[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"supportContents":3},{"pageCollection":4},{"items":5},[6],{"sys":7,"useNewDesignSystem":9,"useTextOptimizedTemplate":9,"slug":10,"seo":11,"sectionsCollection":16},{"publishedAt":8},"2026-06-10T12:13:01.829Z",true,"whitepaper-lp",{"image":12,"pageSlug":13,"pageTitle":14,"metaTitle":14,"metaDescription":15,"jsonLd":12},null,"whitepaper","State of Menopause | Winona","Winona’s State of Menopause report reveals the symptoms, frustrations, and care gaps women face across perimenopause and menopause.",{"items":17},[18,76,243,287,431,544],{"subImage":12,"backgroundImage":12,"componentsCollection":19,"mediaCollection":21,"ctaButtonsCollection":23,"slug":25,"sectionName":26,"subHeader":12,"mainImage":27,"textContent":30},{"items":20},[],{"items":22},[],{"items":24},[],"whitepaper-hero","The State of Menopause Requires a \u003Cspan class=\"text-[#AF8EFF]\">New Conversation\u003C\u002Fspan>",{"url":28,"description":29},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F2chHymJDYvOKUSmKHFuUgh\u002Fa9663c95b6e520c39a7eb20a0a4a3073\u002Fcontainer-video.png?fm=webp","Woman reading",{"json":31,"links":71},{"data":32,"content":33,"nodeType":70},{},[34],{"data":35,"content":36,"nodeType":69},{},[37,42,48,52,57,61,65],{"data":38,"marks":39,"value":40,"nodeType":41},{},[],"Winona analyzed data from more than 100,000 patients to create ","text",{"data":43,"marks":44,"value":47,"nodeType":41},{},[45],{"type":46},"bold","The State of Menopause",{"data":49,"marks":50,"value":51,"nodeType":41},{},[],", the most comprehensive look at what menopause ",{"data":53,"marks":54,"value":56,"nodeType":41},{},[55],{"type":46},"actually",{"data":58,"marks":59,"value":60,"nodeType":41},{},[]," feels like for women and the surprising ways it impacts daily life. ",{"data":62,"marks":63,"value":47,"nodeType":41},{},[64],{"type":46},{"data":66,"marks":67,"value":68,"nodeType":41},{},[]," was built around data from real women ages 35–60 across every stage of the menopause journey.\n\nThis report serves as a much-needed update to how modern menopause is understood and discussed as a whole. New data will help women across every stage of the transition, whether they are uncertain if the changes they notice are hormonal, are just starting to ask questions, or have been searching for a real solution to their menopause symptoms for years.","paragraph","document",{"assets":72,"entries":74},{"block":73},[],{"block":75},[],{"subImage":12,"mainImage":12,"backgroundImage":12,"mediaCollection":77,"ctaButtonsCollection":79,"slug":81,"sectionName":82,"subHeader":83,"textContent":84,"componentsCollection":198},{"items":78},[],{"items":80},[],"whitepaper-not-pyschosomatic","Menopausal changes aren’t psychosomatic, they’re hormonal.","What women feel in this phase of life has a name, and it’s more complex than you might have been led to believe.",{"json":85,"links":193},{"nodeType":70,"data":86,"content":87},{},[88,100,179,186],{"nodeType":69,"data":89,"content":90},{},[91,95],{"nodeType":41,"value":92,"marks":93,"data":94},"According to data in ",[],{},{"nodeType":41,"value":96,"marks":97,"data":99},"The State of Menopause:",[98],{"type":46},{},{"nodeType":101,"data":102,"content":103},"unordered-list",{},[104,129,149,164],{"nodeType":105,"data":106,"content":107},"list-item",{},[108],{"nodeType":69,"data":109,"content":110},{},[111,116,120,125],{"nodeType":41,"value":112,"marks":113,"data":115},"77.5%",[114],{"type":46},{},{"nodeType":41,"value":117,"marks":118,"data":119}," of patients surveyed lived with symptoms for ",[],{},{"nodeType":41,"value":121,"marks":122,"data":124},"over a year",[123],{"type":46},{},{"nodeType":41,"value":126,"marks":127,"data":128}," before finding care that worked.",[],{},{"nodeType":105,"data":130,"content":131},{},[132],{"nodeType":69,"data":133,"content":134},{},[135,140,144],{"nodeType":41,"value":136,"marks":137,"data":139},"76%",[138],{"type":46},{},{"nodeType":41,"value":141,"marks":142,"data":143}," of them were managing ",[],{},{"nodeType":41,"value":145,"marks":146,"data":148},"6+ symptoms at once.",[147],{"type":46},{},{"nodeType":105,"data":150,"content":151},{},[152],{"nodeType":69,"data":153,"content":154},{},[155,159],{"nodeType":41,"value":156,"marks":157,"data":158},"Women reported experiencing an average