Hot flashes and night sweats often last longer than people expect. Here is what the research shows for HRT, the non-hormonal options with real evidence, and where supplements and other approaches fit, from my practice in Victoria, BC.

If you have a uterus and are starting estrogen for perimenopause or menopause symptoms, progesterone is part of the plan. Here is why the two are paired, how the schedule works, and what the research shows, from my practice in Victoria, BC.

Dryness, painful sex, urgency, and UTIs that keep coming back are common after menopause and very treatable. Here is what low-dose vaginal estrogen is, what the research shows, and how I approach it in my practice in Victoria, BC.

Told your bloodwork is “normal” but you still feel off? The perimenopause labs worth asking for — and why “in range” isn’t the same as “optimal.”