What We Treat

Menopause can affect nearly every part of your body — and your life.

Click any symptom below to learn more about what’s happening and how we can help.

Hot Flashes & Night Sweats Affects up to 75% of women

Hot flashes and night sweats happen because declining estrogen affects the brain’s temperature regulation, making your body more sensitive to even small temperature changes. For some women, these are mild. For others, they are frequent, intense, and disruptive — leading to sudden waves of heat, sweating, and poor sleep.

How we help

Lifestyle

Cooling strategies, trigger avoidance, smoking cessation, weight management, cognitive behavioural therapy (CBT)

Hormonal (first-line when appropriate)

Menopausal hormone therapy (MHT)

Non-hormonal prescription options

SSRIs/SNRIs (e.g. paroxetine, venlafaxine), gabapentin, oxybutynin, fezolinetant (Veozah)

Sleep Disruption Affects up to 40–60% of women

Sleep disruption is often linked to night sweats, but also to changes in brain chemistry, mood, and circadian rhythms. This can look like difficulty falling asleep, waking during the night, early morning awakening, or non-restorative sleep. Over time, poor sleep worsens fatigue, mood, memory, and overall health.

How we help

Lifestyle

Sleep hygiene and routine support, CBT for insomnia (CBT-I), stress management

Hormonal options

MHT when symptoms are hormonally driven

Non-hormonal options

Targeted sleep medications when appropriate

Mood Changes, Anxiety & Irritability 2–4× increased risk of depressive symptoms

Fluctuating estrogen levels affect neurotransmitters like serotonin and dopamine, which regulate mood. During perimenopause, women have a 2–4× increased risk of developing depressive symptoms, even without a prior history. These changes are real, biologically driven, and treatable.

How we help

Lifestyle

CBT, stress reduction, exercise

Hormonal options

MHT when appropriate

Non-hormonal prescription options

Targeted medications for mood and anxiety (e.g. SSRIs, SNRIs)

Brain Fog & Difficulty Concentrating

Many women experience changes in memory and concentration during menopause, showing up as forgetfulness, trouble concentrating, or feeling less sharp than usual. These changes are often linked to hormonal fluctuations, sleep disruption, and stress — not permanent cognitive decline. For most women, cognition stabilizes after the transition.

How we help

Lifestyle

Sleep optimization, stress reduction, cognitive strategies, physical activity

Hormonal options

MHT in selected cases

Non-hormonal options

Addressing contributing factors like hormone fluctuations and sleep

Low Energy & Fatigue

Fatigue during menopause is often multifactorial — driven by poor sleep, hormonal changes, mood symptoms, and increased life stress. This can feel like persistent low energy, reduced motivation, or feeling exhausted even after rest.

How we help

Lifestyle

Nutrition and movement support, sleep optimization

Supplements

Personalized based on your needs

Hormonal options

MHT when appropriate

Changes in Libido & Sexual Health Affects approximately 40–50% of women

Changes in sexual desire and arousal may be influenced by hormones, vaginal symptoms, mood, relationship factors, and overall well-being. These changes are common and respond well to treatment.

How we help

Lifestyle

Non-hormonal vaginal lubricants and moisturizers, psychotherapy, sex therapy, maintenance of sexual activity

Hormonal options

Vaginal estrogen, systemic MHT, testosterone therapy (for selected patients)

Non-hormonal prescription options

e.g. Addyi

Vaginal Dryness & Genitourinary Syndrome (GSM) Affects up to 50% of postmenopausal women

GSM symptoms include vaginal dryness, burning or irritation, pain with intercourse, and urinary symptoms (urgency, frequency, recurrent UTIs). Unlike hot flashes, these symptoms typically do not improve on their own and require treatment.

How we help

Lifestyle

Avoid irritants, support vaginal health, pelvic floor physiotherapy

Non-hormonal options

Vaginal moisturizers and lubricants

Hormonal options

Vaginal estrogen, systemic MHT, vaginal DHEA, ospemifene

Weight Changes & Metabolic Health

Many women notice changes in weight and body composition during menopause — particularly increased abdominal fat — due to hormonal changes, slower metabolism, and loss of muscle mass. Even without weight gain, body composition often shifts.

How we help

Lifestyle

Nutrition and exercise

Supplements

Personalized recommendations

Hormonal options

MHT (adjunct role)

Non-hormonal options

Medical management when appropriate (e.g. Orlistat, Contrave, GLP-1s)

Hair, Skin & Joint Changes

Declining estrogen affects collagen, hydration, and tissue structure, leading to thinning hair, drier or less elastic skin, and joint aches and stiffness. These changes are common and part of the systemic effects of estrogen decline.

How we help

Lifestyle

Sunscreen and moisturizer use, good hair care

Supplements

Targeted support

Hormonal options

MHT when appropriate

Non-hormonal options

Symptom-based treatments (e.g. retinol for wrinkles, minoxidil for hair loss)

Bone Health & Fracture Risk 1 in 2 women over 50 will experience an osteoporosis-related fracture

As estrogen levels decline, bone loss accelerates — especially in the first few years after menopause. This can increase the risk of osteopenia, osteoporosis, and fractures, often without any symptoms until a fracture occurs.

How we help

Lifestyle

Weight-bearing and resistance exercise, adequate calcium intake, vitamin D optimization, fall prevention, smoking cessation, limiting alcohol

Supplements

Calcium and vitamin D when needed; personalized based on diet and risk factors

Hormonal options

MHT, which can help prevent bone loss when started early in menopause

Non-hormonal medications (when indicated)

Bisphosphonates, denosumab, and other osteoporosis therapies based on individual risk

See what’s possible for you.

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