Jill McEachern runs Dahlia Midlife Health as a solo practice in Guilford and also sees women across Connecticut by telehealth. The practice works only on perimenopause, menopause and postmenopause, and she founded it after seeing women dismissed or left on hormone therapy that was not working. Care starts with a long gynecologic and medical history focused on cycles and symptoms, and she sends patients to Quest for labs when the plan calls for it. She prescribes hormone therapy as patches, gels, sprays, pills, vaginal rings and vaginal estradiol, and will consider compounded bioidentical hormones when she judges it appropriate. For women who cannot or do not want to use hormones she offers fezolinetant, paroxetine, low dose SSRIs and SNRIs, gabapentin and oxybutynin. She also treats genitourinary syndrome of menopause and low libido, offers testosterone support, and will help a patient move off hormone pellets onto menopause hormone therapy because she considers pellets hard to titrate.
Minkin is a Yale clinical professor who has been in private practice around New Haven for more than 40 years. She rotates between three Connecticut offices, one day a week in each, in New Haven, Guilford and Essex. Her current practice is general gynecology and women's health with a focus on peri- and postmenopausal quality of life. Since 2008 she has also directed the Sexuality, Intimacy and Menopause clinic in the gynecological oncology division at Smilow Cancer Hospital, so sexual health after cancer treatment is a real part of her work. She no longer does obstetrics or gynecologic surgery and leaves that to the group she practices with, which admits patients to Yale New Haven Hospital. Her website is mostly free education she wrote for patients and younger clinicians, including videos on menopause and on menopause for cancer survivors, and a blog she writes with her mathematician husband that opens with why she left electronic medical recordkeeping.
