managing-vaginal-dryness

The Pros and Cons of Telehealth Care for Menopause

Menopause brings many changes. Everything from hot flashes, night sweats, to vaginal dryness, mood shifts, and sleep problems. Getting support makes a big difference. But where should you turn, an in-person provider or a telehealth visit from home? Both have advantages. This guide helps you understand the pros and cons of telehealth care for menopause, so you can decide what feels right for you.


What is telehealth?

Telehealth means seeing your healthcare provider using technology instead of being in the same room. It may be a video visit, a phone call, or secure messaging. You talk with a trained provider, share your symptoms, and get guidance or prescriptions. Just like in person.

Quick definition: Telehealth
A way to meet with your healthcare provider by phone, video, or messaging instead of going into the office.

For menopause, telehealth can cover things like:

  • Reviewing hot flashes, night sweats, mood, and sleep issues
  • Discussing vaginal dryness, libido changes, or urinary discomfort
  • Adjusting hormone therapy (HRT) or vaginal treatments
  • Answering questions about lifestyle changes, supplements, or mental health support

Many women prefer video-based telehealth so that they can see their clinician and engage in a one-on-one, private discussion. But, care that relies on asynchronistic messaging can be effective and is definitely efficient.

Some things, like mammograms, Pap smears, or pelvic exams, still need to be done in person. But many conversations and prescriptions can start online.


Why women are turning to telehealth

Research shows women often delay talking to a provider about menopause because they feel uncomfortable or don’t want to take extra time away from work or family. Telehealth makes it easier to start the conversation sooner. In fact, studies show most women who try telehealth for menopause report high satisfaction with the care they receive. 

For women in the Mountain West regionUtah, Colorado, and Arizona, telehealth is especially helpful because many areas are rural. You may not live near a menopause specialist, but telehealth brings expert care directly to your home.


Pros of telehealth for menopause

1. Convenience

You don’t need to drive, park, or take timehalf a day off work. Appointments happen from your living room, your office, or wherever you feel comfortable.

2. Privacy

Talking about intimacy, dryness, or libido can feel awkward. Many women find it easier to open up from the comfort of home.

3. Faster access

Telehealth visits are often available within days. Prescriptions can be sent right to your pharmacy or delivered to your home.

4. Access to specialists

Menopause-trained providers aren’t always nearby, especially in rural areas. Telehealth connects you with experts who understand the wide range of symptoms and how treatment like hormone therapy can help, vaginal health, and midlife changes.

5. Ongoing support

Follow-ups are simple. You can check in more often to fine-tune treatment without the hassle of repeated trips.


Cons of telehealth for menopause

1. Some care still requires in-person visits

If you need a Pap smear, mammogram, bone scan, or a pelvic exam, telehealth alone can’t provide it. Telehealth providers often coordinate with local clinics for these tests.

2. Technology barriers

You’ll need a device (smartphone, tablet, or computer) and a stable internet connection. Some women may feel less comfortable with using the technology needed for video calls.

3. Insurance differences

Most insurance plans cover telehealth, but co-pays and rules can vary. Some women find in-person visits covered at lower costs.

4. Limited physical exams

While providers can ask detailed questions, they can’t perform a hands-on exam virtually. If new or serious symptoms arise (like unexplained bleeding) an in-person check may be needed.


How telehealth differs from in-person care

It helps to think of telehealth and in-person care as complementary, not competing. Here’s how they differ:

  • Communication style: Telehealth visits are often more conversation-focused. Providers rely on your description of symptoms, daily experiences, and history. In-person visits include this conversation but can also add hands-on exams.
  • Testing: In person, your provider can perform Pap smears, mammograms, and bloodwork on the same day. With telehealth, your provider will order these tests and send you to a local clinic or lab.
  • Comfort level: Telehealth allows you to speak from your own space, which may feel safer or more private. In person, you may feel more reassured by seeing your provider face-to-face and having them examine you.
  • Time: Telehealth visits are usually shorter door-to-door because there’s no travel, waiting room time, or parking. In-person visits may take longer overall but sometimes feel more thorough to patients.
  • Follow-up: Telehealth makes it easier to check in frequently, especially for adjusting hormone doses. In-person visits may happen less often but allow for physical reassessments.

In short, telehealth is best for ongoing symptom management and medication adjustments, while in-person care is best when tests or physical exams are needed.


What medical journals say

Recent studies comparing telehealth with in-person menopause care have found:

  • High patient satisfaction: Women appreciate the convenience and privacy of telehealth and report similar levels of trust as with in-person care.
  • Similar treatment outcomes: Telehealth visits for menopause symptom management often lead to the same medication adjustments and improvements as office visits. 
  • Expanding innovation: New tools like virtual reality (VR) are being studied to help women manage hot flashes and stress during telehealth sessions, showing promising results. 

The evidence shows telehealth is not “less than”, it’s simply a different way to access care, with strong benefits for many women.


Pros and cons side by side

Telehealth

In-Person Care

Convenient, no travel

Hands-on physical exams possible

Easier privacy at home

Pap smears, mammograms, bone scans can be done

Fast scheduling and refills

Insurance coverage often straightforward

Access to menopause specialists anywhere in the state

May have limited menopause-trained providers nearby

Great for ongoing check-ins and HRT adjustments

Necessary for new or urgent physical symptoms


What this means for you

You don’t need to choose one option forever. Many women use telehealth for most menopause concerns and go in person when a physical exam or test is needed. The two types of care can work together.

If you’re new to telehealth, it’s normal to feel unsure. But remember, telehealth providers are licensed, trained, and follow the same standards as in-person clinicians. The difference is simply how you connect.


How Inflexxion Health telehealth helps

With Inflexxion Health, you can:

  • Meet a menopause-trained provider online
  • Share your symptoms and history in a private, supportive visit
  • Get prescriptions for HRT, vaginal estrogen, or other treatments
  • Coordinate labs or in-person exams when needed
  • Follow up easily to fine-tune your care

Our goal is to make care personal, safe, and convenient. That way you can feel supported every step of the way.


You’re not alone

Menopause care doesn’t have to feel overwhelming. Telehealth and in-person care each play a role. By knowing the pros and cons, you can choose what works best for you, whether that’s the privacy of home or the reassurance of an office visit. Either way, you deserve care that helps you feel comfortable, confident, and understood.


References (AMA format)

  1. Nunes AP, Monteiro F, Gomes L, et al. Digital health interventions for menopause management: a systematic review. Womens Health Issues. 2025;35(3):215-226. doi:10.1016/j.whi.2025.02.002
  2. Mastikhina L, Guirguis M, Watson LC, et al. Patient experiences with telemedicine for menopause symptom management: a mixed methods study. Front Digit Health. 2023;5:10858418. doi:10.3389/fdgth.2023.10858418
  3. De Farias BL, et al. Virtual reality for menopause symptom management: a pilot study. Menopause. 2025;32(5):467-473. doi:10.1097/GME.0000000000002364
  4. Nunes AP, Monteiro F, Gomes L, et al. Digital health interventions for menopause management: a systematic review [PDF]. Womens Health Issues. 2025. doi:10.1016/j.whi.2025.02.002