Menopause

Menopausal symptoms have more than one contributor. Clara reads your full chart to help identify them.

Hot flashes, sleep disruption, mood changes, and brain fog can stem from overlapping causes, hormonal, thyroid, sleep-related, and more. Clara reads your labs and wearable data together so your physician has the full picture.

Get started See possible causes
I'm 49, having hot flashes and horrible sleep, is this definitely menopause?
Clara
Your chart shows FSH of 48 mIU/mL and estradiol of 22 pg/mL, consistent with perimenopause. I also notice your thyroid hasn't been tested in 2 years, hypothyroidism can overlap significantly with menopausal symptoms. I'll prepare a summary for physician review including TSH and a full symptom picture.

Chat shown is an illustrative example only. Clara reads your actual synced records. All clinical assessments are individualized and reviewed by a licensed physician.

How it works

Connect your records. Clara reads the full picture. A physician reviews every clinical action.

1

Connect your records

Clara auto-syncs your medical records from 150,000+ doctors' offices, hospitals, labs, and pharmacies: every prior lab, every prescription, every diagnosis. Wearable data syncs automatically on Standard and Concierge plans. Free to start, no credit card.

2

Clara reads the full hormonal and health picture

Menopausal symptoms don't occur in isolation. Clara reads your hormone levels, thyroid function, sleep quality from wearables, current medications (some of which can cause hot flashes or mood changes), and prior health history together. This helps your physician understand the full picture, not just the hormone levels in isolation, before discussing management options.

3

Labs ordered, physician-reviewed findings

When the chart points at something worth investigating, Clara orders the relevant labs and prepares a clinical summary for physician review. Every lab order and clinical recommendation is reviewed and signed by a licensed physician. Plans start at $25/mo. The Concierge plan includes hormone and metabolic assessment in one pass.

Connect your records and let Clara read your hormone levels, thyroid, and sleep data together before your next conversation.

Get started Free to connect records. HSA and FSA eligible.
Possible contributors

Menopausal symptoms can come from several overlapping sources. Clara reads your chart to help identify which.

Many symptoms attributed to menopause have additional contributors that, when identified, can meaningfully improve quality of life. Clara reads your hormone levels, thyroid, sleep data, and medications together rather than attributing everything to estrogen decline alone.

Evaluation is individualized based on age, symptom pattern, and prior testing. A licensed physician reviews all lab orders and findings.

Perimenopause and menopause

Declining estrogen and progesterone drive hot flashes, night sweats, vaginal dryness, and mood shifts. Clara reads FSH and estradiol levels in the context of your age and symptom timeline to help confirm the hormonal picture.

Hypothyroidism

Fatigue, weight gain, mood changes, and cognitive slowing overlap significantly with menopausal symptoms. TSH should be checked alongside hormone levels to rule out or identify a concurrent thyroid condition.

How Clara evaluates hypothyroidism โ†’

Sleep disorders

Hot flashes disrupt sleep, and poor sleep worsens mood, cognitive function, and fatigue, creating a cycle that compounds symptoms. Wearable data showing sleep fragmentation gives Clara context that lab results alone cannot.

Depression and anxiety

Perimenopause is a window of increased vulnerability to depression and anxiety, independent of sleep disruption. Mood symptoms during this transition warrant evaluation alongside hormonal changes.

Premature ovarian insufficiency (POI)

Loss of normal ovarian function before age 40 can cause menopausal-like symptoms in younger women. POI has distinct management considerations from natural menopause and warrants specialist evaluation.

Medication contributions

Certain antidepressants, tamoxifen, and some blood pressure medications can cause hot flashes or mood changes that mimic menopausal symptoms. Clara reads your full medication list as part of the evaluation.

๐Ÿšจ

When to seek emergency care

If you experience vaginal bleeding after 12 or more months without a period (confirmed menopause), sudden severe chest pain, or a new severe headache unlike previous headaches, seek emergency or urgent care immediately. Postmenopausal bleeding always warrants prompt evaluation to rule out serious causes. Clara is not an emergency service.

Why Clara

How Clara approaches menopausal symptoms differently.

Clara Women's health app General telehealth Your doctor
Cost to start Free (records + chat) Free or freemium Per-visit fee $150+ copay
Monthly cost Basic $25/mo ยท Standard $50/mo ยท Concierge $150/mo ยท HSA/FSA eligible Subscription varies Varies Per-visit copay
Reads your full chart before responding โœ“ Auto-synced, 150,000+ sources Symptom tracking only Self-reported history Within a single practice
Evaluates multiple contributors (hormonal, thyroid, sleep) โœ“ Hormone-focused only Visit-by-visit At visit, depends on time
Orders relevant labs when cause is unclear โœ“ Physician-reviewed orders โœ— Limited โœ“
Integrates wearable sleep data โœ“ Standard and Concierge plans โœ— or limited โœ— โœ—
Physician-reviewed management options โœ“ Individualized No Rx Limited โœ“
Full primary care โœ“ โœ— Women's health focused โœ— Single-condition โœ“

Your chart already holds most of the context. Let Clara read it before your next conversation.

