Available Services
Accessible, evidence-based perimenopause and menopause care—including MSP-covered Group Medical Visits and comprehensive private consultations.
Group Medical Visits (MSP-Covered)
Virtual Group Education & Multimodal Support (GEMS)
GEMS sessions combine structured medical education with guided support in a small-group setting. Each six-week series helps participants understand the root causes of their symptoms, learn evidence-based strategies for improvement, and gain tools to support sustainable lifestyle and hormonal balance.
These programs are MSP-covered for eligible patients with chronic or complex conditions. Each series typically includes six 90-120 minute sessions, delivered virtually, with time for education, discussion, and Q&A.
Foundational Education Series (MSP-Covered Group Medical Visits)
A structured, evidence-based six-session virtual series designed to provide patients with a physiology-first understanding of perimenopause and menopause, followed by practical, sustainable strategies for implementation. Behavioural change principles are integrated throughout to support long-term adherence.
1. Perimenopause & Menopause Physiology and Healthcare Context
Overview of hormonal changes across the menopausal transition and their effects on multiple systems (sleep, mood, cognition, metabolism, musculoskeletal health). Includes discussion of current gaps in standard care, common misconceptions, and how symptoms are often misattributed or under-recognized.
2. Menopause Hormone Therapy (MHT): Evidence, Risks, and Individualization
Comprehensive review of indications, benefits, and risks of MHT, including route, dosing, and patient selection. Addresses common concerns (e.g., breast cancer risk, cardiovascular risk) and supports individualized, evidence-informed decision-making.
3. Nutrition and Metabolic Health in Perimenopause and Menopause
Discussion of shifting metabolic physiology, including insulin sensitivity, body composition, protein requirements, and inflammatory pathways. Provides practical, evidence-based nutritional strategies tailored to this life stage.
4. Exercise Prescription in Midlife Women
How hormonal changes impact muscle mass, fat distribution, recovery, and stress response. Focus on resistance training, metabolic health, and aligning exercise with physiologic capacity to optimize outcomes.
5. Sleep and Stress Regulation
Examination of sleep disruption and increased nervous system sensitivity during perimenopause, including early morning awakening and hyperarousal. Introduces strategies to support sleep quality and stress regulation using behavioural and physiologic approaches.
6. Behavioural Change and Implementation
Integration of identity-based and habit-based strategies to support sustainable lifestyle change. Focus on translating knowledge into consistent action within the context of competing demands and cognitive load.
Clinical Rationale
This model provides patients with a depth of understanding not typically achievable within standard time-limited visits. By addressing common questions and misconceptions in a structured format, it:
Improves patient understanding of symptom drivers
Supports informed decision-making regarding MHT and lifestyle interventions
Reduces the need for multiple follow-up visits to address foundational education
Allows one-to-one consultations to focus on individualized care and clinical complexity
Private Visits
Virtual Initial Consultation (Typically 60-75 mins, private-pay – $350/hour, pro-rated)
A comprehensive medical assessment exploring your health history, current concerns, and contributing biological, hormonal, and lifestyle factors. Each visit includes discussion of diagnostic and treatment options and the development of an individualized care plan focused on education and long-term wellbeing.
Virtual Follow-Up Visits (Typically 30-45 mins, private-pay – $350/hour, pro-rated)
Focused sessions to review progress, refine treatment strategies, and address new concerns as they arise. These visits provide ongoing support and education as your care plan evolves.
Accessibility
High-quality hormonal health care should be accessible to all women. This practice limits private-pay services wherever possible by integrating MSP-covered group education visits into care plans. Reduced-rate consultations may be available for patients experiencing financial constraints. Please inquire if cost is a barrier to care.
Care Approach
Virtual & Comprehensive – Extended virtual appointments and group sessions allow space for meaningful assessment, clear education, and individualized planning.
Whole-Person Focus – Care addresses hormonal, metabolic, lifestyle, sleep, stress, and environmental factors, emphasizing practical strategies for long-term wellbeing.
Collaborative – Care is delivered in partnership with your family physician and other health professionals to ensure coordinated, continuous support.
Note for Referring Providers
All patients require a referral from their family physician or specialist to participate in care, including the initial consultation and MSP-covered Group Medical Visits (GEMS).
Group Medical Visits (GEMS) form the backbone of this practice, offering an evidence-based, education-driven model that helps women understand and manage their hormonal and metabolic health.
This referral-based model improves access to hormonal health education, supports self-management, and complements the ongoing care provided by referring physicians.
