Around half the U.S. population will go through menopause, but it’s a topic that’s still not widely spoken about. The lack of discourse leaves many women feeling confused and fearful about the symptoms they experience, like hot flashes, night sweats, and shifts in mood.

Midlife can make the process of finding a new doctor even more daunting. Will they understand my symptoms? Will they spend the time with me I need? Will they treat me holistically and not just prescribe right away? These are some of the worries that come up as we move out of our childbearing years.

But if you choose wisely, it can also be transformative. “Menopause can be a time of change and unpredictability, making it so important to have a trusting and open relationship with your provider,” says Boston-based board-certified nutritional psychiatrist and author Uma Naidoo, M.D.