of ",[],{},{"nodeType":41,"value":160,"marks":161,"data":163},"9 symptoms at any given time.",[162],{"type":46},{},{"nodeType":105,"data":165,"content":166},{},[167],{"nodeType":69,"data":168,"content":169},{},[170,174],{"nodeType":41,"value":171,"marks":172,"data":173},"At maximum, ",[],{},{"nodeType":41,"value":175,"marks":176,"data":178},"women reported experiencing 16 symptoms at once.",[177],{"type":46},{},{"nodeType":69,"data":180,"content":181},{},[182],{"nodeType":41,"value":183,"marks":184,"data":185},"These women didn’t experience a dramatic, unmistakable switch. They began to feel a gradual accumulation of changes that didn't add up, until they did.",[],{},{"nodeType":69,"data":187,"content":188},{},[189],{"nodeType":41,"value":190,"marks":191,"data":192},"Menopause symptoms impact entire body systems and lead to more widespread, impactful changes than most women have been educated to recognize. To learn more, explore the full report:",[],{},{"assets":194,"entries":196},{"block":195},[],{"block":197},[],{"items":199},[200,209],{"slug":201,"itemsCollection":202},"whitepaper-subheading-psychosomatic",{"items":203},[204],{"sys":205,"descriptionRichtext":12,"image":12,"subImage":12,"slug":12,"title":12,"subTitle":12,"url":12,"description":208,"customJson":12},{"id":206,"publishedAt":207},"58D4hbKl0FzV5kbt0KowZo","2026-06-09T14:15:11.315Z","Most women are told to look out for hot flashes and night sweats. No one mentions the many changes that occur far sooner. The menopause transition often announces itself through exhaustion, weight gain, anxiety, brain fog, and a slow erosion of a daily life that feels manageable.",{"slug":210,"itemsCollection":211},"whitepaper-psychosomatic-stats",{"items":212},[213,220,227,235],{"sys":214,"descriptionRichtext":12,"image":12,"subImage":12,"slug":217,"title":112,"subTitle":218,"url":12,"description":219,"customJson":12},{"id":215,"publishedAt":216},"bBZAeBKSqnf6pgbxoDLGv","2026-06-09T14:16:29.756Z","whitepaper-psychosomatic-stats-1","Waited over a year","to find care that worked",{"sys":221,"descriptionRichtext":12,"image":12,"subImage":12,"slug":224,"title":136,"subTitle":225,"url":12,"description":226,"customJson":12},{"id":222,"publishedAt":223},"2CMdvzX6p15KZtzXVgGcoK","2026-06-09T14:16:58.630Z","whitepaper-psychosomatic-stats-2","Were managing ","6+ symptoms at once",{"sys":228,"descriptionRichtext":12,"image":12,"subImage":12,"slug":231,"title":232,"subTitle":233,"url":12,"description":234,"customJson":12},{"id":229,"publishedAt":230},"7tuSWxCONwBH3RFWCXsgDz","2026-06-09T14:17:46.776Z","whitepaper-psychosomatic-stats-3","9","ON ANY GIVEN DAY","symptoms experienced simultaneously, on average",{"sys":236,"descriptionRichtext":12,"image":12,"subImage":12,"slug":239,"title":240,"subTitle":241,"url":12,"description":242,"customJson":12},{"id":237,"publishedAt":238},"nvKEQ3tni1m1C2Jm9YUmD","2026-06-09T14:18:06.693Z","whitepaper-psychosomatic-stats-4","16","AT THEIR WORST","symptoms happening all at once",{"subImage":12,"backgroundImage":12,"componentsCollection":244,"mediaCollection":246,"ctaButtonsCollection":248,"slug":250,"sectionName":251,"subHeader":12,"mainImage":252,"textContent":255},{"items":245},[],{"items":247},[],{"items":249},[],"whitepaper-data-women-always-known","Finally, the data matches what women have always known.",{"url":253,"description":254},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F72okT7RvkIy04NTJZmLMju\u002F9cfe4b0aee954e0383b40245796e1552\u002Fcontainer-video__1_.png?fm=webp","Winona women",{"json":256,"links":282},{"data":257,"content":258,"nodeType":70},{},[259],{"data":260,"content":261,"nodeType":69},{},[262,266,270,274,278],{"data":263,"marks":264,"value":265,"nodeType":41},{},[],"According to ",{"data":267,"marks":268,"value":47,"nodeType":41},{},[269],{"type":46},{"data":271,"marks":272,"value":273,"nodeType":41},{},[],", 77.5% of Winona patients reported living with menopause symptoms for at least one year before discovering personalized HRT treatment.