Menopause Health Program
Our Specialists
Director, Menopause Health Program
Kathryn Macaulay, M.D., MSCP
Clinical Professor
Division of General OB/GYN

Jorge Alvarado, M.D.
Assistant Clinical Professor
Division of General OB/GYN

Laura Biver, M.D.
Associate Physician
Division of General OB/GYN

Erin Gross, M.D.
Clinical Professor
Division of General OB/GYN

David Klein, M.D.
Assistant Clinical Professor
Division of General OB/GYN

Sara McKinney, M.D.
Assistant Clinical Professor
Division of General OB/GYN

Mariana Ramos-Rivera, M.D.
Assistant Professor
Division of General OB/GYN

Jamie Resnik, M.D.
Clinical Professor
Division of General OB/GYN

Lisa Wastila, M.D., FACP, MSCP
Clinical Professor
Division of Internal Medicine
When to See a Doctor
Our menopause health program, the first of its kind in San Diego since 2004, is a multidisciplinary service designed to meet the complex needs of women approaching or experiencing natural, surgical or premature menopause.
We offer an evidence based approach to managing menopause using the latest research to guide clinical care.

Personalized Care Plan
We then work with you to create an individualized plan to manage your health and menopause symptoms. Our services include:
- Hormone testing and hormone therapy
- Non-hormonal treatments for vasomotor symptoms
- Gynecologic care for menopausal women including management of postmenopausal bleeding, office hysteroscopy
- Management of genitourinary syndrome of menopause
- Preventive health care including breast, cardiac and bone health assessment
- Education and resources related to cardiovascular, breast, cognitive, bone and urogenital health, as well as lifestyle, mental health, and sexuality issues
- Assessment and treatment of sexual dysfunction
- Mammography, breast cancer risk assessment
- Bone density testing
- Telehealth visits