You’ve been waking up at 2AM for months now, sheets wet, head racing. Your periods have gotten unpredictable. You mentioned the brain fog to someone and got a shrug and a “that’s just what happens.”
Perimenopause and menopause are a normal part of life. Getting clear answers about what you’re feeling and what can help hasn’t always been as normal.
That’s starting to shift. Menopause care has been getting more attention nationally and here in Illinois, where lawmakers recently advanced legislation focused on education, treatment access, and support for people going through it.
At Duly Health and Care, providers are building deeper expertise in this area, too. Dr. Yatzel Fuentes, a Duly Internal Medicine physician in Schaumburg, recently became a Menopause Society Certified Practitioner, a credential centered on evidence-based care for patients navigating perimenopause and menopause.
All of this points to something worth remembering: menopause is a natural transition, but symptoms that get in the way of your health or your daily life are worth bringing up with a provider.
Schedule with a Duly provider today. >
What’s happening with the Illinois menopause bill?
Illinois House Bill 5284, known as the Menopause Equity and Care Act, has been making headlines for its focus on menopause awareness and access to care.
Signed into law on August 7, 2026, HB 5284 is now Public Act 104‑0793.
The Act expands public education about menopause and perimenopause, encourages additional education for healthcare professionals, and addresses certain workplace accommodations. It also requires some health plans to cover medically necessary hormonal and nonhormonal menopause treatments. Most provisions take effect January 1, 2027, and the insurance coverage requirements follow on January 1, 2028.
Why does any of that matter to you? Because menopause symptoms can reach into your sleep, your work, your relationships, and your sense of well-being, and plenty of people aren’t sure where to turn or what treatments are even on the table.
More awareness makes it easier to have the conversation in the first place.
Perimenopause or menopause? Here’s the difference:
Perimenopause is the stretch leading up to menopause. Hormone levels start shifting, and your cycles may get less predictable.
Menopause itself is reached after 12 consecutive months without a period. What that looks like varies a lot from person to person. Usual symptoms include:
- Hot flashes and night sweats
- Irregular or changing periods
- Trouble sleeping
- Fatigue
- Mood changes or irritability
- Brain fog or difficulty concentrating
- Vaginal dryness
- Discomfort during sex
- Urinary changes
- Joint or muscle aches
Some people move through this with mild symptoms. Others notice changes that reshape their days.
That range is exactly why it helps to talk with a provider instead of assuming every symptom is just something you’re supposed to put up with.
Start this conversation with a Duly provider today. >
Menopause care goes beyond hot flashes
Hot flashes get the most airtime, but a menopause visit can cover much more ground.
Midlife hormone changes can affect your sleep, sexual and urinary health, mood, and general well-being. This is also a meaningful window for thinking about the long game, including bone strength and heart health.
Your provider can help sort out whether what you’re feeling is likely tied to perimenopause or menopause, or whether something else is contributing.
Diagnosing perimenopause often doesn’t come down to a single hormone test. Your provider may weigh your age, symptoms, menstrual history, and overall health when deciding whether more testing makes sense.
What treatment options are out there?
Menopause treatment isn’t one-size-fits-all.
For mild symptoms, lifestyle changes are sometimes enough. Other people do better with prescription treatment, whether that’s hormone therapy or a nonhormonal medication. Treatment can also zero in on one specific issue, like vaginal dryness, urinary concerns, hot flashes, or disrupted sleep.
The right approach depends on your symptoms, your health history, your risk factors, and what you’re comfortable with. A provider can walk you through the possible benefits and risks so you can decide together.
And you don’t have to wait until things get unbearable to speak up. If hot flashes, poor sleep, mood shifts, or vaginal or urinary symptoms are wearing on your quality of life, that’s reason enough to start the conversation.
One thing not to wait on: bleeding after menopause should always be evaluated. Unusually heavy or concerning bleeding during perimenopause is worth a call, too.
How Duly providers can help
Your primary care physician can be a steady partner through perimenopause, menopause, and the years that follow.
Duly Internal Medicine providers can evaluate your symptoms, review your history, talk through treatment options, and look at the other parts of your health that matter more during midlife. That might mean checking in on blood pressure, cholesterol, bone health, sleep, and exercise alongside your menopause-specific concerns.
Dr. Yatzel Fuentes, a board-certified Internal Medicine physician in Schaumburg, holds additional certification in menopause care and can help you make sense of your symptoms and your options.
The growing attention on menopause care in Illinois is pulling an often-overlooked topic into the open. For you, that can mean better information, easier conversations, and more paths to care that actually fit.
Have questions about perimenopause or menopause? Schedule an appointment with Dr. Yatzel Fuentes or connect with a Duly Internal Medicine provider to talk through your symptoms and options.
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