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FAQ
Start by asking your primary care provider for suggestions. Your friends and family may also have great relationships with a doctor they’d recommend. Or you can search online for recommended providers in your area.
The most frequent symptoms of menopause include hot flashes, night sweats, mood swings, less or more frequent bleeding, and sleep disturbances. The symptoms may start during perimenopause, which is the phase of life prior to menopause.

Simran Malhotra, MD
Medical Reviewer
Dr. Malhotra completed her internal medicine residency at Medstar Franklin Square Medical Center, where she also served as chief resident in 2015. She completed her fellowship in hospice and palliative medicine at Johns Hopkins Hospital in 2016. She was named Top Doc in Palliative Medicine in 2019 and 2020 by Baltimore Magazine.
On a personal note, she is a BRCA1 previvor with a strong family history of breast and female reproductive cancers, and underwent a risk-reducing bilateral mastectomy and total hysterectomy in 2020 at 32 years old. After learning about her own genetic risk of cancer, and grounded in her professional experiences in palliative care, she founded Wellness By LifestyleMD, a platform where she works with and educates women at high risk for cancer with or without genetic mutations on the powerful impact that positive lifestyle changes can have on their quality of life and even longevity.
In addition to being a diplomate of the American College of Lifestyle Medicine, she completed the T. Colin Campbell plant-based nutrition certification in 2019, the CHEF culinary coaching certification in 2020, and the WellCoaches health and wellness coaching certification in 2022. She is a member of the ACLM women’s health member interest group and serves as the co-chair of the breast cancer subcommittee.
Malhotra has been featured on several blogs and podcasts, where she has shared her unique perspectives and experiences from palliative care as well as from being a genetic mutation carrier who is passionate about using lifestyle as medicine.

Juliana (Jewel) Kling, MD, MPH
Jewel Kling, MD, MPH, is the chair of the division of women's health internal medicine and the assistant director of the women's health center at the Mayo Clinic in Scottsdale, Arizona. She is the dean of the Mayo Clinic Alix School of Medicine's Arizona campus. Her clinical and research interests are in menopause, sexual health, and LGBTQ+ care.
She completed medical school and a master's in public health at the University of Arizona and an internal medicine residency at the Mayo Clinic in Arizona, followed by an internal medicine fellowship.
She is a North American Menopause Society–certified menopause practitioner and serves on the boards of the International Society for the Study of Women's Sexual Health and the American Medical Women's Association Sex and Gender Health Collaborative. She is part of the transgender steering committee at the Mayo Clinic in Arizona and was co-chair of the LGBTI Mayo Employee Resource Group. She is also active with the internal medicine residency program, as well as efforts to expand the discipline of sex- and gender-specific medicine.

Jennifer Logan, MD, MPH
Medical Reviewer

Justin Laube, MD
Medical Reviewer
Justin Laube, MD, is a board-certified integrative and internal medicine physician, a teacher, and a consultant with extensive expertise in integrative health, medical education, and trauma healing.
He graduated with a bachelor's in biology from the University of Wisconsin and a medical degree from the University of Minnesota Medical School. During medical school, he completed a graduate certificate in integrative therapies and healing practices through the Earl E. Bakken Center for Spirituality & Healing. He completed his three-year residency training in internal medicine at the University of California in Los Angeles on the primary care track and a two-year fellowship in integrative East-West primary care at the UCLA Health Center for East-West Medicine.
He is currently taking a multiyear personal and professional sabbatical to explore the relationship between childhood trauma, disease, and the processes of healing. He is developing a clinical practice for patients with complex trauma, as well as for others going through significant life transitions. He is working on a book distilling the insights from his sabbatical, teaching, and leading retreats on trauma, integrative health, mindfulness, and well-being for health professionals, students, and the community.
Previously, Dr. Laube was an assistant clinical professor at the UCLA Health Center for East-West Medicine and the David Geffen School of Medicine at UCLA, where he provided primary care and integrative East-West medical consultations. As part of the faculty, he completed a medical education fellowship and received a certificate in innovation in curriculum design and evaluation. He was the fellowship director at the Center for East-West Medicine and led courses for physician fellows, residents, and medical students.

Mayoni Ranasinghe, MBBS, MPH
Medical Reviewer

Jacquelyn Dosal, MD
Medical Reviewer
Jacquelyn Dosal, MD, is a board-certified dermatologist practicing at The Dermatology House in Park City, Utah. Her areas of expertise include acne, rosacea, integrative treatments of inflammatory skin diseases, as well as laser treatment of the skin and injectables.
Dr. Dosal writes cosmetic questions for the certifying exams for the American Board of Dermatology. She is also the deputy editor for the American Academy of Dermatology's podcast, Dialogues in Dermatology.

