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Relief from symptoms matters—but so does protecting your long-term health.
We support women through the hormonal transition of midlife with clear education, individualized treatment plans, and ongoing medical follow-up.
Perimenopause & Menopause Care—Personalized, Practical, Monitored
Understanding Perimenopause
Perimenopause is the transitional phase leading up to menopause. It can begin as early as the mid-30s or early 40s and often lasts several years. During this time, estrogen and progesterone levels fluctuate unpredictably, which can affect many systems in the body.
Because hormone levels may rise and fall dramatically from month to month, symptoms can feel inconsistent or confusing—often appearing long before periods stop.
Common symptoms of perimenopause
Changes in menstrual cycles (shorter, longer, heavier, or skipped periods)
Hot flashes and night sweats
Sleep disruption, early waking, or insomnia
Anxiety, irritability, or low mood
Brain fog, poor concentration, or reduced stress tolerance
Weight gain, especially around the midsection
Lower libido, vaginal dryness, or discomfort with sex
Joint aches, headaches or migraines, palpitations
Not all symptoms are caused by hormones alone. Thyroid issues, iron deficiency, sleep disorders, or metabolic changes may overlap—this is why proper medical evaluation matters.
What Is Menopause?
Menopause is a clinical diagnosis defined as 12 consecutive months without a menstrual period, assuming no other medical cause. It typically occurs between the ages of 45 and 54.
At menopause, ovarian estrogen and progesterone production declines permanently. While some symptoms improve after this transition, others may persist or evolve.
Health changes associated with menopause may include:
Ongoing vasomotor symptoms (hot flashes, night sweats)
Genitourinary syndrome of menopause (GSM): vaginal dryness, irritation, painful intercourse, urinary symptoms
Changes in sleep quality and mood
Loss of muscle mass and increased fat mass
Declining bone density and increased fracture risk
Shifts in cholesterol, insulin sensitivity, and cardiovascular risk
Menopause care is not only about symptom relief—it is also an opportunity to plan for long?term health.
Our Treatment Approach
We use a clear, structured, evidence?informed framework to guide care.
“Bioidentical” Hormones—Clear, Evidence?Based Guidance
The term “bioidentical” is often misunderstood.
Some bioidentical hormones are available as regulated, standardized, and well?studied prescription products. These are held to strict safety and quality standards.
Custom?compounded hormone mixtures, however, are not regulated to the same degree and may carry concerns related to dosing accuracy, purity, and safety. Major medical organizations advise caution.
If compounding is ever considered, it should be:
For specific medical reasons (such as allergy or unavailable dose/form)
Clearly documented
Closely monitored
We prioritize treatments supported by the strongest available evidence.
Why Virtual Menopause Care Works
Many aspects of perimenopause and menopause care do not require in?person exams. Virtual care offers:
Greater accessibility
Reduced time burden
Continuity of care despite busy schedules
Our care model is designed for women balancing work, family, and personal health—without compromising medical quality.
Ready to Take the Next Step?
Book a Menopause Consultation to receive personalized, evidence?based guidance.
- In-person in Greater Vancouver
- Virtual appointments across BC
- Transparent pricing & follow-ups
Whether you’re navigating hot flashes, sleep disruption, mood changes, or other menopause symptoms, we’ll help you understand your options and create a tailored plan that supports your comfort, health, and quality of life.
