Public awareness of the benefits of a healthy transition through menopausal and postmenopausal stages offers women a new perspective on aging and empowers them to take greater responsibility for their own health and well-being. Primary care physicians are a chief influence on information regarding health behaviors, risk assessment, and medical interventions that preserve health and that prevent premature death and disability. Clinicians can help identify therapy goals for short-term relief of menopausal symptoms and long-term relief and prevention of osteoporosis and fractures. Physicians must consider individual needs and concerns and be cognizant that because a woman's needs can change, re-evaluation is needed.