Veronica Johnson, MD, FAAP, FACP, Dipl. of ABOM
Medical Reviewer

John Paul McHugh, MD
Medical Reviewer
John Paul McHugh, MD, is an obstetrician-gynecologist and lifestyle medicine specialist in southern California. He has always placed wellness at the center of his work, in both delivering babies and improving practice standards. Dr. McHugh believes that bringing lifestyle medicine to the center of health and wellness empowers patients to make the change they seek and enjoy the benefits of true wellness.
He is a graduate of Harvard Medical School and the Massachusetts Institute of Technology and a fellow of the American College of Lifestyle Medicine. He served as a department chair at Scripps Mercy Hospital in San Diego and is now the chair-elect for the American College of Obstetricians and Gynecologists for California.
He has published several articles in the American Journal of Lifestyle Medicine and served as a peer reviewer for many articles. He contributed to the first textbook of lifestyle medicine in women's health: Improving Women's Health Across the Lifespan.

Chung Yoon, MD
Medical Reviewer

Anna L. Goldman, MD
Medical Reviewer
Anna L. Goldman, MD, is a board-certified endocrinologist. She teaches first year medical students at Harvard Medical School and practices general endocrinology in Boston.
Dr. Goldman attended college at Wesleyan University and then completed her residency at Icahn School of Medicine at Mount Sinai Hospital in New York City, where she was also a chief resident. She moved to Boston to do her fellowship in endocrinology at Brigham and Women's Hospital. She joined the faculty after graduation and served as the associate program director for the fellowship program for a number of years.

Heather Jeffcoat, PT, DPT
Medical Reviewer
Heather Jeffcoat, PT, DPT, is a doctor of physical therapy and the founder of Femina Physical Therapy and Fusion Wellness & Physical Therapy, both of which focus on pelvic health and whole-body orthopedic care.
With more than 20 years of clinical experience, Dr. Jeffcoat is a leading expert in the treatment of sexual pain and pelvic floor dysfunction, and her Los Angeles (Beverly Hills, Pasadena, Sherman Oaks) and Atlanta-based clinics draw patients from around the world.
She is the author of Sex Without Pain: A Self-Treatment Guide to the Sex Life You Deserve, which is widely used by both patients and healthcare professionals. Jeffcoat regularly lectures internationally on female sexual health, pelvic pain, and interdisciplinary care, and she develops continuing education courses for physical therapists and other providers.
Jeffcoat served as president of the Academy of Pelvic Health Physical Therapy from 2021 to 2024, and held multiple leadership positions with the International Pelvic Pain Society from 2014 to 2023, including acting on their board of directors.
Her patient-centered, integrative approach emphasizes functional recovery and empowerment for those experiencing painful sex, endometriosis, postpartum trauma, menopause-related incontinence or pain, and other complex pelvic and chronic pain conditions. She has created multiple programs, including Birth Prep 101, helping hundreds of women achieve the birth and postpartum recovery support they need.
Her passion extends beyond the clinic walls, as she also founded and runs a 501(c)3, Empower Health Fund, a nonprofit dedicated to providing no cost services to low-income and marginalized populations with pelvic health conditions.
She has been a speaker at the following:
- World Congress on Abdominal and Pelvic Pain, Cartagena, Colombia, Post-Conference Course: "Chronic Pelvic Pain Evaluation and Management Strategies," 2024
- American Urogynecologic Association, Advanced Practice, Physical Therapy, and Allied Health Bootcamp: "Pelvic Pain and Sexual Dysfunction Related to PFDs" (AUGS Preconference Course), 2016
- American Urogynecologic Association, Seattle, "Pathoanatomy and Patient Presentations in Sexual Pain Syndromes," co-presented with Nazema Siddiqui, MD, 2016
- UCLA Urogynecology and MIGS Lecture Series, "Continence and Pain Mechanisms Beyond the Pelvic Floor," 2024
- PelviCon National Conference, Atlanta, "The Female Orgasm and Differential Diagnosis of Vaginismus and Vulvodynia," 2022
- Invited lecturer: Pelvic health education, Reproductive Health Access Project, CSU Fullerton, 2024
- Expert panel speaker, Menopause Monologues: The Hottest Show In Town, Hollywood, California, 2025
Course developer and instructor, Female Sexual Function, Dysfunction & Pain, United States, Istanbul, Middle East:
- Sex Therapy for Transgender and Nonbinary Clients, Center for Healthy Sex
- Cyclist’s Syndrome–Pudendal Neuralgia, Beijing (Chinese Olympic Committee)
- Multiple CE webinars and in-person labs across North America
Community Education:
- Creator and host of multiple events in California, Girls’ Night Out: Better Sexual and Pelvic Health
- Guest speaker, LA LGBTQ Center, Duke University SoCal Women’s Group, and Endo Day

