A women’s health clinic built by women for women.
Calgary Menopause Care
Hot flashes, sleep disruption, anxiety, brain fog, low libido, and exhaustion are not symptoms you simply have to ‘push through.’ Accessible, evidence-based menopause treatment options are available in Calgary
Calgary’s menopause clinic
Because women deserve access to accurate information and quality hormone care when they need it.
To reduce the long wait times to seek care, there are two service options available to access Menopause Hormone Therapy.
PRIVATE ACCESS
See a MSCP Prescribing Pharmacist for menopause hormone therapy at MAUD Medical Clinic. This private service option is to help provide an avenue of access to hormone therapy and assist with reducing the wait times to public services. *Menopause Hormone Therapy - wait time is 2-3 weeks.
1. You do not need a referral to see a private MSCP at MAUD if you are seeking private service. Simply self refer by requesting an appointment here
Consultations include a comprehensive assessment, patient education, individualized recommendations for diet, exercise, stress management, and sleep optimization, laboratory investigations if required, and the prescription when deemed safe and appropriate. Ongoing check-in or follow-up appointments are scheduled based on individual patient needs.
Consultation fee: $475
Annual Reassessment: $330
Follow up: $220 (20 min)
Check in’s: $110 (10 min)
I am a current patient of Paula's and need to book a follow up
PUBLIC ACCESS
See a Physician: Menopause Consultation
See a physician for perimenopause and menopause symptoms. This publicly funded consultation service is designed to provide focused menopause care while helping more women across Alberta access specialized support. *Menopause consultation wait times are currently 6+ months.
1. A referral is required. Ask your family doctor or primary care provider to refer you to MAUD Medical Clinic for a menopause consultation.
2. Once your appointment is scheduled, you will receive a self-assessment through AVA Connect. Must be completed before your visit so your physician can make the most of your consultation.
Your consultation may include education and counselling, lifestyle and non-medication strategies, non-hormonal treatments, and menopause hormone therapy (MHT/HRT) when medically appropriate. The program includes an initial consultation and, when clinically appropriate, one to two follow-up appointments. Recommendations can then be shared with your primary care provider for ongoing management.
All physician services at MAUD Medical Clinic are publicly funded.
“No, you are not imagining your symptoms. The key is finding a care provider who treats your menopause symptoms, not just your numbers.” - maud
Knowledge is Power
Calgary women’s health centre offers various comprehensive services to support people in perimenopause and through menopausal journey.
Most frequently asked questions:
Can we test my hormones for menopause?
Hormone testing for menopause is not helpful as our levels fluctuate throughout the day. Maud doctors treat by symptoms, not numbers. We recommend journalling symptoms on your phone or in a note book prior to your appointment.
Where can I get hormone therapy in Calgary?
MAUD Medical Clinic, women can access both publicly funded physician referrals and private menopause hormone therapy consultations through a Menopause Society Certified Practitioner (MSCP). The clinic offers individualized menopause hormone therapy (MHT), including bio-identical hormone therapy when appropriate, as well as evidence-based non-hormonal options. Current private consultation wait times are approximately 2–3 weeks.
What are common reasons women seek hormone therapy support?
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Menopause is a natural transition every woman will go through and is marked after 12 consecutive months without a period. The average age of perimenopause is mid 40s, while menopause is 51.5 years old. Menopause marks the end of menstruation and fertility, though it is not uncommon to experience these at a much earlier or later age.
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Technically you haven’t reached menopause until you’ve gone 12 consecutive months without a menstrual period.
The emotional and physical symptoms associated with menopause can show up earlier in the perimenopause phase
(women report symptoms as early as late 30s) but majority begin perimenopause in their late 40s -
Many women report symptoms of hot flashes, night sweats, mood changes, cognition, low libedo, vaginal symptoms (dryness, itching), sexual discomfort, and urinary incontinence.
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80% of women will experience smooth menopausal transition with symptoms that do not have much impact on their quality of life.
Approximately 20% of women will experience more severe symptoms that begin to affect their relationships or work. Impacting their quality of life.
These symptoms can begin two to eight years prior to the final menstrual period, which is defined by a decline in hormonal factors, especially estrogen. -
There is no cost to see our medical doctors for hormone therapy.
All Alberta residents with a valid provincial health insurance card does not pay for medical services.
Depending on what medications or treatment options are offered, you will pay for those therapies with your extended health insurance plan.
