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(Pre) Menopause Matters - Early Education for a Healthier Future (Part A - Fundamentals)

Affiliate Course

10 Contact Hours

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 walk 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 enables 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 strength, bone density, and vitality.

(Pre) Menopause Matters: Part A serves as the essential foundational component of our two-part series, designed so that parts may be completed in any order. In this comprehensive 10-hour course, participants bridge the gap between systemic endocrine shifts and everyday clinical presentations. You will dive deep into the essential anatomy, physiology, and biomarkers of female aging, giving you the tools to analyze how fluctuating hormones directly impact neuromusculoskeletal, cardiovascular, and pelvic health.

Through an evidence-based lens, Part A unpacks the clinical management of autonomic symptoms, the nuances of hormone therapy, and the efficacy of complementary and alternative medicines (CAMs). Clinicians will learn to implement targeted screening and intervention strategies for bone health, premature menopause, and complex pelvic floor changes. Additionally, this course features a robust framework for metabolic exercise and fitness prescription, empowering you to design efficient, proactive programming. Armed with validated screening tools, you will confidently identify midlife health transitions in your patients— regardless of their primary admitting diagnosis—and serve as a vital guide on their interdisciplinary care team.

Course Delivery & Materials

This independent, self-paced recorded webinar includes PowerPoint lectures, a downloadable copy of the presentations, clinical case studies, patient education handouts, supporting evidence-based references, and supplemental resource materials. Participants receive 12 months of unlimited access.

  • Evaluation Method: Electronic, post-course examination
  • Contact Time: Total = 10 contact hours (3.25 hours is evaluative content)
  • Credentialing: Participants earn a Certificate of Completion after passing the online
    examination. Participants who complete both Part A and Part B receive a Certificate of
    Achievement in Menopause Education in recognition of advanced clinical knowledge.
Learning Objectives
  1. Analyze the systemic etiology and long-term health implications of the menopause transition using the latest evidence-based data to guide clinical decision-making.
  2. Select and implement validated clinical evaluation tools to differentiate musculoskeletal pathologies from systemic menopause-associated risks.
  3. Appraise the risks, benefits, and physiological mechanisms of medical management, complementary therapies, and physical therapy interventions regarding disease risk reduction.
  4. Differentiate the distinct clinical challenges, endocrine profiles, and long-term health risks unique to patients experiencing premature menopause.
  5. Design and prescribe targeted metabolic exercise and fitness protocols tailored to symptom profiles and health risks to optimize cardiovascular, muscular, and skeletal health across the midlife lifespan.
Course Outline (10 Contact Hours)
  • The Perimenopause Brain Cycle
  • Hot Flashes and Night Sweats
  • Sleep Dysfunction
  • Brain Fog vs Dementia
  • Brain Health Lifestyle Strategies
  • Medical & Therapeutic Interventions
  • Body Odor
  • Headaches
  • Hormonal Pain
  • Burning Tongue Syndrome
  • Allergies
  • Menopause Assessment Tools
  • 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
  • Anatomy and Physiology of Bone
  • Postmenopausal Osteoporosis
  • Tests & Screening for Osteoporosis
  • 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
  • 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
  • Precautions for MHT
  • Non-Hormone Prescription Therapies
  • Bioidentical Hormone Compounds
  • Case Scenarios
  • Clinical Considerations
  • Special considerations with induced menopause
  • Long-term risk factors associated with early menopause
  • Hormone replacement considerations
  • Non-hormone therapeutic interventions
  • 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

Full Course: Parts A & B Bundled

The bundled course combines all of the modules from Part A (modules 1-11) and Part B (modules 12-21) at a discounted price. 

Access the Full Course Bundle

Presented by Dr. Karen Litos, PT, DPT & Dr. Karen Snowden, PT, DPT

Dr. Karen Litos, PT, DPT, is a powerhouse in women’s health with over 26 years of
experience as a clinician, educator, and advocate. A Board Certified Pelvic & Women’s
Health Specialist (PWCS) Emeritus, Karen co-owns Snowden & Litos, a premier
company providing evidence-based professional education in midlife and menopause
care. Her legacy includes founding the "No Mom Left Behind PT" clinic in Lansing,
Michigan and her longtime global advocacy efforts for women’s healthcare.


Dr. Karen Snowden, PT, DPT, is a Board-Certified Specialist in Pelvic and Women’s
Health with 40 years of clinical experience. A national and international speaker, she
serves as faculty for the APTA Academy of Pelvic Health and is co-owner of Snowden & Litos LLC, where she educates healthcare professionals on menopause and midlife
care. A recipient of the 2024 Elizabeth Noble Award, Dr. Snowden is dedicated to
evidence-based, patient-centered wellness for all genders.

Enroll Today!

Please note that Academy of Pelvic Health Physical Therapy member discounts or other discounts do not apply to this course as it is hosted via our affiliate course partner Snowden & Litos LLC.

Disclaimer: This course listing contains affiliate links. The Academy of Pelvic Health Physical Therapy may earn a commission from purchases made via affiliate links. This course may not be eligible for APTA Pelvic Health-run discount promotions. By clicking below, you will be rerouted to the affiliate vendor's website to complete your purchase.

Part A Fundamentals Price: USD $570

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