further fueled her commitment. "I’m going through menopause myself right now and it’s made the shortcomings of medicine for women in midlife even more obvious to me,” she notes. "I’m excited to help Midi change this entire experience."
What frustrates Melissa about the way midlife women are treated in the healthcare system? “It’s the invisibility,” she says. “Once they’re done having babies, women are de-prioritized, and their needs are often ignored. Women themselves put their children first, and the medical system does the same thing to them. My mission is to change that, and help fill the void in care.”
So Melissa added specialization in menopause to her decades of experience as a Certified Nurse Midwife with a masters in nursing. Her own experience inspired her to learn more: “In my 40s, I started feeling ‘off’—like my body was no longer familiar. I didn’t have hot flashes, but sex was painful. I felt infinitely dry! And my PMS was turning me into a fire breathing dragon of rage. I had to do research and essentially provide my own care. But I realized I was in perimenopause, and zeroed in on solutions that worked right away.”
Melissa became a North American Menopause Society Certified Menopause Practitioner, did her own research, “and got the broadest education I could.” She treats all the symptoms of midlife hormonal change, but sexual health is a particular focus. “If you want to be sexually active, we can help you have good sex for the rest of your life,” she says. “That doesn’t have to stop.”
Support throughout the lifespan: “I've had a diverse journey in women’s health over 18 years. I started in labor and delivery before working as a Nurse Practitioner at an infertility clinic and a family planning clinic. For the past 11 years, I’ve provided comprehensive care from obstetrics to end-of-life support, including perimenopause and menopause.”A daughter’s perspective on care: “Nothing is more humbling than being on the patient side. My dad experienced a very traumatic health scare a while back, and I was amazed at the quality of care provided to him and our family. As a medical provider and a daughter, I felt respected, comforted, and reassured. Today, as a clinician, I try to put myself in the patient’s shoes and deliver care that allows them to feel supported, empowered, and at ease.”Breaking taboos: “As women, our experiences often aren’t discussed openly or accurately, particularly in perimenopause and menopause. Historically, our mothers and grandmothers didn’t openly talk about these topics, and up until recently, access to quality information was limited. I’m passionate about providing evidence-based education to improve women’s wellbeing during these stages.”
A certified Family Nurse Practitioner with 39 years’ experience in healthcare, Dr. Carothers’ incredible qualifications include certification as a Menopause Practitioner from the North American Menopause Society and a doctorate (yes, she’s a nurse and a doctor) focused on women’s sexual health at midlife.
Why did she pursue the topic? “My husband is a family practice physician and during my menopause journey he said to me, ‘Your arousal is different—what’s going on?’ I realized that if my husband, a physician, didn't understand changes in the female body during menopause, I needed to explore more, and I needed to involve men. So I wrote my dissertation on changes in sexual desire and response from the perspective of both menopausal females and their male partners.”
Once she completed her doctorate, she told her husband: “From this point on, all I want to do is treat menopausal women and speak about menopause. Every single one of us will go through this life stage, but there is so little preparation for it. This needs attention!”
That’s what she’s providing at Midi, treating all symptoms of menopause and taking care to touch on sexual health. “Women think pain with sex and loss of desire is a normal part of aging,” she says, “but it’s not. It’s a part of our hormonal depletion. If sex is important premenopausal, it’s important for the rest of our lives, and we can help.”
Care for the dismissed: “I’ve been a nurse for 12 years, and a board certified Women's Health Nurse Practitioner for five years. My nursing background in postpartum showed me that women often carry a baby, give birth, and suddenly they’re left with a deficit of care. Menopause is similar, but I’m here to listen and help patients feel better at a time when they’re commonly overlooked.”
Building trust through attentive support: “I understand what it feels like when you are not heard or taken seriously at the doctor's office. I have a history of endometriosis, and it took years of advocating for my own health to get a diagnosis. My goal is that any patient that I see feels heard and validated, and leaves with a plan to help them feel better.”
Midlife is a time to thrive: “Menopause shouldn't be a time of isolation and suffering. We can help you live a full, healthy, enjoyable life with the use of various hormonal or non-hormonal treatments. We have something for everybody!”
Constant learning: “Over the last four years, I’ve served as a Nurse Practitioner, focusing on women’s health from perimenopause through menopause. I noticed a lack of support for women in managing symptoms and hormonal changes during midlife. This led me to further study in women’s health, hormone replacement therapy, and weight loss, aiming to offer a more tailored and comprehensive approach to women’s needs.”
Empathetic guide to hormonal transition: “I have notable experience in weight wellness, where I’ve been able to help many women achieve their weight loss goals through personalized plans and ongoing support. Additionally, my personal experience with hormonal imbalances has deeply impacted the care I offer. This firsthand understanding allows me to empathize with my patients and tailor treatments to their individual needs.”
Embracing time for self-care: “If there was one thing I could tell all women approaching or in the midst of the menopause transition, it would be to prioritize self-care and seek support when you need it. Menopause is a natural and normal phase of life, and with the right resources and guidance, women can navigate it with confidence and vitality.”
Her experience in women’s health: “I worked as a labor and delivery nurse for over a decade before earning my graduate degree and becoming a Certified Women’s Health Nurse Practitioner. I also hold certification as a Family Nurse Practitioner and am certified as a Menopause Society practitioner, ensuring women receive evidenced-based care in their transition.”
Growing with and for her patients: “Through all stages of life, I’ve had the privilege of caring for women. But as I aged, my focus expanded to embrace the challenges women face during midlife, especially during menopause. I began seeking out further education in my thirties in order to make sure that I could not only help my patients transition through menopause, but help myself as well.”
It’s about joy: “The world of virtual healthcare clinics for women is vast, but what sets Midi apart is our shared commitment to providing evidence-based care. I was once told to practice with joy, and working with Midi allows me to do just that.”
Nursing principles in practice: “My 35 year journey in medicine has, of course, been all about helping people. It’s a privilege to be involved in people’s care and invited into their lives. I’m passionate about learning, and it’s that never ending quest to learn that allows me to provide the best care to my patients.”Advocacy driven by experience: “Growing up, my dad had a severe fear of anything related to medicine. On the other side, my mom lived with a chronic condition for years, feeling somewhat marginalized. Watching both of them cope drove me to advocate for my patients and ensure they receive the best care.”Listening with empathy: “I love listening to patients’ stories. Everybody has walked a different path. Everybody got to this point of needing help on their healthcare journey. Only through compassionate listening can we understand their goals, and make a plan to get them there.”
A focus on long term health: “During my 30 years as a nurse, including 24 as a Family Nurse Practitioner, I’ve worked in many different settings from public health to internal medicine. I have always been interested in longevity, with a special focus on thriving during midlife and far beyond.”
From patient to provider: “In my late thirties, I faced personal health crises that led me to seek treatment from an integrative medicine doctor. After a couple of years as his patient, I was inspired by his approach and joined his practice, spending six years learning not just about prescribing treatments, but also about holistic and collaborative patient care. Midlife care should involve a partnership between providers and patients, where we work together to create tailored treatment plans.”
A positive menopause mindset: “I encourage my patients to approach menopause with a sense of curiosity, humor, and self-compassion. The menopause transition is a wonderful time to learn to care for yourself in new ways, dedicate yourself to your health and wellbeing, and to advocate for yourself.”
Part of the change: “As a teenager, I remember a particularly unsatisfactory experience with a gynecologist, which made me realize that I wanted to be part of making a difference in women's lives and in the kind of care they receive. So I've dedicated nearly a decade to women's health, holding dual board certifications as a Women Health Nurse Practitioner and Certified Nurse Midwife. Caring for women at different life stages, with diverse health concerns, has truly fueled my passion..
Why Midi: “I came to Midi because its unique telehealth approach bridges the gaps in modern medicine. Here, we provide comprehensive care for women who may have felt unheard or dismissed elsewhere. At Midi we don’t just prescribe hormones; We addresses the holistic well-being of patients—physical, emotional, and spiritual aspects. I'm thrilled to be part of a team that truly cares for the entire woman.”
Seeking care early: “I specialize in helping women during the perimenopause transition, a pivotal moment when they first notice something isn't right. Being proactive is key, and I love it when patients seek our help to address issues before they escalate. It's a unique opportunity to educate and empower them about what's normal, what's not, and how to take control of their health.”
“When I had my first baby I was so amazed by the process,” says Susan. “That’s when I fell in love with women’s health.” So she has focused on caring for women through her entire 26 years in nursing, and is thrilled to be at Midi meeting patients’ needs in midlife.
“So many women don’t understand what happens to their bodies during menopause. I’ll frequently talk to my patients about issues like painful sex, brain fog, and sleeplessness, and find they are simply not connecting the dots and recognizing the role of hormones in all these symptoms. Because vaginal atrophy is something our mamas never talked about!”
Susan’s first visits with new patients are often about educating them, “calming them and settling their fears.” Then come the solutions. “There’s treatment out there and it can be life changing, so I make sure they understand all their options.”
She’s also happy to share her personal experience: “I find myself going through the same stage of life as my patients now. It enables me to relate to what they’re going through.”
There when patients need her most: “After dedicating two decades to nursing as an RN/NP, I pursued a master’s degree six years ago, specializing as a Family Nurse Practitioner with a focus on women’s health. My affinity for women’s health stems from years of experience in labor, delivery, and postpartum care, where I found comfort in supporting women through vulnerable moments. The issues experienced by midlife women, along with the lack of physician education, prompted me to dig deeper into menopause and perimenopause.”
On and off HRT: “While taking hormone therapy for my menopausal and perimenopausal symptoms, I was diagnosed with breast cancer. I remember the feeling of how the body that I once knew had betrayed me. I was taken off HRT in order to go through chemotherapy and eventually received a double mastectomy. Because of my unique and challenging experience through menopause, I can appreciate both using hormone therapy or finding other holistic solutions.”
