Female doctor taking notes during a menopause consultation with a patient — In this post, Dr. Loree Koza explains how menopause care at Manifest Health in Lafayette, CO is different: longer visits, ongoing support, and a personalized plan built around your needs. Learn why time, trust, and evidence-based care matter—especially during midlife.

Last updated October 2025

Why Menopause Care Needs More Than 10 Minutes

For many women, menopause brings a wave of physical and emotional changes that deserve time and understanding. Yet in today’s healthcare system, appointments often last only a few minutes. That’s rarely enough to address hot flashes, mood changes, sleep struggles, and shifting health priorities, all while trying to feel heard and supported.

At Manifest Health Concierge Medicine, we approach menopause care in a unique and personalized way. Longer visits, smaller patient panels, and a focus on relationships allow us to move beyond quick fixes. Instead, we create space for thoughtful conversation, comprehensive evaluation, and truly personalized care.

What More Time Allows Us to Do

In my concierge practice, I schedule fewer appointments each day, allowing me to devote more meaningful time to each patient. Most visits last 30 to 60 minutes, allowing us to examine the whole picture, not just one symptom at a time.

Here’s how that time changes your care:

We listen to your story. Every woman’s experience of menopause is different. We begin with an open discussion about your symptoms, goals, and the impact of menopause on your daily life.
We take a whole-person view. Hormonal changes can interact with stress, sleep quality, thyroid health, and other factors. Taking the time to connect these dots helps us address the root causes, not just the surface symptoms.
We build a plan that fits your life. Together, we design a care plan that focuses on movement, nutrition, rest, and stress management, along with targeted treatments or hormone therapy when appropriate.

This collaborative, deliberate approach helps women feel both informed and empowered in their decisions.

Your First Month: What to Expect

Every patient journey looks different, but here’s a typical roadmap for the first month of menopause care at Manifest Health:

Week 1: Comprehensive Initial Visit

We take time to review your health history, symptoms, and priorities. Comprehensive labs are ordered to provide insight into hormonal balance, metabolic health, and other factors that may be contributing to your overall well-being.

Week 2: Results and Plan Development

Once the results are in, we meet again or review them through our secure portal to discuss the findings in detail. We refine your plan based on the data, incorporating preventive strategies and targeted treatments that align with your goals.

Week 3: Connection and Communication

Questions are part of the process. Through direct messaging, you can reach out at any time between visits for clarification or reassurance without needing another appointment.

Week 4: Progress and Next Steps

We revisit your plan to see what’s working and what needs adjustment. This continuous feedback loop ensures your care remains dynamic and responsive.

With time, you’ll start to notice small but steady changes that reflect the benefit of consistency and follow-through.

Menopause Expertise You Can Trust

Menopause isn’t an illness; it’s a natural transition that affects multiple systems throughout the body. Understanding the balance between symptom relief and long-term health is essential.

As a Menopause Society-certified provider, I guide patients through both hormonal and non-hormonal options based on current evidence and individual health history.

For women who are good candidates for hormone therapy, transdermal estradiol with progesterone can effectively reduce symptoms like hot flashes, sleep disruption, and vaginal dryness.
For those who prefer or need alternatives, we can consider non-hormonal treatments such as low-dose antidepressants or localized therapies that improve comfort and quality of life.

The right approach is always the one that fits your unique needs and goals.

The Concierge Difference: Care That Stays Connected

Concierge medicine means more than longer visits; it means continuity of care. You don’t have to wait weeks or months to address questions or follow-up concerns. Direct access between visits enables quick adjustments and ongoing support, fostering a sense of calm and confidence throughout your care.

This steady connection helps prevent the cycle of frustration that comes with traditional, rushed visits. Instead, you have a physician who truly knows you and is available when you need guidance most.

A Better Way to Navigate Midlife

Menopause care should feel collaborative, not confusing. At Manifest Health Concierge Medicine, my goal is to help women understand their bodies, make informed choices, and feel like themselves again. With more time, deeper insight, and a focus on whole-person health, we can make this transition a foundation for lifelong well-being.

If you’re ready to experience personalized menopause care in Lafayette, book a Meet & Greet by calling 720-439-4002 or visiting www.manifesthealthcm.com.