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Perimenopause & Menopause Care · Ontario

Expert Care for Menopause, Perimenopause & Beyond

Evidence-based, personalized care delivered by a multidisciplinary team of certified clinicians. Focused on your long-term health and wellbeing with comprehensive assessment, treatment, and ongoing support — all delivered virtually across Ontario.

A confident woman in her late 40s smiling warmly in a bright, natural-light home setting
Menopause Society CertifiedCertified clinician–led care
100% VirtualCare delivered across Ontario
Comprehensive AssessmentPersonalized treatment plans
Collaborative Care TeamDietitians & psychotherapists
Who This Is For

Personalized, evidence-based care designed just for you.

Our Menopause Society–certified providers offer comprehensive assessment, treatment, and ongoing virtual support, helping you thrive now and for the long term.

This service may be right for you if you are a woman in Ontario aged 40+ experiencing any of the following symptoms:
  • Hot flashes or night sweats
  • Sleep disruption or insomnia
  • Mood changes, anxiety, depression, or irritability
  • Brain fog or difficulty concentrating
  • Weight gain or metabolic changes
  • Changes in libido or sexual health
A woman in her 40s on a couch with a laptop during a calm virtual appointment at home, reflecting accessible, at-home menopause care

Did You Know

Menopause is a universal life stage impacting half the population, yet many people reach it without adequate preparation. Menopause symptoms are widespread and often persist for years:

  • Average age of onset is 51, with most women experiencing menopause between ages 45 and 56.
  • Around 80% of women experience vasomotor symptoms (VMS), which can last 7 to 11 years on average.
  • Genitourinary Syndrome of Menopause (GSM) affects 45–77% of women, with symptoms that may intensify and continue without treatment.
  • Experiences of menopause, including age of onset and symptom severity, can vary across different sociocultural groups.

Menopause & the Workforce

When symptoms are not properly managed, the consequences — both economic and personal — can be substantial.

1 in 10
Women in Canada leave the workforce due to unmanaged menopause symptoms.
$3.5B
Estimated annual economic loss in Canada attributed to unmanaged symptoms.

On an individual level, this can mean reduced earnings, stalled career growth, and diminished confidence.

Sources: Menopause Foundation of Canada, The Silence and the Stigma (2022); Menopause and Work in Canada (2023).

Why Choose My Compass Health

Our approach is different.

Menopause Society Certified Clinician–Led, Expert Care

Your care is provided by a Menopause Society Certified Clinician, with a focus on evidence-based assessment and treatment.

Access to a Collaborative Care Team

Benefit from a coordinated approach with access to additional support, including registered dietitians and psychotherapists, all within the same clinic.

Time to Be Heard

We offer longer, more in-depth appointments to fully understand your symptoms, concerns, and goals, without feeling rushed.

Personalized, Individualized Treatment

No one-size-fits-all approach. Your care plan is tailored specifically to your symptoms, health history, and preferences.

Ongoing Support, Not Just a One-Time Visit

We continue to monitor, adjust, and support your care over time to ensure the best possible outcomes.

Accessible, Virtual Care Across Ontario

Convenient, secure care from the comfort of your home, without long wait times.

An older woman in an attentive, supportive consultation with a clinician, reflecting personalized one-on-one menopause care

Personalized Treatment: What to Expect

Menopause care should be highly personalized. A variety of effective hormonal and non-hormonal options are available, and the right approach depends on each individual's symptoms, health, and preferences. A holistic, informed approach ensures care is tailored to the whole person.

If Menopausal Hormone Therapy (MHT) is chosen:

  • Some relief may be felt within a few weeks of starting treatment.
  • Full benefits are typically seen within a few months.
  • Treatment is individualized, and dosing may be adjusted over time to achieve the best outcome.

Sources: Crandall CJ et al., JAMA 2023; Manson J & Kaunitz A, N Engl J Med 2016.

Not sure where you are in your menopause journey?

Connect with our certified clinicians to get a clearer sense of your symptoms and learn how My Compass Health can support you.

Initial Care Pathways

For women aged 40–65 in Ontario

Choose the starting point that fits where you are. Every pathway begins with a comprehensive assessment by a Menopause Society Certified Clinician.

Option 1

Menopause Care Program

$279 / 50 minutes
  • Comprehensive Assessment: A detailed, one-on-one virtual visit with a Menopause Society Certified Clinician.
  • Personalized Treatment Plan: Evidence-based recommendations tailored to your symptoms, health history, and goals.
  • Includes lab review, preventive screening, and prescriptions as appropriate.

