Perimenopause & HRT Support
In Toronto and virtually across Ontario, with Dr. Madeleine Clark, ND, MSCP.
Understanding perimenopause
Frustrated, confused, and not feeling like yourself? You're not imagining it.
Perimenopause is the transition leading up to menopause. It most often starts in your mid-to-late 40s, and sometimes earlier. Shifting hormones can affect your sleep, mood, energy, metabolism, focus, and cycle, often all at once. Routines that used to work may stop working.
Most people we see want the same two things: their energy back, and a clear path forward. That's what we build together.
How naturopathic care can help
Lifestyle
Nutrition, movement, sleep, stress management, and connection. These are foundational for everyone and always part of any care plan.
Supplements
Evidence-informed nutrients and botanicals targeted to your specific symptoms.
Hormone therapy
Effective, well studied, and underused. For most healthy people under 60 or within 10 years of menopause, the benefits outweigh the risks. We walk through your personal risks and options so you can make an informed choice. Learn more about hormone therapy and whether vaginal estrogen is safe for you.
No single tier is superior. The right combination is personal.
Common Reasons People Seek Care
Not ready to book yet?
Start with our free perimenopause guide: what's happening, what actually helps, and what to ask for at your next appointment.
Why Support Matters
Perimenopause isn't just a shift in hormones. It's a pivotal stage for your long-term health. The habits, screening, and treatment decisions you make now shape your heart and bone health for decades, so it's worth getting them right.
What to Expect
Free meet and greet (15 minutes). A quick call to see if we're a good fit. No pressure.
Initial appointment (75 minutes). Your cycle, symptoms, history, medications, and goals. You leave with a written plan to start on right away: lifestyle, supplements, and hormone therapy if it's right for you. We order bloodwork where it will change the plan.
Results review. We go through your bloodwork together and fine-tune your plan.
Follow-ups with a purpose. Each visit has a job: checking how you're responding, reviewing your symptoms against where you started, and screening for bone and heart health. Most patients have a minimum of 4 appointments per year.
About Dr. Madeleine Clark, ND MSCP
I'm a Naturopathic Doctor and Menopause Society Certified Practitioner focused on perimenopause, PMS, and PMDD. I built my approach around being straight about what the evidence actually says, so you're not wasting time, energy, or money on things that don't move the needle. My goal is simple: help you understand your body, make confident choices, and feel like yourself again.
Frequently Asked Questions
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Most often in your mid-to-late 40s. It usually lasts several years before your final period. If your cycle changes before 40, get it checked, since other causes are more likely at that age.
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Usually not. If you're over 45 with typical symptoms, perimenopause is diagnosed from your symptoms and cycle changes. Hormone levels swing day to day, so a single test rarely changes the plan. We do order bloodwork for things like iron, thyroid, cholesterol, and blood sugar when it's useful
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Yes. These are two of the most common reasons people come to see us. Both have several possible drivers in perimenopause, so we look at the causes before choosing a plan.
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Yes. As a prescriber, Dr. Madeleine discusses the benefits, risks, and timing of hormone replacement therapy when indicated, and provides individualized plans aligned with your health history and goals.
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Yes, care is available in Toronto and virtually across Ontario.
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We start with a free 15-minute meet and greet. If we're a good fit, your initial appointment is 75 minutes and covers your full health history, symptoms, and goals.
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Most patients have a minimum of 4 appointments per year, depending on individual goals and needs.
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Yes. I typically work in parallel with your GP and keep them informed, and most family doctors are open to collaboration, especially given my MSCP certification and focus in this area.
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Book a meet and greet appointment to begin, or download the free perimenopause guide to learn more first.
Next Steps
Connect virtually to talk about your symptoms and next steps.
A clear, evidence-based breakdown of what's actually happening in perimenopause, the symptoms nobody warns you about, and the full spectrum of care options, from lifestyle to hormone therapy, so you can make an informed choice.