Menopause & Midlife Women's Health Conversations
Last updated: February 2026
A generation of women underserved — and almost no providers trained to help.
Over 1.3 million American women enter menopause every year — and the vast majority can't find a provider who knows how to help them. Fewer than 1% of US physicians are certified menopause practitioners — and NPs and PAs, who provide the majority of primary care visits, face the same training gap. BCG projects the menopause market will reach $40 billion. Hospitals that train providers in menopause conversations will be able to serve a patient population that currently has nowhere to turn.
The opportunity
projected menopause market opportunity
BCG, 2025
of US physicians are certified menopause practitioners
BCG, 2025
of residents in key specialties feel prepared to support menopausal patients
BCG, 2025
What this means for your practice
in visit revenue per menopause patient per year
Initial consultation plus 2-3 follow-ups at commercial rates
per year for 10 trained OB/GYNs
Each seeing 15 menopause patients/week = 7,500 patient-visits/year, plus downstream referrals
Midi Health reached $150M run rate / 25,000 patients per week — proving market demand (Midi Health Series C, October 2025)
69% of OB/GYN residencies have no menopause curriculum.
A 2023 survey of US OB/GYN residency program directors found that only 31.3% reported having a menopause curriculum. The result is a generation of clinicians entering practice unprepared to manage the most common midlife health transition — sending patients to direct-to-consumer alternatives or out of the health system entirely.
Only 31% of OB/GYN residency programs include a dedicated menopause curriculum
Fewer than 1% of actively licensed US physicians hold Menopause Society certification (BCG, 2025)
1 in 3 women don't feel confident advocating for themselves in menopause-related healthcare visits (Bonafide Health, State of Menopause 2025)
Women frequently report being dismissed by providers, with symptoms incorrectly attributed to anxiety or aging
Why simulation works
Practice builds confidence. Confidence changes behavior. Better conversations change outcomes.
Practice Symptom Assessment
Simulate comprehensive menopause intake conversations covering vasomotor symptoms, mood changes, sleep disruption, and sexual health.
Build Treatment Confidence
Practice discussing hormone therapy options, risks, benefits, and contraindications in a judgment-free environment.
Keep Patients in Care
Providers who listen effectively and offer evidence-based guidance build the trust that keeps patients engaged — instead of seeking care outside the system.
Lead in Women's Health
Hospitals that build menopause competency now will become the trusted resource for a patient population that's currently underserved — and growing.
The evidence
Needs Assessment of Menopause Education in United States Obstetrics and Gynecology Residency Training Programs
Menopause (2023)
Survey of 145 OB/GYN residency program directors (68.3% response rate) found that only 31.3% had a dedicated menopause curriculum. The study highlights the critical need for structured menopause education in residency training.
US women currently in perimenopause or menopause
US Census / Menopause Society
American women enter menopause each year
The Menopause Society
of menopausal women experience symptoms during the menopause transition
The Menopause Society
Frequently Asked Questions
Why are so few providers trained in menopause care?
A 2023 survey of US OB/GYN residency program directors found that only 31.3% reported having a dedicated menopause curriculum (Menopause, 2023). This means nearly 69% of OB/GYN residencies graduate physicians with no structured menopause training — and NP and PA programs have similarly sparse menopause education. Fewer than 1% of actively licensed US physicians are certified menopause practitioners (BCG, 2025). The result is that fewer than 7% of residents in key specialties feel prepared to support menopausal patients (BCG, 2025).
What percentage of OB/GYN residencies teach menopause?
Only 31.3% of OB/GYN residency programs include a dedicated menopause curriculum, according to a 2023 national survey published in Menopause (68.3% response rate, 145 program directors surveyed). This gap leaves the majority of graduating OB/GYNs unprepared to manage the most common midlife health transition affecting approximately 54 million American women.
What is the menopause care gap?
The menopause care gap refers to the disconnect between the large population of women needing menopause care (~54 million in the US, with 1.3M entering menopause each year) and the small number of providers trained to help them (fewer than 1% of US physicians are certified menopause practitioners, per BCG 2025). 85% of menopausal women experience symptoms, yet 1 in 3 women don't feel confident advocating for themselves in menopause-related healthcare visits (Bonafide Health, State of Menopause 2025). BCG projects the menopause market could reach $40B+ as demand grows.
How can hospitals build menopause care programs?
Hospitals can build menopause care programs by training existing OB/GYN, primary care, and internal medicine providers in menopause symptom assessment, hormone therapy discussion, and patient communication. Midi Health reached $150M in run rate serving 25,000 menopause patients per week — proving significant market demand (Midi Health Series C, October 2025). A health system with 10 trained OB/GYNs seeing 15 menopause patients per week can generate $500K-$750K in annual visit revenue, plus downstream referrals.
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