53 practitioners have an office in Iowa, and 56 more can see patients here by telehealth. 79 of them are certified by the Menopause Society, and the most are in Iowa City, Des Moines and West Des Moines.
Miranda Zuhlke runs Midlife Rising, an independent menopause and sexual health practice based in Madison. Care starts with an hour-long virtual consultation that reviews your labs, bone and breast health, and heart risk and ends with a written plan, though no prescriptions come from that visit alone. Ongoing care is a six or twelve month program with messaging, lab reviews, and hormone therapy or GLP-1 medication when it fits, then a yearly visit to review and refill. She is also a certified sex counselor and treats libido and sexual health as part of menopause care rather than an extra. Her doctoral research looked at the myths around hormone therapy, and she is an Army veteran who served in Iraq. New patients start by emailing her.