Crafting a comprehensive Care Plan: “I find great satisfaction in caring for women in midlife by meeting them where they are, validating their symptoms, and crafting an individualized plan. It goes beyond just prescribing medication, encompassing education about their body and suggesting lifestyle modifications.”
Driven by frustration, focused on solutions: “With 26 years of experience as a certified nurse midwife, OB/GYN nurse practitioner, and family nurse practitioner, my passion is women's health care. My focus on menopause and midlife began at Planned Parenthood in San Diego, addressing the limited healthcare access for women seeking perimenopausal and menopausal care. Frustrated by the lack of options, especially during the women's health initiative study, I became driven to find better solutions for women’s well-being.”
Joining the care revolution: “After a six-year hiatus to care for my daughter, I returned to school to refresh my education, sure that women's midlife care would have improved with the research advancements. I was disappointed to find limited and outdated choices for menopausal and perimenopausal women, even at academic institutions. In my search for better options, I found Midi—a company with an impressive care model, patient focus, and research orientation. Midi signifies the next revolution in women’s healthcare, and I’m thrilled to join the journey.”
The best part of caring for women: “It's incredibly gratifying when a patient tells me it’s the first time they feel truly listened to. It brings mixed emotions—sadness that they couldn’t receive this care in traditional settings, and happiness that I can offer support and options for their midlife care at Midi.”
Addressing the whole person: “I’ve been a nurse practitioner for 15 years after graduating from Vanderbilt in 2009. My journey led me through various roles in family and psychiatric care in federally qualified women’s health centers. I firmly believe in care for the whole person, not just symptoms, in order to address root causes. That’s why, in 2018, I went back to school for my psychiatric Mental Health Nurse Practitioner certification, and I am currently pursuing a holistic nurse practitioner board certification.”Providing the care I wish I had: “I never felt like I was listened to by my doctors when I was younger. As a clinician, I always want to listen to and advocate for my patients, delivering compassionate care. My hope is that when a patient finishes their visit with me, they feel empowered, every question has been answered, and that they have a part to play in their own health care.”Celebrating diversity, fostering unity: “One valuable lesson that I’ve learned while caring for women is that no two are the same. And, although we have vast differences in how we were raised or our day to day experiences, we do have common threads that bind us together. I think that that’s very important.”
Shared experience: I’ve been a nurse for 17 years now, and for the last five as a nurse practitioner I’ve focused on urology and women’s health, specializing in hormone therapy. As a woman I can relate to all the changes we go through, which makes this specialty both interesting and personal to me.
Talking about sexual health: Working in a urology clinic, I’ve seen many women with bladder conditions, sexual dysfunction, vaginal dryness and pretty much everything that can happen below the belt. Doing that I've learned to establish trust and create a compassionate relationship with my patients. I get a feel for them as individuals with unique needs and cultural differences, and that helps me find the approach that will work best.
Online advantages: Telemedicine is such a convenient way for patients to connect with care. Cutting out the waiting room and the drive, all of it, is so positive and well suited to what we do for patients at Midi. Because they're not in the cold white environment of the clinic, I find they’re much more comfortable sharing.
A specialty born from passion: “For 36 years, I’ve been a dedicated obstetrician gynecologist. About two decades ago, I became particularly interested in how hormonal changes impact women’s well-being, including perimenopause, menopause, PMS, and postpartum depression. As an early member of The Menopause Society, I eagerly attended annual meetings and became a certified practitioner. Over time, my interest in perimenopause and menopause deepened, and my practice became increasingly centered around women’s midlife care.”
Comprehensive symptom management: “When working with a patient, I prioritize identifying symptoms affecting their quality of life. We discuss bleeding patterns, sleep issues, hot flashes, mood swings, and everything in between. It is so gratifying to alleviate symptoms through low-dose bioidentical hormones or holistic options, improving the patient’s well being. As a woman, I feel it’s essential that we take good care of each other on this journey.”
Championing proactive midlife health: “All women deserve quality education on perimenopause and menopause to make informed decisions about treatments and options. Reach out when symptoms begin, and together, we can enhance your quality of life.”
Leah earned her Family Nurse Practitioner degree to get a broader-spectrum education, “but I did all my elective hours in gynecology and realized that I absolutely loved women’s care,” she says.
“As a clinician and as a patient myself, I find that women are too often ignored by the healthcare system, especially as we age,” Leah says. “Specialized care for patients going through perimenopause and menopause is so important, and can dramatically improve quality of life. That’s why I find it profoundly rewarding to treat their symptoms.”
Years of working in a gynecological oncology practice “gave me strong knowledge on how to guide women through the journey when they can’t take hormone replacement therapy. I let them know their options, and that relief for their symptoms is always possible.”
Leah gets into the details with her patients, no matter what their health history may be. “ I can’t tell you how many times women came in and just the fact that I listened to them was huge.”
Marissa realized she wanted to be a nurse during her post-college stint with the Peace Corps in Ecuador, helping to educate the community about HIV/AIDS prevention. “Going into hospitals and clinics I saw such a great need for information, especially among women. I could only do so much as a volunteer, and fell in love with medicine.”
Wherever she’s worked in her ten-plus years of nursing, Marissa has always focused on caring for women. She is a North American Menopause Society Certified Menopause Practitioner, and brings a deep understanding of hormonal health to Midi. Her personal journey pushed her to build her knowledge: “When I was diagnosed with premature ovarian insufficiency (POI), I felt incredibly alone—even as a provider. So I did what I do best: I dug deep and educated myself, reading every article and going to every conference I could. I had to become my own provider, and educate my clinicians as they cared for me.”
Even now, Marissa keeps herself on a constant learning curve; she recently completed a two-year fellowship in integrative medicine and brings her expertise in naturopathic, eastern, and alternative practices to Midi. In addition to the general midlife care she provides our patients, she is specializing in POI, premature, and early menopause. “I tell my patients about the many treatment options out there, and I also let them know that I understand a bit about what they’re feeling because I’ve been there myself. That is so huge.”
Kati is a board-certified Family Nurse Practitioner and NAMS certified menopause provider with more than two decade of experience caring for women. Her own health journey has made her an exceptionally empathetic Midi clinician: “In my early forties, I had one ovary removed due to endometriosis. Usually, the remaining ovary kicks in and produces normal levels of estrogen, but sometimes it doesn’t. That’s what happened to me.”
Kati was thrown into early menopause, but neither she nor her medical team recognized it at first. “Severe joint pain was my primary symptom, so I was sent to be tested for lupus and other autoimmune disorders. It turned out to be simple estrogen deficiency.”
For her, hormone replacement therapy was “life changing,” but as a Midi clinician, she takes a holistic approach, tapping a range of solutions to help patients’ symptoms. “That includes optimizing sleep, nutrition, movement and mental health, and using medications and or supplements as needed.”
What excites her about Midi? “It’s the solid foundation of evidence-based practice, and the fact that we’re able to reach women in underserved areas through telemedicine.”
Open, honest conversations: “With 18 years of experience, I’ve practiced as a Family Nurse Practitioner and Certified Nurse Midwife, focusing on women’s health, obstetrics, and family medicine. During graduate school, I was fascinated by women’s health topics simply because I was learning about myself. Raised in a family uncomfortable with reproductive and sexual health discussions, the more I learned, the more I wanted to share. My practice is focused strongly on ensuring that patients have all the information to make educated decisions about their health.”
On a mission: “I was fortunate enough to receive a comprehensive and inspiring education about menopause that many medical professionals did not. Without the proper training, many providers are dismissive of women’s suffering. Being part of a mission to enhance menopausal care access is incredibly empowering, ensuring women receive the support they deserve.”
It starts with listening: “I love hearing my patients’ stories. While they vary wildly, they have similar underlying themes, because hormone fluctuations are affecting all of us. It’s such a privilege to help a woman cope with all that life is throwing at her and maintain continuity of care amidst so much change. It is truly the best part of the job to hear women say they feel like themselves again.”
Finding her niche: “I knew very early on that my call was compassionate care. I have been practicing as a Registered Nurse for over 12 years and a Nurse Practitioner for six years. I love being an NP because I have more autonomy in educating clients, helping them become the best version of themselves.”
Digging deeper for solutions: “I specialize in integrative functional medicine, with a focus on hormones. Functional medicine really involves getting to the root cause of disease, and integrative means using a holistic treatment approach of medication, nutraceuticals, nutrition, herbals, and more. If a woman comes in with newly presenting depression, the solution likely will not be simply to put her on an antidepressant. We dig deeper into her hormones, and treat the symptoms through an integrative approach.”
Care where it’s most needed: “I chose to join Midi because we offer an easy, accessible, and affordable way for women to get help with the area of health care that we have really dropped the ball on. Across the United States and, and likely around the world, women are not getting what they need in this transition period. I am so excited to revolutionize health care for women and change lives.”
Inspired by health and humanity: “I have worked as a nurse since 2010 and as a Women’s Health Nurse Practitioner since 2016. As long as I can remember, I’ve been interested in women’s health and nutrition. I spent my early college years teaching yoga and meditation while studying behavioral science and public health. I really loved the idea of helping people live healthier lives across the globe, inspiring my work with several humanitarian local and international organizations.”
Tapping into your self-understanding: “So many of the women that I work with had their symptoms dismissed for years. My goal is always for us to become partners throughout our health journey. I like to remind my patients regularly that while I may be an expert in women’s health, they're still the expert on their body. There’s research, but there’s also inner wisdom, and I think it’s really important to honor both.”
The reward: “Hands down, the best part of my job is hearing women say that they feel like themselves after treatment. It’s been well-documented that women are the gatekeepers of health for their families and communities. By helping women to better care for themselves, they’re able to show up more fully for those around them.”
