Our care emphasizes individualized clinical judgment and patient education. We focus on helping patients understand their symptoms and treatment options, rather than relying on protocol-driven or high-volume care.

Menopause and perimenopause care is more than hormone therapy alone. We provide education and guidance on other factors that commonly influence symptoms, including metabolic health, iron deficiency, nutrition, sleep, and mental health.

Between appointments, we offer educational guidance and support with expected side effects and pharmacy coordination, while all medical treatment decisions and dose adjustments take place during scheduled visits.

Hormone replacement therapy is the replacement of the female sex hormones (estrogen, progesterone and/or testosterone) to alleviate symptoms common during perimenopause and menopause.

At Prosper Menopause we prescribe forms of hormone replacement that are similar to those made naturally by your own body. These are sometimes referred to as body identical.  This article [canadianmenopausesociety.org] from The Canadian Menopause Society will help you understand the differences between compounded products and the products approved by Health Canada.

The actual mechanism for administering HRT can take many forms including

• Patches (eg. Estradot)
• Pills (eg. Estradiol, Prometrium or Duavive)
• Gels (eg. Estrogel, Divigel or Androgel / Testosterone)
• Local Vaginal Therapy (eg. Estring, Vagifem, Intrarosa or Estragyn)
• Non hormonal options such as Veozah

The dosage and form will vary according to your particular needs and preferences.  In each case, our specialists will prescribe HRT based on the North American Menopause Society Guidelines.  For a complete picture of available treatments in Canada, The Canadian Menopause Society has a table that describes all available options which we are happy to discuss in your appointment.

Where clinically appropriate, testosterone may be considered as part of an individualized hormone plan. This therapy is not routinely available in publicly funded settings and requires careful assessment, education, and monitoring.

HRT is typically covered by most employee insurance drug plans.

The impact and speed with which you will see result will vary from individual to individual. Some women see improvements very quickly but for most women the results are more gradual. You can think of your menopause journey as rungs on a ladder. Some women start at different rungs and move at different speeds towards the top. In all cases, here at Prosper, we, through shared decision making and open communication, climb the ladder together at a pace that works for you.

Yes. We care for patients throughout the full hormonal transition, including perimenopause — when symptoms often begin but are frequently overlooked or undertreated. Many clinics focus primarily on menopause; our care includes earlier stages when symptoms first emerge.

For women over the age of 45 in perimenopause and menopause, laboratory tests are generally not mandatory for treatment and monitoring. However, in specific situations, we may request such tests, and most of these are covered by OHIP or the equivalent provincial healthcare plan. This approach aligns with the 2023 International Menopause Society Guidelines, the 2022 North American Menopause Society’s hormone replacement position statement, and the recommendation offered by the Canadian Menopause Society.  This paper from the Canadian Medical Association Journal on menopause management may also be helpful.

We are a private clinic but some health spending accounts may cover our services. Please check with your provider to see if they cover appointments with nurses or nurse practitioners.  In our experience, insurance companies rarely cover our services.

We can see patients who are from the provinces of Ontario and Newfoundland.

We are currently a virtual clinic only. Appointments are conducted over secure video.

We strive to reply to all messages within 2 to 3 business days.

We kindly ask for a minimum of 72 hours notice of appointment cancellation or re-scheduling.  Last minute cancellation of the appointment or failure to attend will result in a cancellation fee.