\n\nThe menopause conversation has been shaped for decades by small studies, clinical assumptions, and a cultural tendency to minimize what women report about their own bodies. ",{"data":275,"marks":276,"value":47,"nodeType":41},{},[277],{"type":46},{"data":279,"marks":280,"value":281,"nodeType":41},{},[]," is here to change that, with a scale that makes dismissal impossible.",{"assets":283,"entries":285},{"block":284},[],{"block":286},[],{"subImage":12,"mainImage":12,"backgroundImage":12,"mediaCollection":288,"ctaButtonsCollection":290,"slug":292,"sectionName":293,"subHeader":294,"textContent":295,"componentsCollection":359},{"items":289},[],{"items":291},[],"whitepaper-dont-happen-the-way-women-are-told","Menopause symptoms don’t happen the way women are told.","Hormonal changes lead to clusters of related symptoms most women aren’t prepared to manage.",{"json":296,"links":354},{"nodeType":70,"data":297,"content":298},{},[299,314,322,329,336,343],{"nodeType":69,"data":300,"content":301},{},[302,306,310],{"nodeType":41,"value":303,"marks":304,"data":305},"These symptoms are what quietly dismantle daily life. Women reported an inability to think clearly, sustain energy, and remain emotionally grounded. These symptoms are often mistaken for stress, aging, or unrelated conditions. If you’ve overlooked these changes in your own life, this data is a signal. You may have been in perimenopause or menopause longer than you realized.\n\nWhat was equally surprising? One of the most significant findings in ",[],{},{"nodeType":41,"value":47,"marks":307,"data":309},[308],{"type":46},{},{"nodeType":41,"value":311,"marks":312,"data":313}," is that symptoms don't arrive independently.",[],{},{"nodeType":315,"data":316,"content":317},"heading-4",{},[318],{"nodeType":41,"value":319,"marks":320,"data":321},"Cognitive-Energy Burden",[],{},{"nodeType":69,"data":323,"content":324},{},[325],{"nodeType":41,"value":326,"marks":327,"data":328},"Fatigue and brain fog consistently co-occur, creating a reinforcing cycle where reduced energy compounds cognitive difficulty, and cognitive difficulty makes everything feel more exhausting. Many women describe this like moving through fog, even after a full night's rest.",[],{},{"nodeType":315,"data":330,"content":331},{},[332],{"nodeType":41,"value":333,"marks":334,"data":335},"Sleep-Metabolic Burden",[],{},{"nodeType":69,"data":337,"content":338},{},[339],{"nodeType":41,"value":340,"marks":341,"data":342},"Sleep disruption and weight gain frequently appear together, suggesting a connected physiological pathway that, when left untreated, perpetuates itself. Poor sleep affects metabolism. Metabolic changes affect sleep quality. The cycle continues.",[],{},{"nodeType":69,"data":344,"content":345},{},[346,350],{"nodeType":41,"value":47,"marks":347,"data":349},[348],{"type":46},{},{"nodeType":41,"value":351,"marks":352,"data":353}," maps these patterns in full, with direct implications for how menopause should be treated and what women should ask for.",[],{},{"assets":355,"entries":357},{"block":356},[],{"block":358},[],{"items":360},[361,371],{"slug":362,"itemsCollection":363},"whitepaper-main-subheading",{"items":364},[365],{"sys":366,"descriptionRichtext":12,"image":12,"subImage":12,"slug":369,"title":12,"subTitle":12,"url":12,"description":370,"customJson":12},{"id":367,"publishedAt":368},"1BHuzc83dF1KTD4lBnh0kw","2026-06-08T15:12:22.792Z","whitepaper-subheading","After analyzing the data of more than 100,000 Winona patients, it was clear their top concerns weren’t the most well-known symptoms that usually dominate the menopause conversation.",{"slug":372,"itemsCollection":373},"whitepaper-state-of-menopause-symptoms",{"items":374},[375,385,394,403,412,421],{"sys":376,"descriptionRichtext":12,"subImage":12,"slug":379,"title":380,"subTitle":381,"url":12,"description":12,"customJson":12,"image":382},{"id":377,"publishedAt":378},"6GK176DM3X6xAHjHjxaKR6","2026-06-08T14:58:06.969Z","whitepaper-symptoms-energy-loss","Energy loss","79% of women",{"url":383,"description":384},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F1cJhC0Em1IujyYDiTVzDNo\u002F3da9da87229255be10c5b3edacb5a43d\u002FGroup_5817__4_.png","Energy Loss",{"sys":386,"descriptionRichtext":12,"subImage":12,"slug":389,"title":390,"subTitle":391,"url":12,"description":12,"customJson":12,"image":392},{"id":387,"publishedAt":388},"2vBqmwKemqNeRn9DyEBMWo","2026-06-08T14:59:20.640Z","whitepaper-symptoms-weight-gain","Weight gain","75% of 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women",{"url":429,"description":430},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F1RwH3guSl1X6QbpScSXLfM\u002Faf0feedbc4b0970a7c6fe695937ec519\u002FGroup_5817.png","Hot