A legacy of nursing: I come from a family of nurses: my mom, aunt, many cousins, and extended family all work in healthcare. I became a Registered Nurse in 2009, and since then have gone back to school to earn my masters as a Women’s Health Nurse Practitioner and my doctoral degree in nursing practice. An experience that shaped my care: “I have several family members affected by lupus, an autoimmune disease, and they were not always treated well by the healthcare system. In my teens, I remember overhearing nurses speaking disparagingly about my aunt outside her hospital room, and watching a tear fall from her eye. At that moment, I vowed that my practice would treat everybody with love, compassion, and kindness.”Holistic care partnership: “Perimenopause and menopause challenges are often overlooked in healthcare and research. I’m passionate about supporting women through this transition, offering guidance on hormone replacement therapy, herbs, and supplements. It’s crucial for women in midlife to understand that they don’t have to endure these challenges alone.”
A focus on emotional wellness: “Mental health advocacy has always been extremely important to me. Before getting my masters in nursing, I got my bachelors degree in psychology, and I’ve tapped that knowledge over the five years I’ve spent caring for gyn patients, including many in midlife. I love being able to meet my patients at that intersection between psychology and menopause, including mood changes and insomnia.”
Time for patients: “I felt I could really make a difference in this field, but I’ve found that it’s just not possible to address all of the symptoms and treatments of menopause in a 15 minute well-woman exam. This is where Midi comes in to bridge the gap.”
Treatment transformation: "What's particularly rewarding about caring for patients in midlife is walking with them through their health journey. I see their progress from the initial visit, when they sometimes have tears in their eyes due to having their symptoms dismissed by previous providers, to the follow-up visit where they emerge entirely transformed. That’s the payoff of prioritizing a nurturing environment and comprehensive education, ensuring each patient receives tailored treatment that aligns with their unique needs.”
Driven by impact: “I began my career in nursing almost 20 years ago and became a Women's Health Nurse Practitioner in 2014 with dual certification as a Certified Nurse Midwife. I’m passionate about caring for women in midlife because that’s the stage when we often wear the most hats: spouse, employee, parent, and caregiver for elderly parents. So my work allows me to make a difference in the lives of these women, and also all the people around them.”
Your menopause, your way: “There is no right way through menopause. There are many paths, and we offer diverse care options tailored to individual beliefs, medical histories, and long-term goals. Menopause isn't a brief phase; it spans 30 to 40 years. We're so lucky to provide comprehensive care, ensuring women have choices in those decades."
Holding space for your health: "Starting the menopause conversation can be overwhelming. Building rapport and trust takes time. With Midi, I have that time to educate and empower you, explaining all your treatment options—the pros and cons, and everything in between. This support is invaluable."
“My entire life I’ve been drawn to how the body works, but the first time I saw a birth in nursing school that was it,” says Donna. “I was hooked. I knew I wanted to be in women’s health.”
Now, with 17 years of experience caring for women, she’s passing along the knowledge she’s gained as a professor in Nurse Practitioner and doctoral programs. “When you teach, you realize how overlooked women’s midlife health is,” she says. “I had to go out on my own to research the topic, doing literature searches and every kind of continuing education I could.”
The additional ongoing training she receives at Midi has only deepened her knowledge: “Midi University presented so much amazing data and the discussions of complex cases are incredibly thoughtful.”
As she supports her patients and guides them toward solutions that help them feel better, she reminds them to “honor how cool and fascinating your body is and respect the journey that brought you here.”
Comparing notes: “As a nurse with 14 years of experience, seven as a Nurse Practitioner, my journey in perimenopause has paralleled my professional growth. My interest in menopausal care began as a hobby, talking to friends about our experiences. I soon found myself drawn professionally to midlife care, embracing the opportunity to guide women through the often-neglected phase of perimenopause and menopause.”
Put yourself first: “Caring for women in midlife brings immense satisfaction as these resilient patients, accustomed to placing others before themselves, finally prioritize their well-being and reclaim time for self-care. It’s such a joy to be part of their transformative journey toward wellness.”
Building a safe space: “I try to create an environment where patients are heard and validated, fostering trust and collaboration. This is a time to embrace change, armed with the assurance that they are not alone on this transformative path. Many discover, for the first time, that solutions exist for their challenges. At Midi, we offer the knowledge, medications, and resources to facilitate a smoother menopausal journey.”
There for the changes: “I initially pursued family practice before transitioning to focus on women's health, aiding them through life’s changes for the past 22 years. I’ve paid particular attention to women’s midlife care, recognizing that many practitioners are either inexperienced or lack the knowledge necessary to treat women with hormone therapy. To fill this gap, I have educated myself in midlife gynecology, integrative medicine, and hormone therapy.”Menopause empathy through experience: “At age 40, I had a pituitary tumor removed, which threw me into menopause. I remember feeling quite old: I struggled with hot flashes, night sweats, vaginal dryness, joint pain, and mood swings. Now having been treated with hormone replacement therapy for about 10 years, I can safely say that it was the best decision I ever made. I regained my zest for life. I’m a better provider today because I’m able to empathize with women who are going through that.”Your navigator: “Menopause can feel daunting, but there’s solace knowing experienced care is available, guiding you to embrace this phase gracefully.”
The heart of women’s health: “I’ve been in women’s health for over 15 years. I began my career as a labor and delivery nurse at Cedars Sinai in Los Angeles, and I have been practicing as a Women’s Health Nurse Practitioner in an OB/GYN clinical setting for more than a decade. While working at UCSF, I met and collaborated with Dr. Mindy Goldman, Midi’s Chief Clinical Officer. Is soon as I heard about the new company she was helping to build, I became excited about the possibility of being part of that.”A labor of love: “I am deeply passionate about the profound impact I can make on women’s lives through education and healthcare. It brings me great fulfillment to empower women through comprehensive care, advocating for preventative health measures, and addressing diverse OB/GYN concerns. It’s such a privilege to form close connections with my patients, tailoring care to their unique needs, and guiding them through different phases of life.”Fully here for you: “I’m kind, compassionate, and a good listener. My patients should leave the visit feeling respected, heard, well informed and supported throughout their health care journey. In my career, I’ve learned the importance of patience and the ability to be present.”
A decade ago, Sydney was a neuroscience graduate student researching sex hormones and human behavior when she had a revelation: “I was interested in my subject area, but spending all my time in a basement lab wasn’t working for me. I needed people in my life to be happy.”
She changed course and became a Family Nurse Practitioner, starting in labor and delivery and eventually working in a primary care clinic with a specialization in menopause management.
What drew her to Midi? “I practice evidence-based medicine and was looking for a company that would do the same work with rigorous, guideline-driven care. That’s what Midi provides.”
All Midi clinicians benefit from extensive and ongoing training, and for Sydney, “the continuing education taps into the academic side of me. I love learning about cutting edge research and improvements in the treatment of menopause symptoms.” Applying that knowledge with patients satisfies her clinical side. “Follow-up visits at Midi are generally simple,” she says, “because patients tell me their symptoms have improved greatly and they’re feeling so much better. They’re just happy!”
Bridging gaps in healthcare: “I have been a family nurse practitioner for 30 years, 20 of them working with underserved and homeless communities. I have cared for all phases of the lifespan from neonatal to teenagers, menopausal women, and elderly internal medicine. I was so excited to discover Midi, and learn that there was a unique space to care for menopausal and perimenopausal women. I knew I had to apply.”First, show up: “I’m there. I’m present. I listen and ask questions. I take a holistic approach to the body and mind. I don't push a treatment plan; I want to work together with each patient to identify solutions we’re comfortable with. We are a team.”The rewards of midlife care: “We have answers now—we have tools that our mothers didn’t have. This new generation wants to actively participate in their health and search for answers. And I’m excited to be part of that.”
Carla began her medical career as a forensic nurse, working with victims of sexual assault, before becoming a Family Nurse Practitioner with a focus on women's midlife health. “While working at an OB/GYN clinic with an older patient panel, I gained a lot of experience caring for women during menopause,” she reflects. “Because my schooling did not focus on menopause, I made it my job to educate myself.”
Embracing a holistic approach to patient care, Carla addresses menopause symptoms alongside other factors. “With my background as an Family Nurse Practitioner, I see patients in the context of their whole health picture,” she says. “I’m able to take a more comprehensive approach, thinking about not just menopause symptoms, but also other factors that could be contributing to the challenges they face.”
Carla’s dedication to her work is fueled by an awareness of inequities in medicine. “Women’s health is undervalued and understudied, so I want to be an advocate for anyone with a woman's body who is going through this universal experience.”
Offering choices: “I started my nursing career in public health in 1996, focusing on family planning and breast and cervical care. Working with patients to understand their bodies at different life stages intensified my passion for women’s healthcare. In 2001, I became a Women's Health Nurse Practitioner. Back then, hormone replacement therapy was scarcely ever prescribed. We’ve learned so much since then. Joining Midi, I aim to educate women about their diverse healthcare options.”
Time to listen: “I joined Midi to prioritize my patients, dedicating meaningful time to listen without the pressure of rushing. Working in traditional care, time with patients became increasingly brief, impacting the quality of care. At Midi, I value the opportunity to truly listen and to provide the best care.”
Finding your treatment path: “Navigating menopause is difficult, even as a practitioner. Given my sister’s history of breast cancer, I had to weigh the risks and benefits of HRT. In my journey, I leaned on colleagues to help me compile research and guide my decision making. I want to be that support and guide for my patients. If estrogen is not an option, there are other treatments available that we can explore together.”
