Perimenopause Care in Toronto and Virtually Across Ontario

Not sleeping, not feeling like yourself, and tired of hearing "it's just your age"? We'll help you make sense of what's changing and build a plan that fits your life.

What brings people in

Perimenopause most often starts in your 40s, sometimes earlier, and can last years before periods stop. Common changes include:

• Waking at 3am or trouble falling asleep

• Low energy and fatigue that rest doesn't fix

• Mood changes, anxiety or irritability

• Weight changes, especially around the middle

• Lower libido

• Heavier, irregular or more painful periods

• Hot flashes and night sweats

How it works

1. Free 15-minute meet and greet (virtual)

Tell us what's going on and ask your questions.

2. 75-minute first visit

A full health history, symptom review, and lab work where it would change your plan.

3. Your plan and follow-up

Clear next steps, with adjustments as things change.

What your plan can include

• Sleep strategies that go beyond sleep hygiene

• Nutrition and strength-focused movement to support metabolism

• A review of hormonal and non-hormonal treatment options

• Coordination with your family doctor when needed.

About Dr. Clark

Dr. Madeleine Clark, ND, is a Menopause Society Certified Practitioner (MSCP) focused on perimenopause and menopause care. She has taught at the University of Toronto, and her approach combines careful assessment, current evidence and lifestyle medicine.

Not ready to book?

Start with our free perimenopause guide.

Virtual care is available to Ontario residents.