On this episode of Innovate & Elevate, Sharon speaks with Dr. Erin Duralde, Medical Director for Women’s Health and Menopause Care at One Medical, about a question that keeps coming up in midlife healthcare: now that we know more, where do people actually go for menopause care?

Recorded shortly after the FDA removed the long-standing black box warning on estrogen therapies, this conversation explores how menopause and perimenopause care can be integrated into primary care, what a modern menopause visit should look like, and how clinicians can better listen to symptoms, history, and lived experience to guide care.

What You’ll Learn from this Episode:

1. How Dr. Duralde’s early work as a patient advocate at the UCSF Breast Care Center shaped her approach to menopause care and clinical decision-making
2. Why menopause education was largely missing from medical training following misinterpretations of the Women’s Health Initiative, and how that legacy still affects care today
3. What patients can expect from a dedicated menopause or perimenopause visit at One Medical
4. How intake surveys and symptom tracking help clinicians better understand what matters most to each patient
5. The wide range of symptoms that can appear during perimenopause, beyond hot flashes and night sweats
6. How clinicians think through treatment options in perimenopause, including hormonal and non-hormonal approaches
7. The difference between menopausal hormone therapy and combined hormonal contraception, and why timing and symptoms matter
8. How testosterone is used in post-menopause, why dosing matters, and how safety is monitored
9. How primary care providers are being trained at scale to deliver evidence-based menopause care

As always, nothing in this episode is personal medical advice. Please talk with your own clinician about your individual history, risks, and options.

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Connect with Dr. Erin Duralde MD MPH MSCP

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