Leslie Becker-Phelps, PhD
Medical Reviewer

Amy Spizuoco, DO
Medical Reviewer
Amy Spizuoco, DO, is a board-certified dermatologist and dermatopathologist. Dr. Spizuoco has been practicing medical, surgical, and cosmetic dermatology, as well as dermatopathology in New York City for 12 years.
She did her undergraduate training at Binghamton University, majoring in Italian and biology. She went to medical school at the New York Institute of Technology College of Osteopathic Medicine. After medical school, she completed her dermatology residency at Lake Erie College of Osteopathic Medicine–Alta Dermatology in Arizona. During that time she studied skin cancer surgery and pediatric dermatology at Phoenix Children’s Hospital and attended dermatology grand rounds at the Mayo Clinic in Scottsdale. After her residency, Spizuoco completed a dermatopathology fellowship at the Ackerman Academy of Dermatopathology.
She was previously an associate clinical instructor in the department of dermatology at the Icahn School of Medicine at Mount Sinai in New York City. She is on the editorial boards of Practical Dermatology and Dermatology Times.

Reyna Franco, RDN
Medical Reviewer
Reyna Franco, RDN, is a New York City–based dietitian-nutritionist, certified specialist in sports dietetics, and certified personal trainer. She is a diplomate of the American College of Lifestyle Medicine and has a master's degree in nutrition and exercise physiology from Columbia University.
In her private practice, she provides medical nutrition therapy for weight management, sports nutrition, diabetes, cardiac disease, renal disease, gastrointestinal disorders, cancer, food allergies, eating disorders, and childhood nutrition. To serve her diverse patients, she demonstrates cultural sensitivity and knowledge of customary food practices. She applies the tenets of lifestyle medicine to reduce the risk of chronic disease and improve health outcomes for her patients.
Franco is also a corporate wellness consultant who conducts wellness counseling and seminars for organizations of every size. She taught sports nutrition to medical students at the Albert Einstein College of Medicine, taught life cycle nutrition and nutrition counseling to undergraduate students at LaGuardia Community College, and precepts nutrition students and interns. She created the sports nutrition rotation for the New York Distance Dietetic Internship program.
She is the chair of the American College of Lifestyle Medicine's Registered Dietitian-Nutritionist Member Interest Group. She is also the treasurer and secretary of the New York State Academy of Nutrition and Dietetics, having previously served in many other leadership roles for the organization, including as past president, awards committee chair, and grant committee chair, among others. She is active in the local Greater New York Dietetic Association and Long Island Academy of Nutrition and Dietetics, too.

Kara Smythe, MD
Medical Reviewer
Kara Smythe, MD, has been working in sexual and reproductive health for over 10 years. Dr. Smythe is a board-certified fellow of the American College of Obstetricians and Gynecologists, and her interests include improving maternal health, ensuring access to contraception, and promoting sexual health.
She graduated magna cum laude from Florida International University with a bachelor's degree in biology and earned her medical degree from St. George’s University in Grenada. She completed her residency in obstetrics and gynecology at the SUNY Downstate Medical Center in Brooklyn, New York. She worked in Maine for six years, where she had the privilege of caring for an underserved population.
Smythe is also passionate about the ways that public health policies shape individual health outcomes. She has a master’s degree in population health from University College London and recently completed a social science research methods master's degree at Cardiff University. She is currently working on her PhD in medical sociology. Her research examines people's experiences of accessing, using, and discontinuing long-acting reversible contraception.
When she’s not working, Smythe enjoys dancing, photography, and spending time with her family and her cat, Finnegan.

Michelle Seguin, MD
Medical Reviewer
Michelle Seguin, MD, is a board-certified family medicine, lifestyle medicine, and certified functional medicine physician (IFMCP). She is a practicing physician at Root Functional Medicine, a leading telemedicine practice specializing in personalized, root-cause care.
- Women’s Health. Centers for Disease Control and Prevention. February 5, 2025.
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