Frequently Asked Questions
Learn about how Menopause Office Hours supports women like you.
We are here for you, when you’re ready.
About
Working With
Menopause Office Hours
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Menopause Office Hours is a perimenopause and menopause education, support, and advisory practice founded by Lesley Kantor. We offer one-on-one sessions, small private group Office Hours, and curated community gatherings featuring leading doctors and clinicians in the menopause care field. Whether you’re looking for personal guidance, a shared learning experience with other women, or access to a medical expert, we build around what you need. Our mission is simple: putting accurate, evidence-based information into the hands of every woman who needs it. Because informed women get to better care faster.
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It’s for any woman who wants to feel informed about what her body will experience in perimenopause and menopause, know how to advocate for her health care choices, and learn how to ensure she is being cared for by evidence-based medical experts. Every woman comes to us from a different moment in her perimenopause or menopause journey. Some are just beginning to notice shifts and want to get ahead of what’s coming. Some know exactly what they’re experiencing and want help preparing for a specific appointment. Some have already moved through menopause and want support figuring out next steps. Wherever you are, you deserve not only what you need but also what you want. Feeling optimal is the goal.
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Not at all. We work with women who are pre-menopausal, perimenopausal, and post-menopausal. We are passionate about being able to support women before the effects of menopause impact our health span, so the earlier we are able to support our clients, the better. No matter when, we’re there.
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Absolutely not. Actually, most women were not taught anything about this, and the same can be said for many medical providers. So much of what inspired Lesley to start Menopause Office Hours is the gap in knowledge we hope to help close for women.
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A menopause doula is a trained professional who supports women through the perimenopause and menopause transition with evidence-based education, preparation, and advocacy. The training covers the biological, physiological, and sociological changes that occur in women during perimenopause and beyond. The role of a Certified Menopause Doula is not to clinically diagnose or prescribe. It is to get women at all phases of this journey prepared with the information they need to get the most out of their perimenopausal and menopausal medical care.
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Think of a menopause doula the way you think of a birth doula. She’s there for a specific and significant moment, informed and prepared, helping you navigate a system that can feel overwhelming so you come out of the experience with what you need. That’s exactly what we do, for a different but equally significant transition in a woman’s life, the menopause transition. Where we differ from a menopause coach is in the scope and the focus. Coaches may often work with women over longer timeframes, centered on ongoing lifestyle goals – also very important. Our work is more concentrated. We focus on understanding your specific situation, getting you educated on the basics of hormones, treatment modalities, research studies, symptom manifestations, and more, making sure you feel confident and prepared for future menopause-care conversations with your clinicians. Then we aim to get you into the hands of great medical care as fast as possible.
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We start by understanding your concerns and priorities, whatever’s on your mind going in. From there, we go as deep as you need, from a high-level grounding in midlife hormones to a concrete plan for advocating for HRT or non-hormonal options. If you want help identifying trusted medical experts and specialists who can diagnose, prescribe, and support your medical needs, we can explore that with you too. The time spent is individualized to each client’s priorities.
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Every new client starts with The Initial Office Hour, a 75-minute session built to cover as much ground as possible: your symptoms, questions, and goals. After that, it’s entirely up to you. Some women need just one session. Other clients of ours come back for Office Hour Drop-Ins, which are 50-minute sessions whenever the moment calls for it: before an appointment, after one, or when something shifts. We don’t require packages or timelines these drop-ins need to be used within.
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We can absolutely build a plan to accommodate your partner. Having a relationship where both partners are educated and communicative about what one or both are experiencing throughout this transition makes a real difference. Reach out and let’s discuss.
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Yes. One-on-one sessions are available virtually for women anywhere. Group Office Hours are available virtually or in person for clients in the local Los Angeles area.
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A written summary follows every session: the key points we covered, questions built for your provider, any specialist referrals, and resources tailored to where you are, books, podcasts, experts worth following, whatever fits your specific situation.
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If having support in the room or on the call with your provider would be helpful, we can discuss options for how we can accommodate this request.
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Yes. Everything you share with us stays between us. We don’t share your personal information, your health history, or anything discussed in a session with anyone. The written summary we send after your session is for you alone. Menopause Office Hours is not a covered healthcare entity under HIPAA, which applies to medical providers, health plans, and healthcare clearinghouses. That said, your privacy matters here, and everything you share is held in strict confidence. If you have specific questions about how your information is handled, reach out before booking.