Emily’s journey in women's health began as a Labor and Delivery nurse. "I loved being there for women in labor, but noticed that there was a knowledge gap for postpartum women at a vulnerable, life-altering time." Transitioning to an OB/GYN office, Emily discovered another gap in care for women in menopause. "There wasn’t enough support for women in midlife. I’m so glad to help Midi change that.”
Educating and empowering her patients are vital aspects of her practice. "We work together to individualize care just for them. That might mean exploring both the non-hormonal and hormonal treatments available, and finding the right fit for each patient to make her feel good in her body."
Emily emphasizes the importance of making midlife women feel cared for and safe during their Midi visits. "I want them to feel like they’re talking to a friend, but also an expert with the knowledge to help," she says. Her experience as a certified health coach (as well as a Certified Nurse Midwife) enables her to take a holistic approach to care. “I ask about patients’ diet, exercise, sleep, stress, libido—and of course their emotional wellbeing, because our psyche has such a strong influence on health during this life transition.”
Experience across generations: I’ve been a Nurse Practitioner since 1993, so my passion for women’s health has led me to care for several generations of women. I began as a labor and delivery nurse before pursuing a Title X Women’s Health Nurse Practitioner program in the early ‘90s. At Midi, I am excited to provide quality care to underserved and undertreated midlife women.”Providing the care our mothers wished for: “My mother suffered severely from endometriosis. She endured excruciating menstrual cycles, pain during intercourse, infertility, and a traumatic hysterectomy at 50. Her experience fueled my desire to provide compassionate care, making sure others don’t have to endure similar hardships. My goal is to empower women to live their best lives, free from the debilitating effects of conditions like endometriosis.”Shifting the focus: “Midi is like a dream come true. Women’s health is often centered around prenatal care and deliveries, and less attention is given to women’s gynecological issues after their childbearing years. I joined Midi to address all of the issues that may be dismissed in traditional medical settings, and help women get the care they deserve.”
Expertise in menopause: “I specialize in adult gerontology spanning internal medicine, primary care, endocrinology, obesity and weight management, and hormone therapy. I realized very early in my 20 years of experience as a Nurse Practitioner that menopausal women have some of the most troubling and frustrating symptoms. My passion for women’s health advocacy led me to focus on midlife care, aiming to alleviate menopausal symptoms through hormonal and holistic options.”
Time to prioritize your well-being: “Caring for patients in midlife is so rewarding because women are incredibly resilient. It’s so common for us to put our health and well-being on the back burner, while being amazing caregivers to our children, spouses, and aging parents. As a women’s medical provider, I relish helping women put their physical and emotional well-being first.”
Tailored care through deep understanding: “My approach involves attentive listening to each woman’s unique story, allowing us to work together on a personalized treatment plan based on her symptoms and goals. We collaborate closely, adjusting therapies as needed to achieve realistic milestones. There's nothing more rewarding than having a woman come back to me smiling and saying how much better she feels in her own skin.”
Educator, researcher, and clinician: “With over 24 years of experience, I’m a dual-certified Nurse Practitioner in women’s health and family care. My expertise spans clinical practice and academia, focusing on OB/GYN, reproductive endocrinology, infertility, endometriosis, urgent care, pulmonary, and sleep medicine. Additionally, I’ve developed and taught continuing education courses, conducted research, and presented at national conferences.”Patient-centered approach: “No woman should have to suffer as she goes through perimenopause or menopause. At Midi, we listen to our patients, honing in on what is most important and bothersome to them. These conditions are then addressed using high quality, evidence-based practices.”Focus on longevity: “I’m passionate about enhancing patient health through education and proactive care. Routine screenings are a vital part of this. I’ll never forget a patient who initially declined a colonoscopy. I educated her of its benefits, how to improve the experience, and stressed its significance for her and her family’s well-being. She was diagnosed with stage three colon cancer but successfully underwent treatment. Now, she enjoys watching her great-grandchild play soccer!”
Mission-driven care: “I’ve been a Women’s Health Nurse Practitioner for nearly 10 years, and before that I worked as a labor and delivery nurse for eight. Through working at a private OB/GYN office I gained experience in menopause care and hormonal treatments. Joining Midi was a natural choice, as it aligns with my passion for educating women on hormone therapy and the sense of belonging to a mission-driven team.”Comfort in vulnerability: “I have provided reproductive health care to women in some of their hardest and most vulnerable times, in situations that left them scared and confused. Menopausal care is often similar: Patients face taboo concerns and are oftentimes dismissed by the medical system. These experiences have deeply shaped my care approach, always aiming to provide a safe space and compassionate care to every patient.”Listening actively, caring holistically: “I focus on active listening, which allows me to understand and acknowledge patients’ concerns and goals. I take an integrative approach to care, offering both hormone therapy and holistic options to provide solutions that align with the individual.”
Empowerment in understanding: “I’ve been a Women’s Health Nurse Practitioner for 20 years, and I am certified as a Menopause Practitioner by the Menopause Society. I worked in community health for many years, and often encountered young women who were unfamiliar with their bodies and how hormonal changes affected them. Many lacked self-confidence, so my role extended beyond addressing basic healthcare needs and focused on empowering women and helping them understand their bodies better.”Prioritizing patient voice: “I’ve often been told by my patients that they appreciate how well I listen and help them feel heard during their visits with me. I think this is very important, especially considering my own experiences as a woman in healthcare settings where I have felt dismissed. Unfortunately, this is not an uncommon experience, so it has shaped my patient care approach.”It’s a collaboration: “The most rewarding part is partnering with women in their health journey, helping them understand their situation and showing them actionable steps we can take together, as a team, to improve their well-being.”
Support for all things hormonal: “As a Nurse Practitioner and a Certified Nurse Midwife with 26 years of experience, I’ve spent my career caring for women of all ages. From youth to post-menopause, women’s care is all about hormone changes. Midlife women seek to educate themselves and find solutions for maintaining energy, happiness, and a healthy lifestyle. Guiding them through hormonal changes for a better life is immensely fulfilling.”What a visit looks like: “My patients can expect me to be knowledgeable about their health history, allowing me to guide the visit efficiently and effectively. I help them develop realistic goals through compassionate listening, and I’m able to educate them in their areas of concern as well as direct them to resources. In follow-up visits, we review and update their goals to ensure progress.”Patient education and autonomy: “At the beginning of my career, women’s health studies were few and far between. As a result, high quality, evidence-based care was not always available. My care approach is informed by the advancements that have occurred over the past decades, and shaped by desire to support patient autonomy through education. I joined Midi to educate my patients on their options through evidence-based care.”
All about excellence: “I’ve been in women’s care for over eight years, serving as a Nurse Practitioner for the past five. I was initially drawn to aiding women in childbirth, but my focus soon shifted to providing quality care for women in their post-reproductive years. I’m passionate about advocating for these patients, particularly through telehealth. Joining Midi was a natural choice because of their commitment to high-quality, evidence-based care, especially for menopausal and perimenopausal individuals.”
Not our mother’s menopause: “I watched my mom suffer terrible hot flashes and mood swings during menopause. She couldn't sit through dinner, let alone sleep through the night. Fortunately, the research has really improved for perimenopausal and menopausal women, and we no longer have to suffer like my mom did. At Midi, I want to make the wide range of women’s options known to them.”
Support for the evolving woman: “It’s so rewarding to support patients during their post-reproductive years. It turns out our lives aren’t over once we’re done having babies! We continue to evolve and change pretty drastically. For these women, it is so important to serve as care advocates, educators, and compassionate support, showing them the amazing possibilities of this stage.”
A lifelong passion: “I always knew I wanted to work in health care. When I was in high school, I worked at a retail pharmacy, eventually moving up to pharmacy technician. After spending many years in labor and delivery, I began focusing on women at midlife in 2013. Now, I am triple certified as a Certified Nurse Midwife, Women’s Health Nurse Practitioner, and Family Nurse Practitioner.”An experience that shaped my care approach: “I was diagnosed with celiac disease in 2019 after likely having it for 20 years. Unfortunately, it went unnoticed and untreated due to our fast-paced healthcare system. As a practitioner, I prioritize quality of care over quantity of patients. I believe in listening carefully to my patients to identify the root cause of their issues and provide comprehensive treatment.”Empathy in action: “I pride myself on compassionate listening. It’s such a privilege to be told intimate details that patients may not have felt comfortable talking to anyone else about. Attentive care is especially crucial for women at midlife, whose symptoms are often invalidated by other providers.”
Her path to Midi: “My journey in medicine spans nine years, including the past five as a women’s health provider. I have extensive experience in gynecological oncology, treating women with ovarian and uterine cervical cancers. I came to Midi because our missions align in providing top-quality and evidence-based practice in menopause care."
From silence to solutions: “Caring for women in midlife is about changing the culture of silence around menopause symptoms. Our grandmothers, mothers, daughters, and sisters all deserve to be heard, seen, validated, and respected. Let us at Midi help undo decades of women being overlooked and provide the care options you deserve.”
Starting with honest conversations: “My care approach is led by providing a safe, non-judgmental environment that fosters candid discussions and shared decision-making with patients. For instance, among women 50 and above, there’s a common misconception that sexual activity is inherently uncomfortable and lacking enjoyment. Creating this safe space is the first step towards enhancing the quality of life for women, including the option to have comfortable and enjoyable sexual experiences if that’s a goal for them.”
Shanna is a North American Menopause Society certified menopause practitioner, and was the lead practitioner at the menopause clinic at Sanford Health in South Dakota, which was founded in the Integrative Medicine philosophy of care. “My clinical experience taught me that many integrative practices work. For example, I saw that acupuncture helped with hot flashes, which is so powerful for women who can’t take hormones.”
But it was her professional and personal experience with infertility care that really taught her how to counsel patients. “I learned how to have difficult conversations. Going through the infertility journey myself, I realized the value of education when you don’t feel you have power over every outcome. It gives you a deeper sense of understanding, and empowers you.”
