About Your Provider

Care that starts with
actually listening.

Every woman goes through this. Yet so many arrive at this stage of life with no idea what to expect, and nowhere near enough support to navigate it. That gap between how universal this experience is and how little help most women actually get — that's what this practice is about.

Megan Nelson, CNM, MSCP CERTIFIED NURSE MIDWIFE · MENOPAUSE SPECIALIST

My Story

A CNM who recognized a gap
and decided to fill it.

I've spent my career in women's health, first as a Labor and Delivery RN in the Metro Detroit area, then as a Certified Nurse Midwife in full-scope practice. I love this work, and I continue to practice as a CNM alongside running The Next Chapter Clinic.

Over time I noticed something that I kept coming back to: women going through perimenopause and menopause had so many questions, so many symptoms, and so much to discuss, but a standard appointment simply doesn't leave enough time to cover it all. There's the history, the education, the treatment options, the lifestyle piece. You can't do any of it justice in 10 or 20 minutes.

That gap in time, and in dedicated menopause education, is what The Next Chapter Clinic is built to close. When menopause care is the only thing on the schedule, there's finally enough room to do it right. Longer visits, real conversations, and a care plan that's built around the whole picture, not just the presenting complaint.

I hold both my CNM certification and the Menopause Society Certified Practitioner (MSCP) designation, the gold standard credential in menopause care, held by a small fraction of providers nationwide. I don't just understand menopause. I specialize in it. It is the entire focus of this practice.

If you've felt brushed off, rushed, or told your symptoms are "just part of getting older", I want you to know that you deserve better. And I'm here to provide it.

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Certified Nurse Midwife

Graduate-level CNM training with full-scope women's health practice authority

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MSCP Certified

Menopause Society Certified Practitioner, the gold standard in menopause care, held by few providers

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L&D Background

Prior experience as a Labor & Delivery RN, a deep foundation in women's health across all life stages

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Telehealth-Only Practice

Purposefully built as a virtual practice so women can access specialized care from anywhere

75M Women in the US currently in perimenopause or menopause

Most receive fewer than 3 hours of menopause training during medical or nursing school

The average menopause-related appointment lasts less than 7 minutes

Nearly 73% of women report their menopause symptoms were never addressed by a provider

There are almost no independent menopause specialists serving women virtually

Why This Practice Exists

The gap in women's healthcare is real. And it's fixable.

Menopause affects every woman, yet it remains one of the most undertreated conditions in medicine. Women are routinely told their symptoms are "normal," handed a pamphlet, and sent home. Meanwhile, effective, evidence-based treatments exist that most women never even hear about.

The Next Chapter Clinic exists because women deserve access to a provider who has made menopause their entire specialty, not a side note between OB and GYN appointments.

Longer visits. Real conversations. A care plan built around you. That's not a luxury, it's what good care looks like.

My Philosophy

How I approach your care.

Evidence-Based, Not Fear-Based

Hormone therapy has been misunderstood for decades. I practice using current evidence, not outdated fears, and I'll take the time to explain the real data so you can make an informed choice.

Your Symptoms Are Real

Hot flashes, brain fog, sleep disruption, mood changes, these are not imagined and they are not something you just have to endure. Every symptom you experience deserves to be taken seriously and addressed.

Individualized, Always

There is no one-size-fits-all approach to menopause care. Your history, your symptoms, your values, and your goals all shape your care plan. I treat the whole person, not just the hormone levels.

Working With Me

What your experience will look like.

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Real Time Together

Your initial visit is 60–90 minutes. Follow-ups are 30 minutes. This is not a rushed 10-minute appointment, there is actual time to talk through everything.

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From Your Home

100% telehealth, no driving, no waiting rooms, no scheduling around work. Book on Tuesday, Wednesday, or Sunday mornings at a time that works for you.

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A Provider Who Remembers You

You will always see the same provider. I know your history, your goals, and your story, you will never have to re-explain yourself at every visit.

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Comprehensive Lab Work

I order labs through Labcorp and Quest, billed directly to your insurance or available at self-pay rates. Results reviewed and explained in full.

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Transparent Pricing

Cash-pay with no insurance surprises. HSA and FSA cards accepted. You know exactly what you'll pay before you book, always.

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A Plan You Actually Understand

You leave every visit with a clear, written care plan, prescriptions sent to your pharmacy, lab orders ready, and answers to every question you came in with.

Care that starts withactually listening.

A CNM who recognized a gapand decided to fill it.