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A Group Office Hour is an intimate learning experience, hosted in a private setting in-person or virtually. It’s a meaningful way for women to learn in community together, whether that’s an evening with your closest friends, a networking group, a women’s club, or any group of women who share this experience. In some gatherings, we bring a guest board-certified menopause specialist to show what practicing evidence-based menopause care actually looks like. It’s one of the most direct ways for women to connect with providers who are at the forefront of this field.
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We love bringing Menopause Office Hours to larger communities. Everyone in the room shares the same learning moment. What they take from it is personal, something to keep drawing on, for themselves and for each other. It’s a format that works well for women’s organizations, networking communities, private clubs, and any group who wants to ensure their community of women feels informed about this important subject. Similar to smaller, private group office hours, we can also explore building sessions to feature a guest medical expert in the field who leads the dialogue from a medical perspective.
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Sessions are priced individually based on format requests, group size, and duration. Reach out through the contact form, and we’ll follow up with pricing details based on what fits your situation.
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Most women find us through a referral from someone they already trust: a friend, a sister, a colleague, or sometimes a provider we’ve built a relationship with.
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No. Lesley is a Certified Menopause Doula. If you need a diagnosis, a prescription, or medical management, this is the role of a certified clinician. We can help point you toward evidence-based providers trained in menopause care. Our role is making sure you go into those conversations informed and ready.
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Menopause Office Hours is not a covered healthcare entity under HIPAA, which applies to medical providers, health plans, and healthcare clearinghouses. We are not a medical practice. That said, your privacy matters to us and everything you share in a session is held in strict confidence. If you have specific questions about how your information is handled, please reach out before booking.
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Some sessions may be able to be paid for using an FSA/HSA account. It may require your provider to write a letter of medical necessity. Please check with your insurance provider to verify.
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We do not advise on insurance plans or coverage. For questions about coverage for menopause-related care, your insurance provider or a telehealth menopause platform that accepts insurance would be better placed to help.
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The best way to connect is to fill out my form on the contact page found here.
About Perimenopause and Menopause
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The signs can be really easy to miss, especially early on. Sleep disruption, mood changes, irritability, brain fog, low libido, changes in your cycle, and a general sense that something feels off are all common. Many women have said “I just don’t feel like myself” at annual appointments for years before anyone connects it to perimenopause, if at all. If something feels different, it’s worth trusting your gut and exploring.
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Perimenopause is the transition, the years when hormone levels begin shifting, and symptoms emerge. It can last several years, and some women begin experiencing symptoms of this phase in their 30s. Menopause is a single day, defined as the day that marks 12 consecutive months without a menstrual period. Everything after that day is post-menopause. Most of what women find disruptive and confusing happens during perimenopause, which can begin years before that moment arrives.
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Hot flashes and night sweats, sometimes called vasomotor symptoms, are among the most synonymous symptoms with perimenopause and menopause, though not always the most common. These can be highly disruptive symptoms. Hot flashes consist of sensations of intense heat, usually in the upper body and face, often accompanied by sweating and sometimes followed by chills. Night sweats are like hot flashes that happen during sleep and can interrupt rest multiple times a night, with a real ripple effect on mood, energy, and cognitive function the next day. There are hormonal and non-hormonal treatments for these symptoms. Hormone therapy is FDA-approved for the treatment of vasomotor symptoms, and it is a common topic we help our clients prepare to discuss with their providers.
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Yes, and it is one of the most frequently dismissed ones. Difficulty concentrating, memory lapses, word-finding issues, and a general sense of mental cloudiness are all common during perimenopause and menopause, and they are directly related to hormonal changes, particularly estrogen fluctuations. Research has shown that most of the symptoms and changes leading up to menopause are not driven by the ovaries, but by the brain, as it goes through a full renovation. This is a real symptom. If you have been told it is just stress or aging, that conversation is worth revisiting with a provider who is current on the evidence.
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Hormonal changes during perimenopause and menopause affect metabolism, insulin sensitivity, and where our bodies store fat, with a particular shift toward subcutaneous fat that many women notice even when their diet and exercise habits have not changed and deeper fat around organs we cannot see or feel, called visceral fat. Declining estrogen plays a significant role in this, as does the loss of muscle mass that accelerates when estrogen declines. This is not just a lifestyle-driven issue. Understanding what is driving the change hormonally is the first step toward addressing it effectively. It is also one of the reasons that hormone therapy, by addressing the underlying hormonal changes, can help with body composition alongside its other benefits. This comes up often in our sessions.