Maud medical clinic has added a private service route to access hormone therapy through menopause specialist and prescribing pharmacist. This provides quick access to some folks who cannot wait for the public system to catch up. we understand physicians need time to educate and learn about hormone therapy treatment for patients. as menopause hormone therapy is complex and in our hope for equitable healthcare
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Hormone therapy (HT) increases the incidence of breast cancer by 1-2 women per 1000, after 5 years of usage.
A risk slightly greater than that caused by drinking one glass of wine per day, and slightly less than that caused by drinking two glasses of wine per day, being obese, or having low physical activity.
The absolute risk of breast cancer caused by Hormone Therapy in for any one person is small. The risk returns to normal within 5 years after stopping hormone therapy. -
We are about 4-6 months wait for hormone therapy.
Perimenopause counselling is about 2 months.Due to overwhelming need for Menopause counselling, MAUD physicians will put a pause on accepting patients when the wait time becomes longer than 6 months.
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Hormone testing is not reliable due to hormonal fluctuation. Doctors cannot accurately diagnose or treat based on hormone numbers. Treating by symptoms rather than numbers provides better care and outcome for patients.
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If you prefer to use hormones for your menopause symptoms that are identical to the hormones you produced naturally before menopause, ask your healthcare provider for government-approved products containing estradiol and progesterone. There is no benefit to using custom-compounded hormones, and there may be additional risks.
GOVERNMENT-APPROVED NATURAL HORMONE THERAPY PRODUCTS
Systemic doses of estradiol/progesterone for treatments of hot flashes:
- Estradiol oral tablet: Estrace, generics.
- Estradiol skin patch: Alora, Climara, Esclim, Menostar, Vivelle (Dot), Estraderm, generics.
- Estradiol skin gel/cream: EstroGel, Elestrin, Divigel, Estrasorb.
- Estradiol skin spray: Evamist.
- Estradiol vaginal ring: Femring.
- Progesterone oral tablet: Prometrium, generics.
- Estradiol plus progesterone combined oral capsule: Bijuva
Low does of vaginal estradiol for treatment of vaginal dryness and pain with intercourse:
- Vaginal cream: Estrace vaginal cream.
- Vaginal ring: Estring.
- Vaginal tablet: Vagifem.
- Vaginal insert: Imvexxy
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Menopause Hormone Therapy (MHT) is an evidence-based treatment used to manage symptoms of perimenopause and menopause by replacing hormones—most commonly estrogen, with or without progesterone—that naturally decline during this life stage. MHT includes bio-identical hormone therapy, meaning hormones that are chemically identical to those produced by the human body. At MAUD Medical Clinic, MHT is carefully individualized based on each woman’s symptoms, medical history, and personal health goals. For women who cannot or choose not to use hormone therapy, the program also offers evidence-based non-hormonal treatment options, including lifestyle strategies and non-hormonal medications, ensuring comprehensive and personalized menopause care.
We’re in this together
At MAUD, we have a team of clinicians who have dedicated their careers to helping women in Calgary. As most women live over half our lives in a menopausal state, it is important to have a safe space with evidence based solutions to treat menopausal symptoms.
Brain Fog & Memory Loss
Brain fog and memory loss aren’t unique to perimenopause and menopause symptoms as it is one of the effects of fluctuating hormone levels.
Stress Incontinence
Stress incontinence can stem from urine leakage during laughter, coughing, or exercise. Pelvic floor physiotherapy helps strengthen pelvic muscles by enhancing control to prevent involuntary leaks.
Pessaries are removable devices that go inside the vagina. They provide support to the pelvic organs for those with pelvic organ prolapse or stress incontinence. Pessaries may be fitted and inserted by MAUD Pessary physiotherapist in Calgary.
EMSELLA By MAUD for stress incontinence may be complementary to those receiving hormone replacement therapy for menopause.
Menopause Skin
Why does my skin feel different during perimenopause and menopause?
Estrogen plays a role in collagen production, skin thickness and hydration. As hormone levels change, some women notice drier or more sensitive skin, fine lines, changes in texture, pigmentation or a gradual loss of firmness.
Understanding these changes can help you adjust your skincare routine and choose products that support your skin through midlife.
Changes in Sexual Desire, Sensation & Satisfaction
Changes in sexual desire, sensation and satisfaction can occur during perimenopause and menopause. Hormonal changes may contribute, but vaginal dryness or discomfort, pelvic floor changes, medications, sleep, stress, mood, relationships and body image can also affect sexual wellbeing.
Pelvic Floor Physiotherapy can assess pelvic floor strength, coordination and tension that may be contributing to discomfort or changes in sexual function. Treatment is individualized and may include exercises, education and strategies to support pelvic health and comfortable sexual activity.
