Course series

Long-Term Implications of Menopause: Bone, Hair & Skin Health - Beyond the Hot Flashes

Women can lose up to 20% of bone density within five to seven years of menopause — years before routine DXA screening even begins. Learn what to catch, and when.

What makes us different

Course Highlights

Understand why waiting for DXA screening at 65 can mean missing a decade of preventable bone loss.

Confidently differentiate female pattern hair loss, telogen effluvium, and frontal fibrosing alopecia.

Evaluate the real evidence behind commonly recommended hair and skin products — separate from the marketing.

Apply an equity-centered lens to screening and care across every patient population.

By five to seven years post-menopause, women can lose up to 20% of their bone density — yet DXA screening isn't recommended until age 65, more than a decade too late. Hair and skin changes tell a similar story: over half of postmenopausal women develop female pattern hair loss, yet it's rarely discussed in menopause care. Long-Term Implications of Menopause closes both gaps.

You'll learn the physiology linking estrogen decline to bone loss (osteopenia, osteoporosis, sarcopenia) and to hair and skin changes (female pattern hair loss, telogen effluvium, frontal fibrosing alopecia) — then apply it clinically: interpreting DXA and FRAX® results, evaluating secondary causes of bone loss, and differentiating hair and skin presentations with evidence-based treatment options.

Apply evidence-based approaches to osteoporosis screening, fracture risk assessment, diagnosis, and treatment using validated clinical tools and current

guideline recommendations.

Evaluate menopausal hair and skin changes through comprehensive clinical assessment, differential diagnosis, and appropriate laboratory evaluation to guide

management and referral decisions.

Develop individualized management plans that incorporate pharmacologic,

nonpharmacologic, preventive, and longitudinal monitoring strategies to improve long-term health outcomes and quality of life for women after menopause.

Overview

Curriculum

Module 1: Estrogen Decline & Bone Health

Key terms and concepts: osteopenia, osteoporosis, sarcopenia, and the Musculoskeletal Syndrome of Menopause.

Module 2: Estrogen Decline & Hair/Skin Health

Follicle and skin structure changes, and estrogen's role in collagen, barrier integrity, and vascular regulation.

Module 3: Bone Health Evaluation

Identifying patients who warrant evaluation, interpreting DXA and FRAX® results, and ruling out secondary causes of bone loss.

Module 4: Hair & Skin Differential Diagnosis

Distinguishing female pattern hair loss, telogen effluvium, and frontal fibrosing alopecia.

Module 5: Treatment & Product Evidence

Evidence-based pharmacologic and non-pharmacologic strategies for bone health, and an evidence review of commonly recommended hair and skin products.

Module 6: Patient Conversations

Initiating patient-centered conversations about bone, hair, and skin changes.

Meet the team

Faculty

Ready to catch what routine screening misses?

Enroll now to see pricing and get started.

Frequently asked questions

Who is this course for?

Any clinician managing midlife patients, especially those fielding questions about bone density, hair thinning, or skin changes that patients often assume are unrelated to menopause.

Do I need to take the Foundations of Menopause or Treatment of Menopause programs first?

No. Although we recommend completing the programs in sequence, from Foundations of Menopause to Treatment of Menopause and finally Long-Term Implications of Menopause, we recognize that every learner comes to menopause care with a different level of experience and knowledge base.

If you already have a strong background in menopause care and want to focus on the implications of menopause for long-term health, including areas such as bone, hair, and skin health, you can jump directly into this course.

How many CE credits will I earn?

3 CE credits.

How long do I have to complete the course?

This is an enduring, self-paced online activity. You will have up to 12 months from the date of purchase to complete the course.

Does this course replace a DXA scan or dermatology referral?

No, this course builds your clinical framework for evaluation and conversation; it does not replace diagnostic imaging or specialist referral where indicated.

Is there an exam?

Yes. A knowledge assessment quiz with a minimum passing score of 80% is required to earn CE credit.

What if I don't pass the assessment?

You will have unlimited opportunities to retake the assessment until you achieve a passing score.