Prescription medications are based on clinician assessment and safe prescribing practices. In some cases, a second follow-up appointment may be needed before menopause therapy can be initiated.

Book This Program
Option 3

Enhanced Program: Sleep & Insomnia

$629
  • Includes everything in the Menopause Care Program (comprehensive assessment and personalized treatment plan with a Menopause Society Certified Clinician).
  • + 2 Psychotherapy Appointments (50 minutes): Targeted support for sleep and insomnia with CBTi.
  • Coordinated Care Approach: Collaboration between your care team to support your overall health goals.
Book This Program

Continued Support After Your Initial Program

Follow-up appointments are available for existing patients to ensure you are on track with your care plan.

$79

Prescription Renewal Only (10 min)

For existing patients requiring a refill only of their current medications who are not due for routine screening or requiring adjustments.

$139

Follow-Up Care & Prescription Renewal (20 min)

For existing patients requiring review of their ongoing care plan or results, who are due for screening or testing, or who require adjustment or changes to their current prescription.

$229

Additional Clinician Support (45 min)

Assessment of additional concerns including mental health or weight loss. Includes treatment recommendations and initiation as indicated.

Patient Journey

What to expect when you start

1

Find & Book

Arrive via search, referral, or the Mental Health side of My Compass Health. You land on the Women's Health page and book through our patient portal (Juvonno).

2

Welcome Emails

Automated confirmation with clinic policies and consent, plus your Menopause Care Program intake form so you can prepare before your appointment.

3

Initial Consultation (50 minutes)

A thorough one-on-one virtual visit with your Menopause Society Certified Clinician. Your follow-up is booked as appropriate at the close of this visit.

4

Ongoing Care & Follow-Up

Ongoing support as needed — typically at 8 weeks, 3 months, then every 6 months. More frequent follow-up may be recommended in certain circumstances.

Ongoing Care & Follow-Ups

Menopause is a transition. Care should be too.

One appointment isn't the answer. Hormone shifts unfold over years, and what works at 47 may need adjustment at 52. Our programs are built around continuity — not a single prescription and a wave goodbye.

  • Scheduled follow-upsAt 3, 6, and 12 months — built into every program.
  • Lab monitoringBloodwork and hormone monitoring as clinically indicated.
  • Secure messagingReach your care team between visits when you need to.
  • Treatment adjustmentsPlans evolve as your symptoms, life, and goals change.
45 min
Initial consult duration
3+
Follow-ups per year
100%
Ontario-licensed clinicians
Virtual
Care across the province
Common Questions

Everything you wanted to ask — and probably haven't.

Perimenopause is the transition phase that can begin in your late 30s or 40s, when hormones start fluctuating and symptoms appear — often years before periods stop. Menopause is officially marked 12 consecutive months after your last period. Both stages benefit from specialized care.

For most healthy women under 60 (or within 10 years of menopause), the benefits of menopausal hormone therapy outweigh the risks. Modern guidelines from The Menopause Society and SOGC reflect a much more nuanced understanding than the older 2002 WHI headlines. We assess every woman individually — your history, your goals, your risk profile.

Coverage depends on your OHIP eligibility, the type of consultation, and your provider. We'll be transparent about costs before you book. Many women find that the time and depth of care offered in private menopause programs is worth the investment after years of underserved standard visits.

Yes — most consults can be done virtually if you live in Ontario. We use a secure telehealth platform. In-person appointments are available when clinically appropriate, and lab work is ordered through your local lab.

Many primary care physicians weren't trained in modern menopause medicine. A second opinion from a clinician who specializes in this stage of life can be valuable — and we're glad to coordinate with your existing care team. You don't need to "fail" on other approaches first.

No referral required. You can book a discovery consult directly through our secure Juvonno portal.

Ready to take control of your menopause care?

Book directly with My Compass Health today and connect with a certified clinician to confirm this service is right for you.

Clinical Sources

  1. Menopause Foundation of Canada. The Silence and the Stigma: Menopause in Canada. 2022.
  2. Menopause Foundation of Canada. Menopause and Work in Canada. 2023.
  3. Crandall CJ, Mehta JM, Manson JE. Management of Menopausal Symptoms: A Review. JAMA. 2023 Feb 7;329(5):405–20.
  4. Manson J, Kaunitz A. Menopause Management: Getting Clinical Care Back on Track. N Engl J Med. 2016 Mar 3;374(9).