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Yes, and this surprises a lot of women. A feeling of a racing, fluttering, or irregular heartbeat is a common symptom of perimenopause that is frequently investigated as a cardiac issue before anyone considers hormones as a contributing factor. Estrogen plays a role in cardiovascular regulation, and as it fluctuates during the transition, palpitations can result. If you have had a cardiac workup that came back normal and you are in your 40s or 50s, perimenopause is worth raising with your provider. That said, any new or persistent cardiac symptoms always deserve medical evaluation first.
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Hormonal changes during perimenopause can significantly affect mood, and symptoms like anxiety, irritability, and low mood are common and often underrecognized as hormone-related. If you’re experiencing these and haven’t had a conversation with your provider that includes hormones, that conversation is worth having.
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HRT stands for hormone replacement therapy, sometimes called menopause hormone therapy or MHT. It refers to using hormones, most commonly estrogen, progesterone, and testosterone, to support the body’s deficiencies of these hormones as the journey to menopause progresses. Whether it’s right for you is a conversation for you and your provider. We help you go into that conversation understanding what roles the hormones play, how shifts in their levels can tie to symptoms, and what the current evidence says. So much has changed in the past two decades, and most women have never been told any of it.
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It means everything we share is grounded in current clinical research studies and the learnings of leading experts who treat women for perimenopause and postmenopause symptoms. We listen to the providers who are applying modern data and clinical experience to open doors for women, and we help bring this to women in a simple, tangible way that enables them to confidently take action with the information.
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Yes, absolutely. Did we say yes? Perimenopause almost always begins while you still have a period, unless you are using other hormonal treatments that might suppress regular cycling. Changes in cycle length or flow, new symptoms, or not feeling like yourself can all be early signs, even years before your last period. You don’t have to have stopped menstruating or even have cycles that are irregular in any way to be experiencing impacts of the menopause transition.
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GSM stands for Genitourinary Syndrome of Menopause, a group of symptoms related to changes in the vulva, vagina, bladder, and urethra that occur when estrogen and androgen levels decline. It includes vaginal dryness, discomfort during sex, and increased urinary issues, including recurrent UTIs. It’s common, it’s treatable, and it tends to be underreported and undertreated. Women as young as their 20s can experience GSM due to factors like oral contraceptives, skin treatments, and more. Local vaginal estrogen and DHEA are known to be safe, effective, and well-studied treatments available to practically every woman. We talk obsessively about this with our clients.
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The relationship between hormone therapy and breast cancer has been widely misunderstood for over two decades, largely as a result of how the 2002 Women’s Health Initiative study was prematurely interpreted and reported. In fact, most women don’t know that the estrogen-only arm of the study showed a 23% reduced risk of breast cancer. Wild, right? The current evidence, and the guidance of leading menopause organizations, tells a much more nuanced story of what happened in the WHI. Understanding what the research actually says, for your specific situation and history, is one of the most valuable things we can help you with and helps unwind a lot of fear. Ultimately, for women who have significant risk factors or other complex medical needs, we always advise working with a specialist who is deeply trained in menopause care, so you can discuss the risk/benefit profile of your individual health situation and get the care that meets your goals and needs.
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This is one of the most common questions women ask us. Not all providers are equally trained in menopause care, and knowing how to identify one who is using current evidence and best practices is something we help with. We’re always building referral relationships with trusted specialists, and we do our best to point you in the right direction, but the decision is always yours. Additionally, the International Society for the Study of Women’s Sexual Health (ISSWSH) and the Menopause Society have directories of providers that have training of varying amounts in menopause care.
We’ve built a free resource about this, which you can find here.
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Most appointments don’t leave much time. Knowing your top three to five questions before you walk in makes a significant difference. Building that list, in your words, for your specific situation, is one of the most concrete things we do together in a session.
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There are providers leading the field and providers still working from out-of-date guidelines. We can help you understand what current, evidence-based menopause care looks and sounds like so you can assess whether the care you’re receiving reflects it. We also have a free resource that can support you in your search for a great provider.