Additional Details

CME / CE Activity Detail Page

Long-Term Implications of Menopause - EncorVitaTM Health

Activity Date: August 24, 2026 - August 24, 2029

Activity Type: Enduring

CE: 3 total credits

This activity offers 3 CE credit(s) for:

1. Physicians (AMA PRA Category 1 CreditTM)

2. Nurses (ANCC NCPD)

3. Pharmacists (ACPE CPE)

4. Physician Assistants (AAPA Category 1)

5. Social Workers (ASWB-ACE)

6. Dietitians (CDR CPEUs)

7. Dentists (ADA-CERP CE)

8. Athletic Trainers (BOC CEUs)

9. Interprofessional Continuing Education (IPCE)

10. Other*

*All other attendees will receive an AMA PRA Category 1 CreditTM participation certificate

Instructions for learning

This enduring educational activity consists of self-paced online modules designed to provide healthcare professionals with evidence-based education on the long-term health implications of menopause, with a focus on bone health and menopausal hair and skin changes. Learners will progress through a structured curriculum that combines didactic instruction, interactive knowledge assessments, detailed PDF written material & tables, and clinical case-based learning to strengthen competence in recognizing, evaluating, and managing these common but often underdiagnosed consequences of estrogen deficiency. Content is delivered through recorded educational modules, interactive learning activities, embedded quizzes, and clinical case scenarios. The self-paced format enables learners to complete the curriculum at their convenience while reinforcing knowledge through module-based assessments and clinical application exercises. To claim credit, participants must complete all required educational modules, complete the associated assessments, and submit the post-activity evaluation. Throughout the activity, learners will strengthen their ability to identify patients at risk for long-term complications of menopause, implement timely evidence-based interventions, and provide comprehensive, patient-centered care that promotes healthy aging and improved quality

of life.

Statement of need

Approximately 1.3 million women enter menopause each year in the United States, yet many clinicians receive limited formal education on the long-term consequences of estrogen deficiency beyond the management of vasomotor symptoms. Although osteoporosis remains a leading cause of morbidity among postmenopausal women, opportunities for early risk assessment, preventive counseling, and timely intervention are frequently missed. Similarly, menopausal hair and skin changes are often dismissed as normal aging rather than recognized as clinically significant manifestations of hormonal change that can substantially affect quality of life and may benefit from evaluation and treatment. Observable practice gaps include inconsistent osteoporosis risk assessment, underutilization of validated screening tools such as DXA and FRAX, delayed initiation of preventive and therapeutic interventions, limited familiarity with current pharmacologic and nonpharmacologic management strategies, and inadequate evaluation of hair and skin complaints through appropriate history, physical examination, differential diagnosis, and laboratory assessment. These gaps may delay diagnosis, increase fracture risk, and leave patients without appropriate counseling or treatment for symptoms that affect physical and psychosocial well-being.

Target Audience

This activity is suitable for Physicians, Nurses, Pharmacists, Physician Assistants, and other licensed healthcare professionals. It is particularly relevant for physicians, nurse practitioners, physician assistants, registered nurses, pharmacists, and other licensed clinicians practicing in primary care, family medicine, internal medicine, obstetrics and gynecology, endocrinology, women's health, dermatology, and related specialties who provide care for women during and after the menopause transition.

Disclosure Declaration

It is the policy of Pinnacle Conference, LLC, to ensure independence, balance, objectivity, scientific rigor, and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. Pinnacle Conference, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships

will have a negative impact on the presentations.

Faculty Disclosures

Robin Noble, MD, MHCDS, MSCP, has disclosed several financial relationships: Chief Medical Officer, Equity, and Consulting at EncorVita Health; Medical Advisor, Equity, and Consulting at Play Health; Chief Medical Advisor, Equity, and Consulting at Mia Health; Equity and Consultant at Indagare; Chief Medical Advisor at Let's Talk Menopause; Advisory Board and Equity at Bioceptive; Advisory Board and Equity at GYNtle; Advisory Board and Equity at Immugen; Advisory at DrKumo; Board Member and Shareholder Physician at Intermed, PA.

Laura Abrignani, NP, has disclosed several financial relationships: Speaker at Bayer Healthcare; Sr. Director, Medical Affairs at EncorVita Health.