Shanna says her ability to connect is her greatest strength. “I never want to give revolving door care, so I ask great questions! Because in addition to following guidelines, we need to think outside the box and see patients as individuals. There’s no algorithm for that.”
Throughout Mellerie's 13 years of caring for women, she has emphasized proactive and individualized treatment. “I began my journey in women’s care as an RN helping support new parents in the military,” she says. “Through this experience, I decided to become a Women’s Health Nurse Practitioner to serve as a health advocate and confidante for women at all life stages, but especially at midlife.”
Perseverance and determination are hallmarks of Mellerie’s care. “I came to Midi because I love the challenge of figuring out the complex problems women deal with in perimenopause and menopause. I keep going until I find the right solution tailored for each patient, and if I don’t have the answer, I’ll find someone who does.”
Mellerie recently earned her doctorate from the University of Alabama, a personal achievement with special resonance for her: “As a young Black man, my grandfather was prevented by law from attending the University of Alabama. I set my mind to attend the university that he couldn’t and earn the highest degree possible,” she shares. “I wanted to go above and beyond what he could have imagined, and I did. We were both in tears at my graduation.”
Empowering through experience: “I’ve been a Nurse Practitioner for 13 years, and previously I was an RN. Women’s health is my first love, and I developed a passion for menopausal care from my personal experience. When I started experiencing hot flashes, night sweats, insomnia, depression, and brain fog in my mid-30s, I was confused and scared, and found that my colleagues had few answers. Now, I am eager to guide my patients through this transition with education and care.”Holistic solutions for every woman: “I provide a holistic approach to patient care, including a range of hormonal and non-hormonal medications, but also self-care techniques, herbal supplements, acupuncture, and other therapies. My goal is to educate and empower women in my practice, meeting them where they are to fill their needs.”The reach of telemedicine: “I’m so excited to be at Midi to help women feel well and energized during the menopause transition. Telehealth allows me to provide this specialized care to more patients, allowing access to those who may not otherwise be able to receive necessary care.”
As a Certified Nurse Midwife and North American Menopause Society (NAMS) Certified Menopause Practitioner, Anna brings a unique perspective to her work at Midi. “The word ‘midwife’ comes from Old English, and means ‘with women.’ That’s been my goal in healthcare—to be with women through their lifespan.” The system did a good job around reproductive care, but when Anna got to Stanford Health Care, she discovered that her midlife patients were struggling. “They weren’t being heard or helped. They wouldn’t even bring up their perimenopause and menopause symptoms, because they’d been dismissed so often.
“So I did my own research, earned my certification from NAMS, and asked tons of questions of clinicians with experience. But primarily I learned from listening to my patients.”
Anna’s particular area of expertise is vaginal health, treating dryness and painful sex. “I tell patients you're at the peak of your life. That should be true professionally, personally and sexually. If a patient wants to have more sex, I say, let’s make sure you have that!”
Meeting patients’ needs: “While working for more than 12 years in family medicine, patients kept coming to me with hot flashes, vaginal dryness, recurrent UTIs, and other menopause symptoms. When they went to their primary care doctors, they would come away with supplements, at best. I hadn't received formal menopause training, and wanted to offer the most informed care possible, so I did my own research, turning to academic studies and diverse resources.”
Dedication, rewarded: “It's been fantastic to be able to treat women in midlife. Patients return to me ecstatic, saying their sleep, marriages, work, and overall quality of life have improved. And if a patient doesn’t reach her goals, I keep investigating. I stick with it until I get them feeling the way they want to feel!”
A personal stake in improved care: “I'm especially conscientious about really listening to patients because I want to give them the kind of care I wasn't able to access. Menopause is still in my future and I want great treatment for my patients, and for myself.”
Support throughout the lifespan: “I have cared for women from adolescence through midlife for over 25 years. Working at the same practice for over 20 years, I had the opportunity to watch teenage girls go off to college, graduate and start their first adult jobs, get married and have children, and grow to become beautiful women making their mark on the world. It is such a privilege to watch and support womens’ growth.”
Holistic partnership at Midi: “I am so excited and grateful to be here at Midi, where women and women’s health are supported. As a mission driven company, we genuinely want to see all of our patients not just surviving, but thriving. It’s a place where patients feel seen, heard and valued. Treatment options are holistic, integrative, evidence-based, and effective.”
Tailored care: “My experience has allowed me to see that, although we share similar goals and challenges, each woman is unique and has different needs and preferences at different points in life. I look forward to partnering with you on this journey of achieving optimum health and enjoying a better quality of life.”
Commitment around the world: “I have a deep passion for women’s health, and have worked as a Women’s Health Nurse Practitioner since 1990, in medical settings from the Peace Corps in Africa to a high risk OB/GYN office. Care at every stage: “Caring for women through the entire lifespan has been the most rewarding part of my career. Working at the same clinic for 25 years, I helped patients through pregnancy and watched their babies grow into young women. I have been able to support those same mothers through menopause while caring for their children through their teenage years. It’s beautiful to walk alongside all parts of women’s lives.”Equity and trust: “I’m passionate about women's rights and strive to ensure women are respected by the medical system and have access to quality healthcare. I appreciate Midi’s focus on the whole woman, addressing care by trusting women and learning their concerns, goals, and journey.”
Expanding access and spreading hope: “I have been a Women’s Health Nurse Practitioner for over 10 years. I am passionate about providing care to underserved communities of women. I have worked in many different capacities, including in health department settings in Virginia and Michigan. These roles were deeply fulfilling, as I was able to care for women that may not otherwise have had access. Now, at Midi, I am excited to expand the same quality care to more women in their post-reproductive years.”Time for a deeper understanding: “Much of women’s health care, particularly regarding perimenopausal and postmenopausal care, is often overlooked in primary care settings. While primary care handles essential screenings like Pap smears and clinical breast exams, deeper discussions and expanded care for women in these stages of life are often neglected due to time constraints. Midi allows patients to receive the additional care they require far beyond routine well-woman exams.”Seeing women win: “Women often juggle many responsibilities and need support during this hormonal transition to remain their vibrant selves. I am here to listen and work together to craft a healthcare plan that will allow them to thrive.”
Ana began her career caring for women as a midwife before transitioning to midlife care. “Menopause is a normal physiological process, just like having babies,” she says. “There is so much we as clinicians, and you as a patient, can do to prepare for it and feel better as you go through it.”
As a certified Women’s Health Nurse Practitioner, Ana has a deep understanding of traditional approaches to treatment, but also uses integrative solutions. “It’s not just about pharmacology. There are many alternative options that I explore with patients, from acupuncture to herbs.”
What excites her most about joining Midi? “First, working virtually. It allows me to see many more women and defeats the geographical barriers that in-person care presents. Second, I’m amazed at the lack of care for menopause. Women rock, yet some drop out at the peak of their careers because of symptoms. I want to support them so they can continue to make an impact.”
Following a lifelong passion: “Since I was a young girl, I dreamed of a career in medicine. My career began my 16 years as a nurse in labor and delivery, driven by a desire to empower women in their healthcare choices. This passion led me to specialize in women’s health, and I’m currently pursuing certification in menopausal care. I also specialize in weight loss management because I have struggled firsthand and aim to be a provider who truly understands patients’ unique journeys.”
A memory, and a promise: “Growing up, I suffered from debilitating migraines. One hospital visit stands out, when my medication had triggered intense fear and paranoia. The doctor’s disbelief and dismissal of my symptoms stays with me. This experience has etched in me the importance of listening and acknowledging patients’ concerns.”
Why she's at Midi: My work in medicine has led me to a deep connection with women in midlife, and I realized that women in this phase often struggle without proper guidance. Midi’s focus on caring for women during this significant life transition resonated with me. I saw an opportunity to give women a voice and improve their quality of life.”
Happy has dedicated her career to empowering women through comprehensive healthcare. “I decided to focus on functional medicine because my female patients in midlife were coming to me tired, with aching joints, poor sleep, and so many other symptoms. No one was addressing their hormones,” she explains. “To bridge this gap, I did a fellowship in anti-aging medicine, which covers cardiology, metabolic health, neurology, and endocrinology, which taught me the science behind hormonal care.”
What Happy loves about her work at Midi: "I can help women so much. Mitigating symptoms enables them to work productively, maintain their relationships, and revitalize their mood, sex, and energy.”
Happy's commitment to women’s care extends to making sure patients feel supported in the medical system. "I don’t like when women feel powerless,” she emphasizes. “I come from Africa and I’ve seen what the patriarchy can do, and the demands on women: working, parenting, it never stops. I want to get them feeling the best they can, so they can be their strongest selves.”
“Working at Midi brings together my two passions," says Dr. Newton. "Those are women’s care, because there is so much lacking there, and access. I spent part of my childhood in rural Alabama, and we had to drive an hour to get to a doctor. So it was always my mission to practice medicine in a way that would make services more accessible.”
Telehealth puts expert care within reach for so many more patients, and it's ideal for women in midlife, Dr. Newton says, “because it’s much less physical-exam-based and much more about listening to a patient’s story and hearing about her symptoms.”
Dr. Newton also asks patients great questions. “As a family medicine physician I know that menopause doesn’t exist in a vacuum. There are other conditions that may tie into a woman's menopausal symptoms. It’s helpful for me to know the breadth of root causes that may be behind her experience.”
She often tells her patients, “The menopause process is a marathon, not a sprint, and as you’re running that long race, I’ll be there for you to help you along the path.”
