Menopause Care Is Getting More Attention in Illinois

Here’s what you should know

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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  • My goal is to provide excellent care and a space where you can ask questions about your medical conditions. I believe in establishing good rapport with my patients to achieve the best outcomes for their health and overall well-being. I am a bilingual primary care provider and am honored to provide accessible healthcare to my Spanish-speaking patients in Itasca, Schaumburg, and the surrounding Chicago-area communities.