Menopause is the period of life when a woman loses her ability to ovulate and her ovarian function gradually declines. The average age of menopause is 51 years old. However, symptoms of menopause may begin in the 40′s. The most noticeable symptoms are hot flashes, night sweats, mood changes, difficulty sleeping, changes in libido, and vaginal dryness. We offer full evaluation and treatment for the menopausal patient. Treatment is individualized. Deciding the best treatment for a patient may involve hormonal testing, but it mostly involves a careful history, focusing on major health concerns. Menopause is a time period in which osteoporosis, heart disease, weight gain, cancer surveillance and body image issues become paramount concerns in caring for patients.