A decade of dedication: “I’ve been practicing as a nurse practitioner in women’s health for about 10 years now. My passion for this field developed during my clinical rotations for my master's degree, when I noticed that women often feel undervalued and their concerns are often dismissed. It’s been incredibly rewarding to establish rapport with my patients, providing them with a space to discuss their issues openly and explore treatment options together.”Guided by research, tailored to you: “I love Midi's clinical approach to care, where everything is grounded in research-based standards. We are dedicated to providing women with effective, factual, and appropriate treatment options. Our care is tailored to the individual as we provide both hormonal and non-hormonal treatment options based on your health history, concerns, and goals.”Comfort plus solutions: “Caring for women during midlife is incredibly rewarding because it often involves solving a range of challenges. In addition to physical symptoms, one of the most common issues I've encountered is the sense of isolation that many women experience. Simply reassuring them that they are not alone and letting them know about available treatment options can be immensely helpful.”
“A few members of my family went through reproductive cancer treatment, and the compassionate, women-driven care they received is one reason I pursued women’s health,” says Katelyn, who brings nearly a decade of experience to her work at Midi.
She began to specialize in treating the symptoms of perimenopause and menopause at an OB/GYN clinic in Houston. “The head physician there was a great mentor and very interested in hormones,” Katelyn says. “But now I’ve learned so much through Midi I feel I could go back and teach him quite a lot.”
Along with common symptoms, Katelyn specializes in weight management. “My approach is holistic—a combination of lifestyle modifications, supplements, and medication as indicated,” she says. “I also talk to patients about their preferences and their busy lives, so we can come up with a plan that’s realistic. That dialogue is so important.”
Like every Midi clinician, she’s inspired daily by her patients’ progress. “They return for follow-ups and say, ‘This is a miracle. I feel like a new person.’ Many of them have seen numerous clinicians and had no success getting treatment. It’s so satisfying to finally offer them real relief.”
Angela started her nursing career in labor and delivery, and has spent nearly 20 years caring for women, gaining experience in hormonal treatment along the way. “I feel blessed and lucky that as a woman, I get to care for women,” she says. “We share an incredible connection and kinship.”
Throughout her career, Angela has emphasized the importance of “individualized, holistic, and comforting” care. “I want my patients to feel heard, and I’ve always tailored treatment to their unique needs. You can’t check boxes to care for someone completely and well—you have to go outside the box sometimes.”
Angela is excited to offer her patients two things: validation and relief. “So many women just give up because they get tired of talking. As I went through Midi University [our in-depth training program] I kept thinking, yes! Finally a good understanding of safe treatment for menopause symptoms.”
Dr. Osiecki is an Internal Medicine physician with more than 25 years of experience caring for adult patients. Prior to joining Midi, she co-owned and managed an award-winning independent primary care practice with a focus on women’s health, preventative health, and medically complex patients. What she loved about running her own practice: “I was able to spend enough time with patients to really understand their medical problems, and develop a rich appreciation for their unique lives,” she says.
Her attention to detail and emphasis on personal connection make her a perfect fit for menopause care, and Midi. “I’ve always loved working with women in menopause, an underappreciated and poorly understood life stage. So when I learned about Midi I was so excited,” Dr. Osiecki says. “Menopause is a moment in medicine as a practicing doctor where you get to say to patients, ‘I have really good news for you! You don’t have to give up your sense of wellbeing, your sex life, your job, your sanity—because your symptoms are so treatable. We can make all of this better.”
A daughter’s support: “My journey in medicine began with my mother’s diagnosis with breast cancer when I was a teenager. My mom is deaf, and I used American Sign Language to help her understand the medical terminology of her care plan. This sparked an interest in me—I wanted to know more about healthcare.”
Her path to Midi: “In 2013, I became a Women’s Health Nurse Practitioner. Through my experience, I’ve helped women with mental health, weight management, and navigating the complexities of disease processes. I chose to join Midi because I love seeing the impact of helping women adjust to the next stage of life during menopause, feeling their best.”
What attentive care looks like: “Menopause is a fascinating biological and psychological transformation. As a healthcare provider and advocate, I want to provide support every step of the way. When a woman regains her sense of self, I know I’ve made a difference.”
Lisa is a master’s prepared women’s health nurse, Family Nurse Practitioner and public health leader with more than 23 years of experience. She received her Menopause Society Certified Practitioner certification in 2022. “Menopausal care was so different when I first started—we had limited treatment options and there was a lack of openness around this life stage in general,” she says. Since then, Lisa has witnessed an evolution: "Now we have so many prescriptive and non-prescriptive options–we just need to educate patients about everything available to them."
Lisa comes to Midi with extensive experience caring for cancer survivors with treatment-related gynecological issues. “Those patients need lots of discussion around issues like sexuality, intimacy, and body image,” she says. “That’s where I truly recognized the power of listening, compassion, and making patients feel heard. I use those skills with all my patients, and I’m constantly tweaking treatment based on risk factors, symptoms, and the patient’s comfort level with medications."
As a clinician and a woman in midlife herself, Lisa appreciates Midi’s holistic approach to care. "What drew me to Midi was the fact that we don’t push prescriptions. Medication can only take you so far—there has to be a discussion about the mind-body connection, sleep, exercise, and other lifestyle topics. Midi truly provides holistic, comprehensive care."
Kat is a Yale-trained Nurse Practitioner with a focus on women’s health and deep empathy for patients who struggle to get high-quality healthcare. “I came from a family where I received no education about my body and became a mom in my early twenties,” she says. “I realized from personal experience that healthcare can be either transformational, or traumatic.”
To ensure a positive experience for her patients, she pays attention to “their physical, emotional, and spiritual wellbeing.” And she never stops learning: “I’m a big nerd! I’m always doing my own side research on mental health, neuroscience, and alternative modes of healing.” For example, “working with the naturopathic community taught me that there are many alternatives to hormones for people who can’t or don’t want to take them. Those solutions can work and be very nourishing, especially for cancer patients.”
What does she love about working with women in midlife? “They really come into their power. They’re sick of feeling discarded and unheard, and want to know what we can do for them. What we can bring, as clinicians, are solutions, and the ability to see them as whole people, not body parts.”
Anchored in women’s health: “I’ve had the opportunity to practice in various areas of health care. As a Certified Family Nurse Practitioner and Women’s Health Nurse Practitioner, I have had the opportunity to delve into many areas including surgery, cancer, and pediatrics. But I’ve always gravitated back to women’s health.”Developing a holistic understanding: “In my approach to patient care, I prioritize creating an environment where individuals feel comfortable letting their defenses down and freely expressing their concerns. I work with the mind, body, and spirit to understand patients’ health history and goals. My patients can expect a listening ear, cheerleader, partner, and guide while working towards their goals.”The domino effect of self-care: “Women often act as caregivesr and are expected to be the support for their partners, aging parents, and children. As a result, they tend to put their own care on the back burner. So, by prioritizing women’s care, we help maintain the health of whole families and communities.”
Connecting across life stages: “I’ve passionately cared for women and families for over 38 years. My career in labor and delivery, nursery, and postpartum gynecology has mirrored my own life stages, allowing me to feel deeply connected with my patients. Witnessing diverse aspects of women’s lives, I became attuned to their challenges in different phases. I’ve been lucky enough to educate and empower patients who are traditionally underserved due to economic and racial disparities in health care, allowing them to make informed choices aligned with their needs and values.”
Your midlife guide: “Navigating menopause can be daunting, and full of misunderstanding and misinformation. As I began my own menopause journey, I was struck by the lack of support. I’m devoting the remainder of my career to menopause care, immersing myself in scientific literature, hearing from midlife patients, and pursuing my Menopause Society certification. At Midi, I am excited to expand midlife support, giving more patients access to care options.”
The menopause bond: “When it comes to menopause, it really requires a spirit of sisterhood. I want every patient to feel free and comfortable to ask all their questions and to be an active part of their own care.”
An experienced partner: “I’ve been a Nurse Practitioner for seven years, and I have deep experience in reproductive endocrinology and infertility. I am a certified nutrition coach and a board certified Women’s Health Nurse Practitioner. Now, at Midi, I am excited to meet women where they are and help with the specific challenges they’re facing.”Getting you back to better: “It’s exciting to be able to educate patients and identify options tailored to their own personal preferences. This individualized care, centered around education, allows women to make decisions that will help them live as their optimal functioning selves.”Personal experience, professional compassion: “My personal journey through fertility treatment deeply influences my approach to care. I understand firsthand the complexities of hormonal treatments and therapies, and the profound impact they can have. As a patient, I value healthcare providers that offer compassion and hope; the women I treat can expect the same approach from me.”
Meeting a need: “In my seven years of internal medicine nursing, I found myself drawn towards women’s midlife care. Patients would come to me with unanswered questions and untreated health concerns, so I joined Midi to address emotional and physical symptoms, providing support during a transformative lifestage.”
Body and mind: “My approach to patient care during perimenopause and menopause centers on mental health. Regardless of symptoms—hot flashes, vaginal dryness, joint pain, or anything else—a common thread is their daily impact on emotional wellbeing. These issues affect women's professional career, families, careers, and personal relationships. My goal at Midi is to alleviate stress by improving both physical and mental health.”
A team of care experts: “The healing process is a journey, and I’m not the only one who’ll be there to support you. We have a huge team of experts here at Midi who are ready to jump in.”
Care from labor to midlife: “I have 25 years of nursing experience, and my journey began in the mother-baby unit, moving on to Labor and Delivery. But my passion as a Women’s Health Nurse Practitioner lies in caring for women in their midlives, when their struggles are often overlooked. There are countless ways to make this transition smoother, and I have a lot of compassion for my patients because I’m on the same path myself.”
A privilege and a passion: “In my previous job, I became the go-to person for perimenopausal and menopausal concerns. My mission is to reassure women that what they're going through is normal, provide relief when they’re not feeling their best, and help them feel like themselves. It's a privilege to be part of their journey to well-being.”
