Working document
The hormone therapy first year follow-up checklist
A stage by stage checklist for carrying a menopause patient from the initiation visit through month twelve without losing the record that justifies each dose.
Free resources
Resources for menopause and midlife clinic owners
Working tools for the business side of menopause practice: what a consult must cost, what follow-up really takes, and which software fits the way you prescribe.
Everything here is built for a clinician who owns the practice as well as the patient panel. That means the arithmetic of a cash pay consult, the hours a titration schedule takes out of a week, and a straight comparison of the software categories a midlife clinic is asked to choose between.
None of it requires an account. Run the calculators, take the first year follow-up checklist to your next cohort of hormone therapy starts, and read the comparisons before you sit through another software demo. If PauseNotes turns out to be the wrong shape for your clinic, the comparison pages say so plainly.
Free tools
Calculators for menopause and midlife clinic owners
Two working calculators for the arithmetic that decides whether a midlife practice holds together: what a consult must cost, and how many follow-up hours your panel demands.
Comparisons
PauseNotes compared with the tools midlife clinics already own
The right choice depends on whether you still need a chart of record, a way to send forms, or a running symptom trend between hormone therapy visits.
Main guide
How should I document a symptom score so it holds up at the next visit?
It settles how to choose a symptom instrument, set the scoring interval, and record the result so every hormone therapy dose decision is defensible a year later.
Magazine
The Midlife Clinic
Practice intelligence for nurse practitioners and physicians running menopause and midlife women's health clinics in the United States.
About
Who writes all of this
One page on who writes here, the clinic owners whose three month follow-up visits shaped it, and why everything on this site starts at the dated symptom score rather than at the prescription.
Use the material first, then look at us
The calculators and the first year follow-up checklist are yours as they stand, whether you print them or work them straight off the screen. If the manual sending and chasing starts running behind your hormone therapy starts, a demo shows what the same four stages look like when the baseline score, the twelve week comparison and the reminder chain run without anyone remembering them. Bring your quietest patients and your busiest month.