WOMEN’S HORMONE HEALTH
Specialized Perimenopause and Menopause Care
We take a comprehensive approach to hormone health, bringing symptoms, health history, lab results and ongoing clinical monitoring together to build a more complete picture of what is happening in your body. Bioidentical hormone therapy protocols are prescribed, monitored and adjusted over time based on an individuals response, changing symptoms and evolving health needs.
This approach recognizes that hormone health does not exist in isolation. That’s why we look at the broader systems that may influence hormone function or contribute to symptoms, helping identify where additional support may be beneficial. The result is a holistic approach to midlife hormonal changes and overall health.
HORMONAL TRANSITION
Stages of Perimenopause, Menopause and Postmenopause
The menopausal transition happens in three stages. Every woman's experience is different, but here's generally what to expect.
Stage One
Perimenopause
Estrogen and progesterone fluctuate before they decline. Erratic cycles, hot flashes, night sweats, sleep disruption, mood changes, and brain fog are common. Pregnancy is still possible.
Stage Two
Menopause
The official point in time after 12 consecutive months without a period. The ovaries have stopped releasing eggs, and estrogen production has significantly declined.
Stage Three
Post-Menopause
Hot flashes may taper off, but sustained low estrogen means ongoing attention to bone density and cardiovascular health becomes increasingly important.
KNOW YOUR HORMONES
Understanding Estrogen, Progesterone and Testosterone
Select a hormone below to see its role in your body, and the signs that it may be low or out of balance.
Role
Signs It’s Low
Signs of Imbalance
FUNCTIONAL OPTIMIZATION
Optimizing Other Factors That May Support Hormone Health
Thorough assessment and optimization of broader health factors may also help to support steadier energy, metabolism, mood, cognition and hormone function alongside Bioidentical hormone replacement therapy. We consider many other factors alongside your symptoms and lab results to identify where targeted treatment or support may help you feel and function better through perimenopause and menopause.
Thyroid Function
Often overlooked, thyroid dysfunction can closely mimic menopause symptoms such as fatigue, weight changes, mood disturbances, brain fog, and hair loss.
Cortisol & Stress
Chronic stress can suppress progesterone and testosterone, disrupt sleep, increase abdominal weight gain, and intensify anxiety and mood changes.
Iron Storage
Low iron stores may contribute to fatigue, brain fog, hair loss, reduced exercise tolerance, and changes in thyroid function.
Blood Sugar
Insulin sensitivity may decrease as estrogen declines, contributing to weight changes, fatigue, brain fog, and increased metabolic risk.
Gut Health
Digestive function plays an important role in metabolizing and clearing hormones and may also affect inflammation, digestion, and weight management.
Muscle Mass
Accelerated muscle loss can begin during perimenopause, affecting metabolism, insulin sensitivity, strength, and overall physical capacity.
HOW WE HELP
Dedicated Hormone Care for Midlife and Menopause
We provide comprehensive health and bioidentical hormone replacement therapy for perimenopause, menopause and beyond. Led by certified menopause practitioners with advanced training in women’s health and hormones, care is guided by your symptoms, health history and targeted lab testing, then monitored and adjusted over time. Broader health concerns that often overlap during this stage are addressed within the same clinical model for more connected, complete care.
Hormone Replacement Therapy
Personalized bioidentical hormone therapy for perimenopause and menopause, guided by your symptoms, health history and targeted lab testing. Care includes prescribing, regular follow-up and treatment adjustments as your needs change.
Functional Health Support
We take a broader look at underlying factors, including thyroid function and iron levels, that may affect energy, mood, cognition and metabolism. Symptoms and lab results are used to guide your individualized treatment plan and recommendations.
Weight Loss, Metabolic and Digestive Health
We assess weight changes, body composition, metabolic health and digestive concerns within the context of your broader health. Care may include body composition testing, nutrition and exercise guidance, support for bloating, gas or constipation, functional testing and prescription weight-management treatment when appropriate.
Preventive Care and Sexual Health
We provide routine and responsive care for women’s health needs throughout midlife. Services include Pap tests, IUD insertion and removal, STI and UTI testing, vaginal and sexual health care, preventive screening and HPV vaccination prescriptions.
WHY CONSIDER HORMONE THERAPY?
Benefits of Hormone Replacement Therapy
Hormone therapy may do more than ease hot flashes. As hormone levels are restored, many women find improvements that support daily life. Individual results vary, but these are some of the changes women may experience.
Increased energy
Revived libido
Better sleep
Weight control
Stronger bones
Mood equilibrium
Mental clarity
Improved confidence
Hormone therapy may not be right for everyone. Certain health conditions, personal or family medical history, and individual factors can determine whether hormone therapy is suitable for you.
A consultation allows our clinicians to review your symptoms and health history together, helping you understand whether hormone therapy is appropriate for you.
FREQUENTLY ASKED QUESTIONS
Frequently Asked Questions About Hormone Therapy
What is menopause?
Menopause is the point at which a woman has not had a period for 12 consecutive months due to declining hormone levels. The average age of menopause is 51.
What is perimenopause?
Perimenopause is the transitional stage before menopause, when estrogen and progesterone levels fluctuate before declining. It can begin as early as mid-30s, but typically begins in a woman's 40s and can last several years, ending once menopause is reached.
Does hormone therapy increase cancer risk?
When appropriately prescribed, hormone therapy is considered safe for many women. Risks vary by the hormones used, duration of treatment and individual health history, and some risks can be reduced through proper treatment selection and monitoring. For most women the benefits outweigh the risks when started before age 60 and within 10 years of menopause. Your clinician will review your individual risk profile.
How long can I stay on hormone therapy?
There is no mandatory age or duration at which hormone therapy must be stopped. The decision is individualized based on symptoms, personal preference, health history, and ongoing assessment with your clinician. Many women safely continue beyond age 60.
Are bioidentical hormones safer than traditional hormones?
Health Canada-approved bioidentical hormones are held to the same rigorous safety and efficacy standards as other regulated medications. Compounded formulations can offer flexibility for individual needs, though they are not subject to the same regulatory approval.
Can hormone therapy be used as birth control?
Hormone therapy does not act as contraception.
What screening should I continue while on hormone therapy?
Mammograms, PAP smears, and routine bloodwork should continue as recommended by Canadian guidelines, alongside your regular check-ins with the Rosie team.
Book a Hormone Therapy Consultation in Calgary
No physician referral is required to book. Enrollment is limited to ensure we can deliver the highest level of service. Book now to secure your intake session. The order of sign-ups will determine your place in line.