Vaginal Laser may be discussed for selected women experiencing vaginal and vulvar changes associated with menopause, such as dryness, irritation or discomfort with intimacy. These symptoms can be part of Genitourinary Syndrome of Menopause (GSM). Evidence for vaginal laser continues to evolve, so consultation includes a discussion of established treatments, laser therapy and whether it may be appropriate for your symptoms.
EMSELLA uses electromagnetic stimulation to activate the pelvic floor muscles non-invasively and may be considered when pelvic floor weakness or urinary symptoms are also present.
Sex Therapy can help address changes in desire, arousal, sexual satisfaction, body image, communication and intimacy, particularly when physical, emotional and relationship factors overlap.
Vaginal Dryness
Solutions such as estrogen therapies, antibiotics and applied creams are available for vaginal dryness in Calgary. We carry a variety of vaginal lubricants to help with Vaginal atrophy, stress incontinence, vaginal dryness, irritation, itching and pain associated with urination and discomfort during intercourse. Come to the clinic to pick up your products or pre purchase in our shop
Urinary Tract Infection
Some women can experience more urinary tract infections during perimenopause and menopause.
As hormone levels decline, the vaginal tissues, muscles, glands and functions of the vagina and urinary tract can be directly impacted. Urinary tract infections UTI can lead to more serious infections (e.g. bladder infections).
See a MAUD Physician for vaginal dryness caused by menopause.
Urgency & Frequency of Urination
Hormone imbalance may be a cause of urge incontinence, see a doctor to discuss other symptoms.
Pelvic floor physiotherapy helps strengthen the bladder and pelvic floor muscles to enhance muscle control and reduce spasms from urgent and frequent urination. EMSELLA, the kegel throne in Calgary is a non invasive ‘quick fix’ to the functional aspect of urgency. Its best to book a consultation with EMSELLA By MAUD Consultant to determine what the contributing factor is.
Skin & Hair Changes
Some women notice changes in skin texture, firmness, pigmentation or hydration during midlife. Hair may also become finer or less dense, and some women first notice a widening part or thinner ponytail.
MAUD offers customized Laser Skin, Hair & Body treatments, including Hair Restart for appropriate types of hair thinning. Explore Laser Skin, Hair & Body →
Night Sweats
Night sweats are common signs that menopause is approaching. Fortunately, they typically go away over time (how long will my night sweats last? everyone is diffrent unfortunately ) help minimize these symptoms with daily exercise, nutrition to help restore your quality of life.
Weight gain
Perimenopause, and leading up to menopause and after, the estrogen levels in a woman’s body decrease. This can bring on joint pain, and cause fatigue. Many women also report gaining weight around their waistlines. In general metabolism slows down in menopausal age, maintaining a healthy diet and regular exercise can help keep off unwanted pounds and build muscle mass.
Skin & Hair Changes
Why are my skin and hair changing in midlife?
Perimenopause and menopause can coincide with noticeable changes in both skin and hair. Skin may become drier, thinner or less firm, while hair may become finer or less dense. Some women first notice hair changes as a widening part or a thinner ponytail.
Hormones aren't the only possible cause of these changes, particularly with hair loss. Understanding what you're experiencing can help determine whether skincare, medical assessment or treatments such as laser therapy may be appropriate.
Vaginal Dryness, Discomfort & Urinary Changes
Why am I experiencing vaginal dryness or urinary changes?
Declining estrogen can affect the tissues of the vulva, vagina, bladder and urinary tract. This is known as Genitourinary Syndrome of Menopause (GSM) and may cause dryness, burning, irritation, discomfort with sex, urinary urgency or recurrent urinary symptoms.
These symptoms are common but don't have to simply be accepted as part of aging. Several treatment approaches are available depending on your symptoms, health history and preferences.
Free Workshops / Education
We offer treatments in and around Calgary for a variety of symptoms and educational workshops about menopause, pelvic health and sexual health. To schedule a group workshop contact us
Incontinence & Sexual Function
EMSELLA By MAUD Program can help with incontinence due to menopause, the therapy prevents waking up to pee and the feeling of urgency without hormone therapy. learn more about Emsella chair
It is best to seek advice from a physician prior.
Osteoporosis
Short-term hormone therapy (HT) can improve a women’s bone structure, and then other medications can be used to sustain bone health over the longer-term. Speak with Menopause Society Certified Practitioner in Calgary to determine if hormone therapy would benefit you.
Nutrition counselling may be beneficial to look over your daily food and vitamin consumption, to reduce the risk of osteoporosis women should consume 1000-1200 mg of calcium per day, and 800 IU of vitamin D per day.
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