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At Community Health Network, menopause care is designed to help you manage symptoms during perimenopause and menopause. We understand that every woman’s menopause journey is unique. We take a personalized, whole-person approach — offering medical, non-hormonal and supportive options based on your symptoms, health history and goals.
Our experienced ob/gyns, including providers with advanced training in menopause care, can connect you to a wide range of specialists across the network based on your individual symptoms.
Together, we will:
Menopause care is available across Central Indiana, with in-person and virtual visit options. Call 317-621-2727 to request an appointment or find an ob/gyn provider below.
The menopause journey is a natural transition in a woman’s life, marked by shifting and gradually declining hormone levels. This transition unfolds in stages and can bring a range of physical and emotional changes, which vary from woman to woman.
Perimenopause, often referred to as the transition to menopause, occurs when your body's production of estrogen/progesterone rises and falls, and you move to the end of your reproductive years. Many of the changes experienced during this time are linked to hormonal dysregulation, which often leads to common symptoms that can last for several years. The average amount of time spent in perimenopause is four years. You may notice signs sometime in your 40s, but some women may notice them as early as their mid to late 30s. While this is a natural process, every woman's experience is unique, and the timing can vary.
When you’ve gone a full 12 months without having your menstrual cycle, you’ve officially entered menopause. Once you are at this stage, you can no longer bear children. Many women experience menopause between the ages of 44-55, but some women experience it earlier.
You may also experience menopause if your ovaries have been surgically removed, which is known as surgical menopause. It can be a more sudden process that occurs more rapidly after surgery rather than over several years.
Some women continue to experience symptoms or develop new health concerns after menopause. Community Health Network providers can help evaluate ongoing postmenopausal symptoms, review long‑term health considerations, and recommend appropriate treatment options to support overall well‑being after menopause.
Perimenopause and menopause can cause a variety of symptoms in women—from fatigue, headache and sleep disruption to changes in periods, vaginal health and body composition. Symptoms can be influenced by a woman’s genetics as well as external factors, such as race and ethnicity, culture, lifestyle and environment.
Menopause care at Community Health Network focuses on symptom management and individualized treatment (it does not replace routine preventive or emergency medical care). Together with your physician, you'll determine the best treatment options for menopause based on the severity of your symptoms, your health history and your personal preferences.
All our ob/gyns can treat your menopause symptoms. However, if you are experiencing complex or high-risk symptoms of menopause, we may refer you to our menopause certified providers for advanced care.
The table below provides an overview of common menopause symptoms and general treatment approaches. Your personal care plan may include one or more treatment options based on your needs and may draw from several areas of care.
| Symptom Category | Common Symptoms | Treatment Options That May Be Considered | When to Talk With a Provider |
|---|---|---|---|
| Hot Flashes & Night Sweats | Sudden warmth, sweating, chills, disrupted sleep | Hormone therapy; non-hormonal medications; lifestyle strategies | Symptoms disrupt sleep, daily activities, or quality of life |
| Sleep Changes | Trouble falling asleep, staying asleep, or early waking | Sleep support strategies; treatment of underlying symptoms; behavioral approaches | Ongoing fatigue or impact on work, mood, or daily life |
| Mood & Emotional Changes | Mood swings, anxiety, irritability, low mood | Counseling or therapy; medication when appropriate; stress-management strategies | Symptoms are persistent or affect relationships |
| Cognitive Changes | Brain fog, difficulty concentrating, memory concerns | Symptom-focused treatment; sleep optimization; lifestyle supports | Cognitive changes interfere with daily activities or work |
| Vaginal & Urinary Symptoms | Vaginal dryness, discomfort, painful intercourse, urinary changes | Local therapies such as vaginal estrogen; non-hormonal options | Persistent discomfort, pain, or recurrent urinary issues |
| Sexual Health Changes | Decreased libido, discomfort with intimacy | Local or systemic treatment options; counseling; pelvic health support | Concerns affect comfort, relationships, or overall well-being |
| Physical Changes | Weight changes, joint discomfort, fatigue | Lifestyle counseling; symptom-specific treatment approaches | Symptoms are ongoing or becoming difficult to manage |
The sections that follow describe different types of care that may be included in a personalized menopause treatment plan, such as medications, integrative medicine therapies, surgical options and non-surgical interventions.
Medical management is the use of prescription medications to treat symptoms or conditions.
Integrative medicine is a holistic, healing-oriented approach to treating the whole person. Through evidence-based conventional and alternative therapies, patients and physicians can create a personalized treatment plan for you, which could include the following:
Hormonal changes can impact various aspects of your body, which is why we offer the Circle of Care, a comprehensive approach that connects you with all the subspecialists necessary to ensure a smooth and healthy midlife transition.
For certain patients, a surgical option is recommended to control perimenopause bleeding issues. This could include, but is not limited to:
Empower RF treatments are now available at our Noblesville ob/gyn practice. Please read below to learn more about the treatments. We encourage you to reach out to your physician with any additional questions.
Schedule a visit with one of our advanced ob/gyn physicians to find the best treatment option for you!
Perimenopause is the transition leading up to menopause, when hormone levels begin to change and symptoms may occur. Menopause is reached after 12 consecutive months without a menstrual period. Both are natural stages of aging, but symptoms and timing vary from person to person.
Symptoms vary and may include hot flashes, night sweats, sleep changes, mood shifts, brain fog, vaginal dryness, changes in sexual health and changes in bladder health.
Yes. Changes in hormone levels during perimenopause and menopause can affect sleep, mood and emotional well-being. Some women experience insomnia, anxiety, irritability, mood changes or difficulty concentrating. If these symptoms are affecting your daily life, your provider can help identify treatment options and supportive resources.
Yes. Heart disease risk increases with age and tends to rise after menopause. Changes in hormone levels may contribute to increases in cholesterol, blood pressure and other cardiovascular risk factors. Regular screenings and healthy lifestyle habits can help support heart health during and after menopause.
Make an appointment with an ob/gyn if symptoms interfere with sleep, daily activities, work or quality of life, or if you have questions about available treatment options.
Treatment is individualized and may include hormonal therapy, non-hormonal options, lifestyle strategies or supportive therapies based on your needs and preferences. When needed, your provider can also connect you with specialists across Community Health Network for related health concerns.
No. Many women manage symptoms with non-hormonal treatments, lifestyle changes or a combination of approaches.
We understand there are patients who can't or choose not to use hormones, such as breast cancer survivors. Non-hormonal medication options include fezolinetant (Veozah™), elinzanetant (Lynkuet™), SSRIs (antidepressants), gabapentin, clonidine, oxybutynin and others. Your provider will help determine the treatment plan that is right for you.
