Women's hormone health
Many women come to us because they no longer feel like themselves. Sleep changes. Energy shifts. Mood, focus, libido, metabolism, and overall wellbeing can begin to feel different in ways that are difficult to fully explain or connect.
At MEDALMA, we take the time to understand your experience in context and assess how hormonal changes may be influencing your health, symptoms, and quality of life.
Understanding hormonal changes
Hormone health is closely connected to many systems throughout the body, influencing sleep, mood, metabolism, cognitive function, cardiovascular health, bone health, and long-term wellbeing across different stages of life.
Many symptoms do not exist in isolation. Our role is to identify patterns, investigate contributing factors, and understand how hormonal changes may relate to your broader health picture.
Evaluation is grounded in comprehensive assessment, laboratory testing, and individualized treatment planning. Care is designed to evolve alongside your symptoms, goals, and response to treatment over time.
When hormone evaluation may be appropriate
Polycystic Ovarian Syndrome (PCOS): irregular cycles, acne, hair changes, fertility concerns, insulin resistance, metabolic symptoms.
Perimenopause: sleep disruption, anxiety, mood changes, brain fog, irregular cycles, hot flashes, or changes in energy and libido.
Menopause: changes affecting cardiovascular health, bone density, body composition, cognition, sleep, and overall quality of life.
Because these symptoms can overlap with other medical conditions, comprehensive assessment is essential before treatment.
Our clinical team takes an evidence-based approach to women’s hormone health, informed by ongoing education in menopause and hormone care through organizations including The Menopause Society and WorldLink Medical.
What patients can expect
1. Comprehensive clinical assessment and laboratory evaluation
Care begins with a structured clinical assessment focused on symptoms, medical history, hormone patterns, and broader metabolic health.
Comprehensive laboratory testing is used to evaluate potential contributing factors and guide individualized treatment recommendations. We consider both objective findings and your lived experience when developing your care plan.
2. Physician review and personalized treatment plan
You will meet with a physician to review your results in full clinical context and discuss treatment options tailored to your symptoms, physiology, stage of life, and long-term health goals.
Depending on your needs, treatment may include hormone therapy, nutrition and lifestyle strategies, preventive screening, or non-hormonal therapeutic approaches.
3. Ongoing monitoring and longitudinal care
Follow-up care is typically recommended at approximately 3, 6, and 12 months to monitor response, support safety, reassess symptoms, and adjust treatment as needed over time.
Our goal is to provide thoughtful, evidence-based care that supports both symptom management and long-term health.
FAQs
What is menopause?
Menopause is a natural phase in a woman’s life marking the end of her reproductive years. It unfolds in three stages:
- Perimenopause, where symptoms begin and fertility declines
- Menopause, confirmed 12 months after the last menstrual period, with continued symptoms despite the end of periods and
- Post-Menopause, the final hormonal adjustment, potentially lasting well into the 60s.
Menopause can be significant but manageable.
How can menopause be treated?
Menopause results from a change in hormones, mainly estrogen and progesterone. Hormone Therapy (HT) is used so that women can get back to their baseline which eases symptoms, making the transition smoother. At MEDALMA, we prescribe HT that includes bio-identical hormones. These are derived from plants to naturally rebalance your hormones. Our treatments are tailored and suitable for all eligible women.
How do you know if you're experiencing menopause?
Menopause symptoms vary but often include changes in menstruation, brain fog, hot flashes, sleep issues and mood swings. If these symptoms sound familiar, MEDALMA’s specialized clinicians can confirm where you are at in your menopause journey through a detailed assessment that includes blood work.
How does the process work at MEDALMA?
It starts with an assessment conducted by one of our nurses. Then, you are sent for a blood test to establish your hormonal baseline. Our clinicians then meet with you to discuss your results and create a personalized healthcare plan. Your prescription is sent to your pharmacy or a compounding pharmacy that makes your hormonal medication according to the doctor’s prescription and can be delivered to your door. We provide quarterly follow-ups to ensure your treatment remains optimized for your evolving needs.
Is this treatment legal?
Yes, MEDALMA operates with fully licensed Canadian medical professionals. Our prescriptions are based on detailed medical evaluations and fully comply with healthcare regulations. We comply with all privacy regulations in each province we practice.
What's included in MEDALMA's program?
Each program at MEDALMA differs. Programs include hormone therapy, metabolic-weight loss and bone health.
What medication is included in the prescription?
Your prescription consists of a personalized combination of menopause therapy medications, specifically tailored to manage your symptoms and support your mood, based on our clinician’s evaluation.
Are the blood work and consultation fees refundable?
Fees are non-refundable once services such as blood work requisition and consultations are provided.
When will I receive my blood work requisition form?
You receive your blood requisition once you have seen the clinician and completed your initial assessment. There is a different series of blood tests for each of MEDALMA’s programs.
When is payment taken?
Payments are taken at the time of program registration.
How do I switch to MEDALMA if I'm already on HT?
Switching is easy. Begin with our assessment and blood work to evaluate your current hormonal status. Send us a photo of your prescription for dosage verification and we’ll manage the rest, ensuring a seamless transition to MEDALMA’s care.
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