Menopause care is changing as more patients seek evidence-based guidance for symptoms, prevention, and long-term health. Kathryn Macaulay, M.D., M.S.C.P., F.A.C.O.G., UC San Diego Health, and Rajita Patil, M.D., M.S.C.P., F.A.C.O.G., UCLA Health, explain why many people still struggle to find trained care, even as menopause affects sleep, mood, work, genitourinary health, and cardiometabolic risk. They connect hormone therapy history with today’s demand for reliable, individualized options, including non-hormonal approaches, and outline the UC Menopause Collaborative’s work to expand training, standardize work flows, support flexible care models, and build research-ready data across UC health centers.