(Pre) Menopause Matters
The Power of Early Education
An Independent Study Course
A course for women who "aren't there yet". Open to Professional Healthcare Providers. Earn a Certificate of Achievement in Menopause Education. Evidence-based, Comprehensive, and Clinically Relevant Information.

This course is open to PTs, PTAs and other healthcare providers.
Snowden & Litos is an approved APTA course provider for the Michigan Physical Therapy Association. (Pre) Menopause Matters has been approved for 18.25 CEUs for Michigan PTs and PTAs.
Many states will offer reciprocal CEUs for courses approved by other APTA state chapters. See the CEU link to learn more about requirements in your state for independent study courses.
Earn a Certificate of Achievement in Menopause Education.
Our independent study courses offer self-paced online learning of clinically relevant, evidenced-based information presented in prerecorded modules. Supplemental downloads include: module PowerPoint handouts, module reference lists, and supplemental clinician resources.
We have made it easier for you to learn by dividing our groundbreaking course content into two separate courses. After earning a Certificate of Completion in both courses, participants will also receive a Certificate of Achievement in Menopause Education.
Participants have access to all online videos and downloads for one year.
Women need current evidence-based education on this critical period of life NOW, not later!

Our curriculum is designed for women at every stage of the hormonal journey:
The "Not There Yet" Group:
Women who may not recognize that their hormones are silently changing while they navigate busy lives—getting pregnant, nursing babies, building careers, or enjoying family time.
The Transition & Beyond:
Women who are in the throes of menopause or who are already confidently menopausal.
Why This Matters
Hormonal fluctuations begin 20 years or more before the menopause transition is complete. Early symptoms are easily confused with stress, postpartum, or other medical conditions.
Did you know most medical programs
do not provide education specific to the menopause?
Let's save the next generation from preventable diseases and conditions that degrade quality of life and educate ALL women on simple actions they can take now for a better future.
Course Description:
Most women will spend more than a third of their lives post-menopause, yet a staggering gap exists in healthcare education—where this transition is often treated as an afterthought, if addressed at all. Consequently, patients are walking into your clinic every day looking for answers, whether they initially seek treatment for orthopedic injuries, pelvic floor dysfunction, or direct menopause support.
Physical therapists and healthcare providers are uniquely positioned to serve as primary players on the interdisciplinary team. This comprehensive, evidence-based course bridges the gap between hormonal shifts and neuromuscular health, empowering you to deliver proactive, life-changing care.
To maximize clinical impact, this conversation must start early. Women in their 20s, 30s, and 40s have the most to gain from education before symptoms even appear, yet few receive guidance, and most do not realize menopause applies to them yet. By mastering early screening, education, and targeted treatment, you can effectively mitigate dysfunction and disease before they take hold. This course will enable you to confidently help patients navigate their health through fluctuating hormones before, during, and after the menopause transition. You will learn to empower women to shift their perspective, moving away from seeing this as a phase of decline and embracing it instead as a pivotal window to optimize their strength, bone density, and vitality through life.
INTENDED AUDIENCE
Physical therapists, physical therapist assistants, physical therapist students and other healthcare providers
TOTAL CONTACT TIME
(Pre)Menopause Matters, Part A: 10.0 hrs
(Pre)Menopause Matters, Part B: 8.25hrs
(Pre) Menopause Matters Full Course (Part A and Part B): 18.25 hrs
Course Objectives:
- 1Verbalize the etiology and health implications of menopause and the latest evidence pertaining to evidence-based treatment.
- 2Identify clinical evaluation tools for differential diagnosis of and risk factors for common dysfunctions and diseases associated with menopause.
- 3List the risks and benefits for medical management, alternative medicine, and physical therapy management of menopause-related physiologic changes and associated disease processes.
- 4Describe the specific challenges and risk factors related to women experiencing premature menopause.
- 5Develop an appropriate exercise prescription based on symptoms and risks to optimize function and promote healthy lifestyle in midlife women
- 6Recognize the cultural implications and psychological impact of menopause on women.
- 7Provide a list of women evidence-based resources that promote healthy lifestyle choices and informed healthcare decisions.
Evidence-Based & Clinically Applicable
Course Curriculums
Part A: Fundamentals
Course Curriculum
(10.0 contact hours)
MODULE 1
Menopause Matters: Scope of the Topic
- What do women know about menopause?
- How is menopause defined?
- Overview of signs and symptoms
- Historical perspective
- Implications in clinical practice
MODULE 2
Female Aging: Anatomy and Physiology
- The Climacteric
- What are hormones?
- Homeostasis and aging
- What makes female aging unique?
- Oxidative stress, metabolism & aging
- Physical signs of menopause
MODULE 3
The Perimenopause Brain
- The Perimenopause Brain Cycle
- Hot Flashes and Night Sweats
- Sleep Dysfunction
- Brain Fog vs Dementia
- Brain Health Lifestyle Strategies
- Medical & Therapeutic Interventions
MODULE 4
Management of Autonomic Symptoms
- Body Odor
- Headaches
- Hormonal Pain
- Burning Tongue Syndrome
- Allergies
- Menopause Assessment Tools
MODULE 5
Cardiovascular Health
- Cardiovascular Disease in Women
- Cardiac Research
- Health Disparities
- CVD Risk Factors
- Signs and Symptoms of Cardiac Arrest
- Hormone Therapy and Cardiovascular Health Screening
- Prevention and Treatment Guidelines
MODULE 6
Bone Health: Part A
- Anatomy and Physiology of Bone
- Postmenopausal Osteoporosis
- Tests and Screening for Osteoporosis
MODULE 7
Pelvic Health
- Statistics on PF Dysfunctions in Older Women
- Estrogen Effect on the Pelvic Floor
- Genitourinary Syndrome of Menopause
- Pelvic Organ Prolapse
- Fecal and Anal Incontinence
- Mini-Anatomy Review for Non-Pelvic Health Providers
- How to Find, Contract & Relax Your Pelvic Floor
MODULE 8 & 9
Hormones Part A
- What is Hormone Therapy (HT)?
