Practitioners & modalities
Physiotherapists, dietitians, therapists, acupuncturists, naturopaths, chiropractors, osteopaths, and massage therapists. The people who work alongside your family doctor or menopause specialist, what each one actually does, where the evidence stands, and how to find someone properly credentialed wherever you live.
The Nila directory
The registers further down each modality (CCHPBC, NAMS, CSP, and the rest) are regulators — they confirm a practitioner is licensed, but most aren't true searchable directories with bios, specialties or availability. Our directory is. Members list themselves, declare their credentials and tell you what they actually work on.
Got something on the books? Build a questions sheet to take with you →
Free for everyone · before you book
A few minutes up front means you arrive matched to someone who actually works with what you're dealing with — and the first session can get straight to the useful part.
Most countries publish a public register for the regulated professions (physios, dietitians, psychologists, doctors). It's the easiest way to know what training sits behind the title.
Try this week: Search '[your country] register of [profession]' and look up their name. If the title isn't regulated where you live, that's okay too — just helpful to know going in so you can weigh the fee accordingly.
Why this page exists
You are the centre of it. For some of us a family doctor or menopause-trained physician anchors the medical side; for others — including anyone with a hormone-positive cancer history, or who can't or doesn't want to take MHT/HRT — that prescribing role is smaller or not there at all, and the team looks different. Most of us end up leaning on a few people who work with the body in different ways: a pelvic floor physiotherapist for the leaks that turn up in midlife, a registered dietitian for the protein-and-bones conversation, a CBT-trained therapist for the 3 a.m. Wake-ups that won't quit on their own.
Think of this as a primer, not a referral. For each modality we'll tell you what it's actually for, what the evidence says (and doesn't), what to be wary of, and where to find someone properly credentialed. We list the official registers and associations for Canada, the US and the UK side by side, and if you're somewhere else, the search terms ("[your country] register of [profession]") will get you to the equivalent body in two minutes. We don't endorse individuals; that part is yours.
Eleven modalities, plainly
No hierarchy here, and no scoreboard. These are complementary to your doctor, not a replacement for one. Pick the one that matches what you're dealing with this month.
How to read this directory
Inclusion is the signal.
These eleven made the cut because the people in them have real, regulated training that helps in midlife. Reiki healers and "hormone whisperers" didn't.
"Evidence" = what they do.
We grade the interventions a profession delivers (e.g. CBT-I for sleep, vaginal estrogen via a menopause MD), not the title on the door.
Regulation varies.
Some titles are protected in some places and meaningless in others. We flag that under What to know for each modality, read it before you book.
Going virtual?
Telehealth has opened up menopause care in a way that didn't exist five years ago, and the options now vary a lot in how they practise. Eleven questions to help you find one whose model fits what you're looking for, with the things to look for in each answer.
Open the virtual-care checklist →One last gentle reminder.
We're members supporting members, not doctors or specialists. A modality being on this page isn't an endorsement; one being missing isn't a verdict. Always check credentials with your provincial college or local regulator, tell every practitioner what you're taking and what you've been treated for, and keep your family doctor in the loop on anything new, especially around hormone therapy, blood thinners, or active cancer care.
Looking to be listed as a practitioner? See partnership options.