Convenience, care, and commitment: “I chose to join Midi because they prioritize personalized care, allowing me to spend as much time as necessary with each patient. The wealth of knowledge within our group keeps me growing as a nurse practitioner, and I love that we make it convenient for patients to seek care while juggling their busy lives.”
Years on the road: “I’ve been a nurse for 12 years, with 5 years as an ICU nurse before transitioning to travel nursing. That experience enabled me to work with diverse communities nationwide, from affluent cities to impoverished towns. Since 2021, I’ve specialized in women’s health as an MP, working in gender-affirming care, and midlife weight loss.”Supporting women through every stage: “I chose Midi because of my lifelong interest in supporting women across their lifespan, especially during midlife. It shocked me to see how many OB/GYN professionals felt unprepared to address menopause. Determined to fill this gap, I dedicated myself to becoming a clinician who listens, understands, and effectively treats women during this stage.”Navigating shared decision making with patients: “My care is based on shared decision making and education. My role as a clinician is to educate each patient on their options and risks, getting to know them on an individual basis and making a plan to find the best solution for them. There really is no one size fits all.”
From labor and delivery to menopause care: “I’ve worked as a Nurse Practitioner for the past eight years, including in high-risk labor and delivery, rural health clinics, preventive care, family planning, and private OB/GYN practice. I really found joy in being able to listen and educate women going through menopause, and I also specialize in weight loss management through tailored diet plans and medical treatments.”Modern approaches for midlife women: “Historically, midlife women haven’t been offered treatment options because of the lack of understanding and research. It’s 2024! We have evidence-backed solutions that are readily available and safe, for symptoms that are treatable.”Transformative results: “The most rewarding aspect of providing care for women at midlife is witnessing their quality of life significantly enhanced through straightforward treatment plans. Everyone deserves the chance to thrive, and it’s incredibly gratifying to play a role in that process. Improving wellness through menopause can be remarkably simple, and I am genuinely enthusiastic about contributing to this endeavor.”
Understanding women and hormones: “I’ve seen the full spectrum of health issues in family practice but my niche has been in women’s care for the past eight years, with a focus on hormone therapy. From my personal experience, I struggled with hormones because I have PCOS. So I’ve had a tough time with periods and fertility. That really started my interest in this area. I’ve been educated by my expert peers, I attend conferences, and I constantly read the latest research to stay up to date.”
Educate, collaborate, celebrate: “Menopausal patients come in thinking they have early Alzheimers, worried about extreme fatigue, concerned about a drop in libido. It’s such a relief to them to know why they’re having symptoms. They’re not depressed or anxious—it’s not them, it’s hormonal. One of the most satisfying aspects of my practice is when patients return for a follow-up, talking about their improved well-being through treatment.”
Why weight matters: “I also specialize in weight wellness, and I firmly believe that the weight changes women experience affect their mental health, sexual well-being, and overall physical health. Early intervention can change the trajectory of our patients’ lives.”
Compassion meets expertise: “Going through the birth of my first child helped me realize the importance of compassionate support in vulnerable moments. This led me to start my healthcare journey 25 years ago as a labor support doula and childbirth educator. Since then, I’ve become a board-certified Family Nurse Practitioner and Certified Nurse Midwife. I’ve worked in various roles including ER, hospice care, and, for the past eight years, as a Women’s Health Nurse Practitioner.”Why I joined Midi: “First, I love telehealth. It’s a vital tool for providing equitable access to quality care. Second, I have a deep passion for helping women through this transition, stemming from my own experience in menopause. I encountered firsthand the lack of training among clinicians. It’s transformative to empower women to navigate menopause with confidence and well-being.”The most vital part of care: “Building trusting relationships with patients comes first—everything else can grow from there. I am not interested in telling someone what to do; I explore where the patient is at in their health journey, and work with them to build a plan to meet their goals.”
Your expert guide: “I have 15 years of experience as a board-certified Women’s Health Nurse Practitioner with a menopause certification from the Menopause Society. My career has been centered in outpatient OB/GYN offices, focusing on sexual and reproductive health and breast care. I am passionate about supporting women beyond their childbearing years, offering care for 14 years to women in perimenopause, menopause, and post-menopause.”Unique experiences, unique care: “I have a family member who was diagnosed with triple-negative breast cancer in her early thirties and underwent a mastectomy, reconstruction, and chemotherapy. Helping her through this journey has invigorated my passion for individualized care. We need to support a range of experiences beyond traditional primary care. Midi fills this void, helping women live their best lives by meeting their individual needs and providing personalized support.”Trust built over time: “Connecting with patients, building relationships, and meeting their needs where they are in their journey is what drives my passion for this work. It’s a dynamic process, unique for each individual.”
“I knew from childhood that I wanted to help women and advocate for them in some way,” says Gretchen, and she’s done just that for more than eighteen years as a nurse practitioner in OB/GYN practices. She is a North American Menopause Society Certified Menopause Practitioner, and specializes in compassionate, individualized HRT management.
When she sees patients struggling with menopause symptoms, “I like to start by saying, ‘It doesn’t have to be this way. We can help you.’ I give patients a spectrum of options and partner with them to find what’s right.”
Telehealth is a great medium for reaching patients, Gretchen says. “I love it as a way to get people access to quality care, even in the nooks and crannies of our system where they don’t have many options. I can reach them wherever they are, and there’s such a great, personal interaction—it’s like we’re in the same room!”
Personal insight, professional commitment: “As a board-certified Family Nurse Practitioner specializing in women’s health for more than eight years, I have focused on menopausal women in gynecology. I myself have been diagnosed with Polycystic Ovary Syndrome, so I know personally how critical education and support is—to help women understand what’s going on in their bodies and manage it in their own way.”
Standing in the gap: “Throughout my career, I’ve encountered clinicians who lack understanding of menopause, leaving women feeling unheard. There’s confusion around hormone therapy, with clinicians hesitant to provide necessary care due to inadequate education. Midi’s outreach to this underserved community is crucial. By filling a care gap for them, we can positively impact countless women’s lives, ensuring they receive the care they deserve.”
An up-close view: “Coming from a large family of women currently navigating menopause, I have witnessed the struggles and stigma they face. It is so easy for women in menopause to feel isolated, lacking in support. Assisting them through this transformative period is a privilege, knowing I’ll walk the same path one day, and offering strategies to ease their journey.”
“I am an Advanced Oncology Certified Nurse Practitioner (AOCNP) with over a decade of experience, primarily dedicated to women's oncology care. I specialize in understanding the distinct challenges women encounter during midlife, particularly in menopause. My extensive oncology background provides a unique insight into the often overlooked impacts of menopause on women’s lives. This has shaped my approach, emphasizing comprehensive, holistic, and empathetic care, including for cancer survivors and high-risk populations.”
The care survivors deserve: “Cancer survivors often confront menopausal challenges that are not adequately addressed, especially those thrust into early menopause due to treatments. I am excited to play a role in bridging this gap by providing survivorship care, addressing the crucial need for specialized menopause management.”
Putting care within reach: “I was inspired to join Midi due to its commitment to addressing the often overlooked and neglected area of midlife women’s health. The platform’s accessibility and the clinical dedication to providing evidence-based treatment are groundbreaking. I had to seize the unique opportunity to deliver quality care to an historically underserved demographic.”
Constantly learning, to better serve patients: “As a certified OB/GYN, my joy lies in actively listening to patients, understanding their unique needs, and educating myself to meet those needs. While working in private practice, I encountered a growing demand for midlife guidance, prompting me to specialize in menopause management with The Menopause Society in 2013. Addressing the recurring desire for non-medical alternatives for hormonal management, I delved into diverse disciplines like gut management, functional medicine, Eastern medicine, and energy medicine. Observing weight management challenges during midlife transitions, I completed my board certification in obesity medicine in 2023.”
Partnering with Midi to expand perimenopausal care nationwide: “There is an ancient proverb that says ‘to go far, go together’. I have a goal to expand perimenopausal care nationwide, and Midi’s commitment to evidence-based, innovative, and holistic care for women aligns with my values and will make a necessary difference.”
Support for pillars of health: “Women are typically responsible for not only their own health, but the health of their families, their communities, and future generations. So it’s vital to provide expert counsel on evidence-based medicine, including traditional and holistic options, to enable them to thrive during midlife.”
A decade of dedication: "I’ve been a Women’s Health Nurse Practitioner for eight years, and in women’s health for more than 10. I’ve worked in OB/GYN clinics with a focus on reproductive endocrinology and infertility, and my lifelong passion for helping women and deep interest in the management of hormone-related concerns led me to Midi."A legacy of compassion: “As a kid, I spent a lot of time with my grandmother, who worked at a nursing home. I was able to see how special it was to care for someone, and the impact of her work. Because of that experience, I went to nursing school and became a Nurse Practitioner to specifically care for women.”Tailored treatment for every journey: “One of the greatest joys about working in this field is providing individualized care to women. Patients come in with a long list of concerns and issues and, by talking with them, I’m able to understand their priorities and personalize their Care Plan. It’s so gratifying and exciting for both the patient and myself to see improvement and relief in follow-up visits.”
A quarter century of dedication: “For 25 years, I’ve cherished my role as a Women’s Health Nurse Practitioner, guiding women from childbirth through menopause. My journey into medicine began in high school when I discovered my passion for caring for those in need. I began as a postpartum and newborn nursery nurse, later finding a nurse practitioner program that allowed me to provide care to underserved areas, focusing on pregnant women and their babies.”
Motivated by patient success: “One of my former patients was 17 when she had her first baby, 21 for the second, and I provided prenatal care for both pregnancies. We discussed her future aspirations back then. A decade later, I crossed paths with her at my local primary care, and learned she was the regional lab manager. It was heartwarming to see her thriving in her career.”
