Menopause Clinic in Peterborough & across Ontario
Menopause & Perimenopause
Thoughtful virtual care for hormonal health through midlife and beyond
Rise Women’s Health provides evidence-based virtual care for individuals experiencing perimenopause, menopause, treatment-induced menopause, and related hormonal health concerns.
Hormonal changes during midlife can affect many aspects of physical, emotional, sexual, cognitive, and long-term health. Symptoms are often complex and highly individualized, and many patients find themselves searching for reliable information, treatment options, and support that reflects their personal goals and values.
What We Can Support
The clinic’s approach emphasizes education, collaborative decision-making, and individualized treatment planning designed to support quality of life, function, and long-term health.
Hot Flashes & Night Sweats
Sleep Disruption
Mood Changes, Anxiety, or Irritability
Brain Fog & Concentration Difficulties
Fatigue & Reduced Energy
Painful Intercourse
Vaginal Dryness & Genitourinary Symptoms
Changes in Libido
Weight and Metabolic Changes
Menstrual Irregularities
This service may be appropriate for patients seeking support with symptoms, education about available options, second opinions, or guidance navigating hormonal changes during midlife.
Care is designed to support informed decision-making and help patients feel more confident in managing their health and wellbeing.
Menopause After Cancer Treatment
Some individuals experience menopause following cancer treatment, including chemotherapy, radiation therapy, surgery, or medications that affect hormone production.
These situations often involve unique symptoms, treatment considerations, and questions regarding safety. Care is individualized and may include discussion of hormonal and non-hormonal options, symptom management strategies, and collaboration with oncology teams when appropriate. Support is available for individuals seeking guidance following treatment for gynecologic and other cancers.
Approach to Care
Menopause care should be individualized. There is rarely one “right” approach—only approaches that best align with a person’s symptoms, health history, goals, values, and preferences.
Virtual menopause consultations may include:
- Menopause and perimenopause assessment
- Review of symptoms and medical history
- Discussion of hormonal and non-hormonal treatment options
- Menopausal hormone therapy counselling and prescribing
- Evidence-based body-identical hormone therapy options where appropriate
- Vaginal estrogen prescribing when appropriate
- Support for painful intercourse and genitourinary symptoms of menopause
- Support for treatment-induced and surgical menopause
- Discussion of hormonal and metabolic health concerns, including weight regulation and insulin resistance
- Review of previous treatments and treatment responses
- Risk and benefit counselling
- Specialist referral and collaborative care coordination when needed
Why Timely Menopause Care Matters
Menopause and perimenopause are often thought of primarily as symptom-based conditions, but hormonal changes during this stage of life can also influence long-term health and wellbeing.
For some patients, this transition provides an opportunity to address not only current symptoms, but also broader health considerations such as bone health, cardiovascular health, sleep, metabolic health, and genitourinary health.
Thoughtful assessment and individualized treatment planning can help patients make informed decisions about both symptom management and long-term health goals.
Is This Service Right for You?
What to Expect
Patients may be asked to complete intake forms and provide relevant health information prior to booking. Following intake review, patients will receive information regarding:
- Appointment Suitability
- Anticipated Visit Length
- Consultation Fees
- Recommended Next Steps
The goal of consultations is ensure patients have the information, support, and guidance needed to make informed decisions about their healthcare.
Important Information
- Virtual care may not be appropriate for all concerns and some patients may require in-person assessment, testing, or specialist consultation.
- Rise Women's Health does not replace emergency care, primary care, specialist care, or mental health services.
- Treatment recommendations are individualized and based on current evidence, clinical history, patient goals, and shared decision-making.
Perimenopause Menopause Clinic FAQs
Am I too young to be in perimenopause?
Maybe not. Perimenopause often begins several years before menopause and may start as early as the late 30s or 40s. Changes in menstrual cycles are not required for symptoms to occur, and hormonal changes can affect people differently.
Do I need hot flashes to be in perimenopause?
No. While hot flashes are common, many people first notice symptoms such as sleep disturbance, mood changes, brain fog, joint pain, irregular bleeding, or changes in sexual health before developing vasomotor symptoms—or may never experience them.
Can hormone therapy be started during perimenopause?
For many individuals, yes. Hormone therapy may be considered during perimenopause or after menopause, depending on your symptoms, medical history, individual risk factors, and treatment goals. Treatment decisions are made collaboratively using current evidence and shared decision-making to help you understand the potential benefits, risks, and alternatives and choose an approach that feels right for you.
What if I've had surgical menopause or menopause after cancer treatment?
Rise Women’s Health welcomes individuals experiencing natural, surgical, or treatment-induced menopause. Care is individualized and may include discussion of hormonal and non-hormonal treatment options, symptom management, and long-term health considerations where appropriate.
Will I need blood work or hormone testing?
Not always. Menopause and perimenopause are often diagnosed based on symptoms, age, menstrual history, and clinical assessment. Laboratory testing may be recommended in some situations but is not routinely required for everyone.
Is hormone therapy right for everyone?
No. Hormone therapy is one of several treatment options. Recommendations are individualized and may include hormonal therapies, non-hormonal medications, lifestyle strategies, or a combination of approaches depending on your symptoms, medical history, and personal preferences.