The MenoHealth blog
Evidence-based guides to perimenopause and menopause, written to be read.
Menopause symptomsMenopause Fatigue: Why You’re Exhausted and What to Do
Menopause fatigue is rarely about one thing. Sleep, hormones, mood, and medical contributors — what actually helps and when to escalate, explained.
By Karla F. Loken, DO, FACOOG· 14 min read
Menopause symptomsBrain Fog and Menopause: What’s Happening and Will It Pass?
Menopause brain fog is real, common, and almost always temporary. SWAN data, what helps, when to escalate — a clinician-reviewed guide for midlife women.
By Karla F. Loken, DO, FACOOG· 13 min read
Menopause symptomsMenopause Acne: Why It Happens and How to Treat It
Menopause acne is different from teenage acne — different distribution, different drivers, different treatments. What works, what doesn’t, and when to see a clinician.
By Karla F. Loken, DO, FACOOG· 11 min read
Treatments and optionsNatural Remedies for Menopause: An Evidence Review
Natural remedies for menopause: what the trials actually show. CBT and hypnosis lead the evidence. Soy, black cohosh, and others reviewed honestly.
By Karla F. Loken, DO, FACOOG· 18 min read
Menopause symptomsMenopause Hair Loss: Causes and Effective Treatments
Menopause hair loss is real and treatable. Causes of female pattern hair loss, what to rule out first, and what actually works — from minoxidil to spironolactone.
By Karla F. Loken, DO, FACOOG· 16 min read
Treatments and optionsTamoxifen Side Effects: Managing Menopause Symptoms During Treatment
Tamoxifen side effects often mirror menopause — hot flushes, vaginal symptoms, mood changes. Evidence-based, non-hormonal options for managing them safely.
By Karla F. Loken, DO, FACOOG· 17 min read
Treatments and optionsMenopause Supplements: What Actually Works and What Doesn’t
What menopause supplements actually work — and what doesn’t. An honest evidence review of black cohosh, soy, magnesium, vitamin D, and the rest.
By Karla F. Loken, DO, FACOOG· 16 min read
Treatments and optionsVeozah (Fezolinetant): The New Non-Hormonal Hot Flash Medication
Veozah (fezolinetant) is a new non-hormonal hot flash medication. How it works, what SKYLIGHT trial data shows, who it fits, and the FDA liver warning.
By Karla F. Loken, DO, FACOOG· 15 min read
Menopause symptomsMenopause Belly: Why It Happens and What Actually Works
Menopause belly is real, biological, and not a discipline problem. Why estrogen shifts where you store fat, and what actually works to address it.
By Karla F. Loken, DO, FACOOG· 16 min read
BasicsThe Stages of Menopause Explained: Perimenopause Through Postmenopause
The stages of menopause — late reproductive, perimenopause, menopause, and postmenopause — explained using the STRAW+10 framework specialists actually use.
By Karla F. Loken, DO, FACOOG· 19 min read
From the Library
Clinician-reviewed explainers for members. Start any one to see a preview.