To women approaching menopause: “I stress the importance of finding a healthcare provider who listens and addresses your needs and symptoms. To my patients: Know that there's hope. You don’t need to endure years of menopausal symptoms. We’re here to listen, manage your symptoms, and support your well-being.”
Eliminating health care disparities with Midi: “I have been practicing as a Family Nurse Practitioner for the past 20 years, primarily in internal medicine, but caring for women was truly my first love. My career started in women’s health and now has come full circle at Midi. Our mission here aligns with my deep passion for eliminating health disparities and addressing the health concerns of vulnerable populations, including and especially Black women.”Navigating midlife, together: “In a visit with me, patients can expect honesty, shared decision-making, and access to all necessary information for informed choices about treatment.”Women’s care with precision: “I chose Midi to offer a refreshing approach beyond traditional primary care or women’s health, focusing on personalized care for women navigating life’s phases. I aim to address the unique experiences women encounter with their bodies and hormones, providing comprehensive Care Plans including pharmacological and non-pharmacological interventions. I prioritize holistic wellness, integrating alternative medicine to support mental and physical well-being.”
Her ER experience: “I started out in healthcare as a registered nurse in the emergency department, where a glaring gap in women's care fueled my passion. Early on, I noticed women seeking answers in the ER because traditional channels failed them. This sparked my mission to focus on women’s health as a Family Nurse Practitioner within an internal medicine practice, offering tangible solutions and resources.”
Passion first, and job second: “Joining Midi wasn’t about a new job; it was about joining a movement that resonated with my commitment to comprehensive women’s health. Our emphasis on improving the quality of life for women beyond the basics spoke to my values. Lifestyle modifications, supplements, and emotional support in addition to prescription solutions—it wasn’t just healthcare; it was a holistic approach.”
Strengthening women benefits all: “Caring for women in midlife is beyond satisfying. It’s downright incredible. These women are powerhouses, mothers, grandmothers, partners, achieving incredible feats. Strengthening women means strengthening families and societies. As a mom of three daughters, that belief guides my approach.”
Julianne's approach to menopausal care stems from 28 years of experience in women’s health, as well as her personal journey. "I’ve walked through menopause with a lot of women in my career, but it felt different after I’d experienced it," she explains.
“Once I reached a certain level of discomfort, I immediately got myself some estrogen and progesterone. Having access to the studies and data, I had no reservations. And only after my symptoms were relieved did I realize how much they were bothering me. In my experience, women are willing to accept more discomfort. Men would likely consider it an emergency if they were faced with anything like the perimenopause and menopause symptoms women simply deal with.”
Julianne appreciates Midi's approach to care. “I’m interested in my patients’ menopause symptoms, but I also ask: Have they had their mammogram? Their colonoscopy? And what’s going on with their bone health—do they need a DEXA scan? Mid lets me look at their whole health picture.”
Empathy as a patient and a provider: “I have been working in women's health for over 8 years and I am also going through perimenopause. As a patient and a provider, I have witnessed firsthand the hurdles that patients have to feel heard regarding menopause transition. It is extremely important to feel heard when you are explaining such a vulnerable part of your life. I think the culture is slowly shifting to listening to women in this menopause transition, but we still have a lot of work to do.”
Revolutionizing menopause care with Midi: “I want to be a part of a company where menopause care is holistically addressed and easily accessible to all patients going through menopause. I think Midi's presence in the medical community will open up other health care providers to the needs of women transitioning through menopause.”
To women approaching menopause: “You don't have to live in silence with the symptoms of menopause transition. There are options to make you feel more like yourself. I find it truly satisfying when you can change this dialogue and assist in the process of them feeling better or having a higher quality of life.”
Jen Tagatz has decades of experience as a nurse practitioner specializing in women’s health, including 20 years providing OB/GYN services for Kaiser Permanente. Certified by the North American Menopause Society, she brings an incredible depth of knowledge to her work, but her empathy is just as important in helping patients heal and thrive. Where did that come from? “My mom was an OB/GYN nurse and my father was a fertility specialist,” she says, “so we talked about women’s health at the dinner table every night. Those conversations, and my early biology classes in human sexuality, made me realize how little information we receive about what’s normal, and how to get help when we need it. I knew early on that this was where I wanted to be.”
She decided to become a nurse, she says, when she worked at a reproductive health clinic and saw that NPs did most of the patient education. “I liked that this role lets me focus on the emotional, psychological and psychosocial elements of a woman’s situation, not just her physical care. For me it’s about taking care of the person as a whole.”
Why did she join Midi? Her reasons are both professional and personal. “At Kaiser I was seeing menopausal women complaining of joint pain, poor sleep, sexual problems, hot flashes—a gamut of issues. I read everything I could get my hands on, from my textbooks to information put out by all the major guiding organizations, but the education wasn’t there, and it should be.
“Then, as I hit my forties, I found myself going through hormone transition along with my patients, and my friends. Together, we figured out what to do. I was their partner for this part of their life, and it’s wonderful to be that resource people can go to.
“At Midi, we’re scaling that kind of support. We’re building robust protocols and sophisticated position statements. I’m so excited to have a voice and help develop a program, leveraged by tech, that will support all women in this amazing life stage.”
With more than a decade of experience caring for women and families, Gisele has always been guided by one principle: “I treat my patients the way I would want myself and my loved ones to be treated.” In addition to showing them respect and sensitivity, that also means, “explaining the ‘why’ behind what they’re going through and giving them all their options in a clear way.”
In addition to her Masters in Family Practice, Gisele earned her certification as a menopause practitioner from the North American Menopause Society. “Once I got into the clinic setting as a NP I saw and heard so much about menopause—women’s issues with hot flashes, genitourinary syndrome, and many other symptoms. I realized I needed to become a voice and a champion for these patients, helping them understand hormones, and find solutions.” As a fluent Spanish speaker, she’s able to reach an even wider community with her compassionate care.
A guide and an educator: “I’ve been a nurse since 2012, and a nurse practitioner since 2017. Prompted by my own journey overcoming an eating disorder in high school and college, I chose nursing to empower women in achieving optimal health. Later, I observed the challenges women in their 40s and 50s faced—physical changes and diminished well-being—so I shifted my focus to menopause and midlife care. My mission is to guide women through this transition, helping them understand and navigate what can be the best phase of their lives.”
Nutrition for hormonal harmony: “In addition to my nursing degree, I am a certified nutrition expert, precision nutrition practitioner, CrossFit Level 2 trainer, and gym owner. I'm dedicated to helping women improve their lives through nutrition and exercise. I have deep expertise in nutrition, blood sugar, cortisol management, and thyroid health. My goal is to help women improve their relationship with food, and recognize that the foods we consume significantly affect hormones, especially during the midlife transition.”
This is your prime time: “If you’ve been taught that you just have to cope with feeling bad, it’s a lie. Your life is just beginning. You are meant to thrive as you transition through menopause and into your postmenopausal years.”
“Compassionate, engaged, accessible.” Those are the three words Sarah uses to describe the care she’s delivered throughout her twenty years in women’s health. All three values come into play with her patients in the menopause transition. She strives to help them feel validated, and put them at ease: “I see many women who’ve felt dismissed or overlooked in a health system that lacks understanding of how profound the changes of midlife can be. It’s not just about hot flashes! Our changing hormones affect everything from the immune system, to our ability to multi-task, to our intimate relationships.”
As a Women’s Health Nurse Practitioner and Midwife who is certified by the North American Menopause Society, Sarah focuses on health and wellness in midlife. She is fluent in English, Spanish, and Arabic, and specializes in culturally sensitive care, with a holistic approach to women’s health that is tailored to each patient’s needs.
“The most important thing we can do as clinicians,” she says, “is to help every patient feel that the working of her own body is not a mystery, nor classified information, but that it’s an elegant design that makes sense—even as it’s changing. The more we can help women understand that process, and own it, the more they can take charge of their own well-being.”
Ashley’s career in nursing began nearly 15 years ago, and she has spent the last seven years focused solely on female health as a Women’s Health Nurse Practitioner.
Her mother’s experience with breast cancer triggered her interest in menopause. “I watched my mom struggle with her diagnosis and also having to abruptly stop taking hormones. It was a lot on her. I spent time researching options during this transition, trying to help her find relief.”
Ashley is now well-versed in supplements and other non-hormonal approaches to care. Prior to joining Midi, she also gained expertise at a vulvar specialty clinic: “Women in midlife and beyond were coming in with vaginal dryness, pain with sex, and vulvar skin issues. So many of them say they’ve been dealing with this for years, and, ‘It is what it is.’ I say, ‘Wait a second—we can help with all that.’”
Her main message to patients: “Feel comfortable and ask questions! Bring up any topic, because whatever’s bothering you, there’s almost always a solution”
My journey to Midi: “I have been a nurse since 1992 and a Nurse Practitioner since 1998, with the bulk of my career spent in an OB/GYN office. I have seen women of all ages, but found my niche in taking care of women in perimenopause, menopause, and postmenopause. That’s what led me to Midi.”Care is power: “Oftentimes in midlife, we feel like our bodies are betraying us, and it can be very frustrating to feel out of control. By joining with an expert health care provider, you will have access to high quality evidence-based medicine and therapeutic interventions that can give you back some control over your body.”Compassionate guidance through cancer risk: “I have a deep interest in helping women navigate reproductive cancer risk. My mom passed away from ovarian cancer in 2019 and I underwent surgically induced menopause. There are many implications that come along with this, and I’m now seen by a high-risk breast cancer clinic. My care has been shaped by a deep empathy for those with high cancer risk or who have cared for loved ones with reproductive cancer.”