Virtual Menopause & HRT Care in Ontario

Menopause care that listens

Somewhere between the night sweats, the 3 a.m. ceilings, the mood weather and the sense of being a stranger in your own body, too many women are told this is simply their new normal. Perimenopause and menopause are treatable, and you deserve a clinician who takes the whole picture seriously, without a referral and without a drive across the city.

AuraWell provides dedicated menopause and hormone therapy care exclusively by virtual appointment across Ontario.

Symptoms we assess and treat

Hot flashes and night sweats. Broken sleep. Mood changes, anxiety and brain fog. Weight redistribution that diets do not touch. Genitourinary symptoms such as dryness, discomfort and bladder leaks, which women are wrongly expected to whisper about.

Your virtual assessment

A long, unhurried first conversation

Your initial consultation runs 60 to 90 minutes by secure video with our Nurse Practitioner, covering your symptoms, cycle changes, health history, risks and goals.

Do you need hormone blood tests?

Perimenopause is diagnosed mainly from your pattern of symptoms and cycle changes, because hormone levels swing too much to be definitive. Blood work is sometimes useful to rule out other causes such as thyroid disease or iron deficiency, and routine hormone panels are not required.

Hormone therapy, weighed honestly

Options and risks

Current menopause guidelines describe hormone therapy, using patches, gels, pills and progesterone options, as the most effective treatment for hot flashes and night sweats, with a risk picture far more nuanced than the headlines of twenty years ago. Ontario NPs can prescribe and manage HRT, and our care follows current Menopause Society-aligned evidence: the right candidate, the right dose and the right follow-up.

Beyond hormones

Hormones are never the only tool. Non-hormonal medications, sleep and mood support, and nutrition and strength strategy can be woven into one plan. For bladder symptoms, Emsella pelvic floor treatment is available in person at our Woodbridge clinic, and medical weight management is coming soon.

Monitoring and follow-up in menopause care

What happens after you start treatment

Hormone therapy is reviewed rather than set and forgotten. Your Nurse Practitioner books a follow-up visit after a new prescription begins to check symptom relief, side effects such as breast tenderness or spotting, and whether the dose or delivery method should change. Once your plan is stable, reviews move to a routine schedule agreed with you.

Staying safe over the years

Each review revisits the reasons for treatment, your personal and family history, blood pressure and routine screening such as mammography and cervical screening through Ontario programs.

Your health through midlife and beyond

Bone and heart health after menopause

Falling estrogen affects more than hot flashes. Bone density declines faster in the years around menopause, and heart and metabolic risk factors such as blood pressure, cholesterol and blood sugar deserve closer attention.

Your Nurse Practitioner reviews these risks with you, orders blood work or a bone density test when appropriate and explains how diet, strength training, vitamin D and calcium fit alongside any treatment you choose.

Sleep, mood and energy

Night sweats, broken sleep, low mood, anxiety and brain fog are common reasons people book menopause care. They often feed each other, so the plan looks at them together rather than one at a time.

Options may include hormone therapy, non-hormonal medication, sleep and lifestyle strategies, or a referral when another service is a better fit. The aim is a plan you understand and can adjust at each follow-up visit.

Menopause care fees and coverage

What care costs

The initial virtual consultation is $300 for 60 to 90 minutes, and follow-up visits are $135 for 30 minutes.