Menopause and Perimenopause Care Care in Maryland and DC

Steady, thoughtful support through one of life’s biggest transitions.

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Why choose midwives for menopause care:

Perimenopause and menopause are big chapters. Many us will spend 40% of our lives after menopause. And while the world tries to tell us that we are becoming obsolete, invisible, and past our prime, we know that we are just now coming into our full power.

Yes, there may be hot flashes, sleep disturbance, mood shifts, and changes in cycles, sex, and energy. It can feel like your body is communicating in riddles. And all the while you might be questioning, just like you did in adolescence, what you might want to do or be in this next chapter of your life. For this kind of journey, it is sometimes nice to have company--better yet, company with experience, expertise, and multiple resources!

You don’t have to decode it alone. Our midwives offer calm, grounded support that helps you understand what’s happening and what actually helps in perimenopause and menopause.

Many of the people we see now built their families with us years ago. We cared for them during pregnancy and birth, and now we get to walk with them through this next phase of life. It’s an honor, and we treat that continuity with care.

  • Midwives listen differently. We look at your hormones, stress, sleep, relationships, movement, and daily routines. We help you name what’s changing and what it means.
  • No fear-based talk. No dismissing your symptoms. No rushing.
  • Visits last long enough for a real conversation. You leave feeling clearer, steadier, and supported instead of overwhelmed.
  • Wise Wymmyn Circles™ welcome women and nonbinary people in perimenopause and menopause an opportunity to connect in 5 monthly group sessions with up to 7 others in the same stage of life. During the 5 months, each member receives an individual visit. Those who complete the 5 months have the option to attend drop-in circles with others from previous groups.

We see people across Maryland and DC, including Takoma Park, Silver Spring, Rockville, Hyattsville, College Park, Bethesda, Chevy Chase, Washington DC, and the greater metro area. We speak English and Spanish. All identities and all bodies welcome.

Or reach out with questions.

A different kind of menopause care with personalized guidance through every stage of the transition.

  • Perimenopause assessment
  • Support for irregular or heavy bleeding
  • Management of symptoms like hot flashes and night sweats, mood changes, vaginal dryness, sexual discomfort, changes in libido, sleep troubles and more
  • Pelvic floor wellness
  • Hormone testing and education, hormone replacement and natural alternatives
  • Bone health, gut health, and heart health guidance
  • Practical lifestyle support
  • Referrals for specialty care when needed

You get straight talk, realistic strategies, and a midwife provider who sees the whole you, not just your lab results.

Menopause care that respects you as a human.

We welcome women, trans men and nonbinary people moving through perimenopause and menopause. Everyone deserves care that feels steady and respectful. We’re comfortable with all body types, all histories, and all levels of medical comfort. We meet you exactly where you are, with no assumptions and no judgment.

It feels like sitting down with someone who knows you. Someone who remembers your story. Someone who might have cared for you through pregnancy or birth, and now supports you as your body shifts again into menopause.

We talk through your perimenopause symptoms, your cycles, your stressors, and what has changed in the past year. If an exam is needed, we do it gently and only with full consent.

You walk away knowing what’s normal, what’s fixable, and what deserves more attention.

Or reach out with questions.

Support for sexual health and intimacy

Menopause can shift your sexual experience, but pleasure doesn’t have an expiration date. You deserve a sex life that feels good and aligned with who you are now. We help with:

  • Pain with intercourse
  • Changes in arousal
  • Drop in libido
  • Partner communication
  • Vaginal comfort and lubrication options
  • Hormone-free and hormone-based solutions

A holistic approach to menopause that recognizes and honors your body, mind and spirit

Some people want labs. Some want lifestyle guidance. Some want to learn about hormone therapy. Some just need reassurance that they’re not losing their mind. This transition is physical, emotional, spiritual, and powerful. We honor the whole picture. We meet you exactly where you are.

  • Movement & Exercise
  • Sleep
  • Boundaries
  • Stress
  • Identity changes
  • Emotional shifts

Frequently asked questions about Menopause Care

How do I know if I’m in perimenopause?

Common signs include cycle changes, sleep trouble, hot flashes, mood shifts, and changes in libido. If you’re unsure, that’s exactly what we help with. A conversation with a midwife can make things much clearer.

Do I need hormone testing?
Can you help with sexual changes or pain?
What if I’m not sure whether my symptoms are “normal”?
Do I have to stop hormone therapy or avoid it?
Can I come to you if I gave birth with your practice years ago?
What if I’m not sure where to start?
What is a Wise Wymmyn Circle™ and who is eligible to join?

Ready to schedule your first menopause care appointment?

If you’re tired of guessing what your body is doing, we’re here.

Schedule a menopause visit.

Join a Wise Wymmyn Circle™

Or reach out with your questions.

This chapter can be grounding, powerful, and freeing. You don’t have to navigate it alone.