Get started From $25/mo ยท HSA/FSA eligible ยท cash-pay.

Understanding menopausal symptoms means reading the full health picture, not just hormone levels.

Estrogen decline is real, but it doesn't explain all symptoms attributed to menopause. Thyroid conditions, sleep disorders, depression, and medication side effects can look identical. Clara reads your full chart, hormone levels, thyroid function, wearable sleep data, medication list, in one pass, so your physician receives a complete picture rather than one variable at a time.

Reads hormone levels alongside thyroid and metabolic markers

Clara reads FSH, estradiol, TSH, and metabolic labs together, not sequentially. Symptoms that look like menopause may be driven partly or entirely by a concurrent thyroid or metabolic condition.

Integrates wearable sleep data

Hot flashes at 2 AM, resting heart rate variability, sleep stages, data from wearables that is often more informative than a single clinic visit. Clara reads it alongside your labs on Standard and Concierge plans.

Physician review on every clinical decision

Clara reads and organizes. Physicians review and decide. Management options for menopausal symptoms, including hormone therapy and non-hormonal alternatives, are individualized and physician-reviewed. Clara prepares the summary; the physician discusses the plan.

An AI that reads your full health picture. A physician who discusses your options with full context.

Get started Licensed medical providers review every clinical finding and discussion.

Common questions about Clara.

What does Clara cost?
Connecting your medical records and chatting with Clara is free. Paid plans start at $25/month, which includes physician-approved prescriptions and lab orders but does not include bundled biomarker tests or wearable integration. Standard ($50/mo) adds 74 biomarker tests including FSH, estradiol, and thyroid markers, plus wearable integration. Concierge ($150/mo) includes 108 biomarker tests and expanded panels. All plans are HSA/FSA eligible and cash-pay. Medications and ad-hoc lab orders are billed by your pharmacy or lab and may be covered by your insurance.
Can I use my insurance, HSA, or FSA?
Clara's membership is cash-pay and not billed through insurance, but every plan is HSA/FSA eligible. Prescriptions Clara's physicians write go to your pharmacy and may be covered by your plan like any other script. Ad-hoc lab orders may also be covered by your insurance when applicable.
Is Clara a real medical practice?
Yes. Clara operates through affiliated professional corporations licensed in all 50 states. All diagnoses, prescriptions, and lab orders are reviewed and signed off by licensed physicians. Clara's AI handles intake, continuous monitoring, and clinical reasoning. The physician sign-off happens before any clinical action reaches you.
How is this different from my regular doctor?
A 15-minute annual visit reviews your most recent results. Clara reads every lab you have had drawn, every medication you have been on, and every wearable data point in a single pass, and does it every time you interact. Your PCP remains the right choice for in-person exams and anything Clara refers out. Clara fills the continuous monitoring gap between those visits.
What if I need in-person care?
Clara manages evaluation and monitoring remotely through labs and assessment. When something requires a physical exam, imaging, or specialist review, Clara prepares a summary and helps you navigate the next steps. For menopausal symptoms, that might include a specialist referral if hormone therapy is being considered.
Will Clara diagnose menopause from my symptoms?
Clara doesn't diagnose from symptoms alone. It reads your symptom pattern in the context of your full chart, hormone levels, thyroid function, sleep data, medications, and surfaces the pattern for physician review. Menopause is a clinical diagnosis, and a licensed physician reviews all findings before any action is taken.
Can Clara prescribe hormone therapy?
Hormone therapy (HT) for menopausal symptoms is a physician-reviewed option that requires individualized risk assessment, including cardiovascular history, breast cancer history, and symptom severity. Clara's physicians can discuss hormone therapy when clinically appropriate after reviewing your full chart. Whether HT is appropriate for you is a decision made with your physician, not by the AI.
My symptoms feel like menopause but I'm only 38, is that possible?
Premature ovarian insufficiency (POI), sometimes called premature menopause, can occur before age 40 and has distinct causes and management considerations compared to natural menopause. If you're experiencing menopausal symptoms at an unusual age, Clara reads your hormone levels and medical history and can prepare a summary for physician evaluation and potential specialist referral.
Is my data private?
Clara is HIPAA compliant. Your medical records and wearable data are used solely to personalize your care. They are not sold to third parties and are not used to train public AI models.

Your chart already holds most of the context. Let Clara read it.

Free to connect your records and chat with Clara. Standard and Concierge plans include physician-reviewed lab orders, wearable integration, and full primary care.

Get started