flashes",{"subImage":12,"mainImage":12,"backgroundImage":12,"componentsCollection":432,"mediaCollection":434,"ctaButtonsCollection":436,"slug":438,"sectionName":439,"subHeader":12,"textContent":440},{"items":433},[],{"items":435},[],{"items":437},[],"whitepaper-understanding-menopause-symptoms","A data-rich guide to understanding menopause symptoms and what comes next",{"json":441,"links":535},{"nodeType":70,"data":442,"content":443},{},[444,455,464,471,524],{"nodeType":69,"data":445,"content":446},{},[447,451],{"nodeType":41,"value":47,"marks":448,"data":450},[449],{"type":46},{},{"nodeType":41,"value":452,"marks":453,"data":454}," connects the symptoms many women have been living with to the science behind them and makes the case for treatment that addresses the full picture, not just the most visible parts.",[],{},{"nodeType":456,"data":457,"content":463},"embedded-asset-block",{"target":458},{"sys":459},{"id":460,"type":461,"linkType":462},"5qg2gsDtnJDmOdB7YlSOjb","Link","Asset",[],{"nodeType":69,"data":465,"content":466},{},[467],{"nodeType":41,"value":468,"marks":469,"data":470},"Inside, you'll find:",[],{},{"nodeType":101,"data":472,"content":473},{},[474,484,494,504,514],{"nodeType":105,"data":475,"content":476},{},[477],{"nodeType":69,"data":478,"content":479},{},[480],{"nodeType":41,"value":481,"marks":482,"data":483},"The complete symptom frequency breakdown across 100,000+ women — including the ones rarely discussed",[],{},{"nodeType":105,"data":485,"content":486},{},[487],{"nodeType":69,"data":488,"content":489},{},[490],{"nodeType":41,"value":491,"marks":492,"data":493},"The symptom clusters that appear repeatedly — and what they reveal about how menopause works in the body",[],{},{"nodeType":105,"data":495,"content":496},{},[497],{"nodeType":69,"data":498,"content":499},{},[500],{"nodeType":41,"value":501,"marks":502,"data":503},"Analysis of the care gap: how long women wait, why partial treatment falls short, and what that costs them",[],{},{"nodeType":105,"data":505,"content":506},{},[507],{"nodeType":69,"data":508,"content":509},{},[510],{"nodeType":41,"value":511,"marks":512,"data":513},"The case for earlier, more comprehensive HRT as a response to the full scope of what the data shows",[],{},{"nodeType":105,"data":515,"content":516},{},[517],{"nodeType":69,"data":518,"content":519},{},[520],{"nodeType":41,"value":521,"marks":522,"data":523},"What this means for women at every stage, from newly symptomatic to mid-journey and still searching for answers",[],{},{"nodeType":69,"data":525,"content":526},{},[527,531],{"nodeType":41,"value":47,"marks":528,"data":530},[529],{"type":46},{},{"nodeType":41,"value":532,"marks":533,"data":534}," gives a voice to women who were told their symptoms aren't that serious, those who spent years wondering if their feelings were \"normal,” and those just beginning to connect the dots. Finally, the data is in writing and clearly on the side of women.",[],{},{"assets":536,"entries":542},{"block":537},[538],{"sys":539,"url":540,"title":541,"description":541},{"id":460},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F5qg2gsDtnJDmOdB7YlSOjb\u002Fc6d2fabb1c20ab361c25886ffdb2c98c\u002Fcontainer-video__2___1_.png","Woman using laptop",{"block":543},[],{"subImage":12,"backgroundImage":12,"componentsCollection":545,"mediaCollection":547,"ctaButtonsCollection":549,"slug":551,"sectionName":12,"subHeader":12,"mainImage":552,"textContent":555},{"items":546},[],{"items":548},[],{"items":550},[],"whitepaper-fullwidth",{"url":553,"description":554},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F63X7b2b2y1jOKX91bcXgxs\u002F6f4ed48245d3f17b4addd7c0a9673394\u002FGroup_6032.png?fm=webp","Winona",{"json":556,"links":570},{"data":557,"content":558,"nodeType":70},{},[559],{"data":560,"content":561,"nodeType":69},{},[562,566],{"data":563,"marks":564,"value":47,"nodeType":41},{},[565],{"type":46},{"data":567,"marks":568,"value":569,"nodeType":41},{},[]," is published by Winona, a telehealth platform specializing in evidence-based hormone replacement therapy for women. Data collected from 100,000+ patients between May 2025 and February 2026. Full methodology available in the whitepaper.",{"assets":571,"entries":573},{"block":572},[],{"block":574},[]]