Michelle Nezolosky, MPH, has disclosed several financial relationships: Independent Contractor at EncorVita Health; Independent Contractor at Eterna, Inc.; Employee at HerMD.

Planning Committee

Isabelle Raymond, PhD, has disclosed several financial relationships: Employee at Nutraceutical Wellness Inc; Advisor and Investor at EncorVita Health.

Corinne Erickson, MD, has disclosed several financial relationships: Speaker at Hydrinity; Speaker at Cartessa; Consultant/Advisor at L'Oreal; Advisor at EncorVita Health.

Chad Schiffman, MHA, has disclosed a financial relationship: Reviewer of course content on behalf of EncorVita Health (via Healthcare Compliance Pros).

Robin Noble, MD, MHCDS, MSCP, has disclosed several financial relationships: Chief Medical Officer, Equity, and Consulting at EncorVita Health; Medical Advisor, Equity, and Consulting at Play Health; Chief Medical Advisor, Equity, and Consulting at Mia Health; Equity and Consultant at Indagare; Chief Medical Advisor at Let's Talk Menopause; Advisory Board and Equity at Bioceptive; Advisory Board and Equity at GYNtle; Advisory

Board and Equity at Immugen; Advisory at DrKumo; Board Member and Shareholder Physician at Intermed, PA.

Michelle Nezolosky, MPH, has disclosed several financial relationships: Independent Contractor at EncorVita Health; Independent Contractor at Eterna, Inc.; Employee at HerMD.

Laura Abrignani, NP, has disclosed several financial relationships: Speaker at Bayer Healthcare; Sr. Director, Medical Affairs at EncorVita Health.

Pamela Mehta, MD, has nothing to disclose.

Content Reviewer

Shafqat Abbas, PharmD, has nothing to disclose.

All relevant financial relationships have been evaluated and mitigated.

Unlabelled Use Disclosure

Faculty of this CME/CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices. Pinnacle Conference, LLC, the faculty, planners, and EncorVitaTM Health do not endorse the use of any product outside of the FDA-labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Credit Information

Jointly Accredited Provider

In support of improving patient care, this activity has been planned and implemented by EncorVitaTM Health and Pinnacle Conference, LLC. Pinnacle Conference, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Physicians - ACCME

Pinnacle Conference, LLC, designates this Enduring activity for a maximum of 3 AMA PRA. Category 1 creditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Note to Nurse Practitioners: Nurse practitioners can apply for AMA PRA Category 1 creditsTM through the American Academy of Nurse Practitioners (AANP). AANP will accept AMA PRA Category 1 creditTM from Jointly Accredited Organizations. Nurse practitioners can also apply for credit through their state boards.

Nurses - ANCC

This activity is designated for 3 contact hours.

Pharmacists - ACPE

To receive CPE credit through CPE Monitor, please ensure you have provided your NABP ePID number and DOB appropriately. If you are unsure or would like to confirm, please contact ce@learnatpinnacle.com within 60 days of completing the activity.

Physicians Assistants - AAPA

Pinnacle Conference, LLC has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 3 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Athletic Trainers - BOC

Pinnacle Conference, LLC (BOC AP#: JA4008385) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for a maximum of (3) Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Registered Dietitians - CDR

Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (1 IPCE credits = 1 CPEU). If the activity is dietetics-related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (1 hour/60 minutes = 1 CPEU). RDs and DTRs are to select activity type 102 in their Activity Logs. Performance Indicator selection is at the learner’s discretion.

Social Workers - ASWB

As a Jointly Accredited Organization, Pinnacle Conference, LLC is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 3 General continuing education credits.

Dentists - ADA-CERP CME

Pinnacle Conference, LLC is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP. Pinnacle Conference, LLC designates this activity for 3 hours continuing education credits. Concerns or complaints about a CE provider may be directed to the provider, or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

(IPCE) Interprofessional Continuing Education Credit

This activity was planned by and for the healthcare team, and learners will receive 3 Interprofessional Continuing Education (IPCE) credits for learning and change.

CE-accredited courses, clinical protocols, and expert implementation support for aesthetic clinics, medical spas, and specialty practices expanding into midlife women's health. Taught by menopause specialists. Grounded in ten years of real-world clinical data.