- Prevalence/Modes of Transmission
- Key Hormone Pathways: Estrogens, Androgens, Progestogens
- Types of HT
- Who May Benefit from Hormone Therapy?
- Evidence-Based Recommendations for Use
Hormones Part B
- Precautions for MHT
- Non-Hormone Prescription Therapies
- Bioidentical Hormone Compounds
- Case Scenarios
- Clinical Considerations
MODULE 10
Premature Menopause
- Special considerations with induced menopause
- Long-term risk factors associated with early menopause
- Hormone replacement considerations
- Non-hormone therapeutic interventions
MODULE 11-12
Metabolic Exercise and Fitness: Part A & B
- Midlife Fitness Promotion
- Estrogen and Musculoskeletal Performance
- Evidence-Based Exercise Prescription
- Strengthening Principles
- Muscle, Bone & Cardiovascular reservation
- Popular Types of Fitness Training
- Special Considerations - Clinician's Role in Treating Midlife Women
Part B: Advanced Topics
Course Curriculum
(8.25 contact hours)
MODULE 13
Psychosocial Implications
- Perceptions of Aging and Menopause
- Perimenopause Mental Health Implications
- Clinical Considerations
MODULE 14
Stress Relief & Nervous System Regulation
- National Mental Health Crisis
- Women and Stress
- Healthcare Provider Counseling
- Intervention: Relaxation Strategies
- Clinical Considerations
MODULE 15
Advanced Hormonal Considerations
- Reproductive Function Review
- Key Endocrine Markers of Menopause
- Sex Hormone Production After Menopause
- Hormone Balance
- Hormone Testing and Prescription
- Diagnostic Principles for Menopause Hormone Therapy
- Clinical Considerations
MODULE 16
Targeted Interventions for Bone Health
- Bone and Muscle Mass
- Screening for Sarcopenia
- Osteoporosis Evaluation
- Managing Bone Health
- Osteoporosis Treatment
MODULE 17
Nutrition, Metabolism & Weight Management A
- Metabolic Changes in Menopause
- New Health Risks
- Hormonal Influences
- Dietary Recommendations
- Prescription and Surgical Weight Management
- Clinical Implications
Nutrition, Metabolism & Weight Management B
- Nutrition Timing for Metabolic Health
- Digestive Health Management
- Healthcare Clinician's Role
- Case Scenario
MODULE 18-19
Interventions for Sexuality & Intimacy A
- Sexual Activity in U.S. Older Women
- Peri and Postmenopausal Pregnancy
- Female Physiology of Arousal and Response
- Sexual Health in Midlife
- Sexual Dysfunction Domains and Therapeutic Options
Interventions for Sexuality & Intimacy B
- Dyspareunia Interventions
- Couple-Pause Sexual Dysfunctions
- Arousal & Response Interventions
- Sexually Transmitted Infections (STIs)
- Practitioner Tips
MODULE 20
Special Considerations: Marginalized Populations
- Cultural Considerations in the United States
- Caring for the Lesbian Patient at Midlife and Beyond
- Intimate Partner Violence
- “Quality of Life”
- Menopause-Specific Assessment Tools
MODULE 21
Emerging Practices & Workplace Wellness
- Statistics & Opportunities for Menopause Services
- Emerging Practice Patterns
- The Future of Menopause Care
(Pre) Menopause Matters (Full Course, Parts A & B)
Course Curriculum
(18.25 contact hours)
The bundled course combines all of the modules from Part A (modules 1-11) and Part B (modules 12-21) at a discounted price.
Supplemental Course Documents
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FULL COURSE: $1065 $965
ALTERNATIVE OPTIONS:
PART A: $570
PART B: $495
(Pre)Menopause Matters: Part A Fundamentals
$
570
Payment options available during checkout*
(PRE)MENOPAUSE MATTERS: PART B Advanced Topics
$
495
Payment options available during checkout*
Bundle and Save!
(PRE) MENOPAUSE MATTERS (FULL COURSE: PARTS A & B)
$
965
Payment options available during checkout*
*We offer financially-friendly payment options of up to 6 months of interest-free payments.
Menopause is Gender Inclusive
This course is most relevant to people born with ovaries, but others may benefit from this information as well. You will hear us use the terms “woman” and “female” that are consistent with current literature we reference; however recognize and believe this information benefits others who experience menopause too, including those who are transitioning, and people assigned female at birth who do not identify as a woman.
what people are saying about the course
Fantastic program!
"I think the online model was fantastic and I greatly appreciate not having to fly across the country, get a hotel, transportation, etc. Thank you for extending this course to an online session."
Laura - student
Great Information!
"Great information and applicable to my practice and patient populations."
HOSNA - student
very pleased!
"I was very pleased with the course."

