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 & Concentration
Experiencing forgetfulness, difficulty concentrating or feeling mentally foggy? Brain fog is a commonly reported symptom during perimenopause and menopause, and may be associated with hormonal fluctuations, disrupted sleep and other changes during this stage of life.
At MAUD Medical Clinic in Calgary, we offer personalised menopause care to help you better understand and manage these symptoms.
Our services include:
Menopause Hormone Therapy Consultations – Assessment of menopausal symptoms and discussion of hormone therapy when appropriate.
Physician-Led Assessments – Evaluation of memory and concentration concerns, including possible contributing factors such as sleep disturbances, thyroid conditions and medication effects.
Individualised Menopause Management – Treatment planning based on your symptoms, medical history and health goals.
Brain fog is not always caused by menopause, and hormone therapy is not an established treatment specifically for improving memory or preventing dementia.
Stress Urinary Incontinence During Menopause
Leaking urine when you laugh, cough, sneeze, exercise or lift something heavy? Stress urinary incontinence is common during perimenopause and menopause and can be associated with changes in pelvic floor support, childbirth and ageing.
At MAUD Medical Clinic in Calgary, we offer physician-led assessments and non-surgical treatments to help improve bladder control, pelvic floor function and quality of life.
Our services include:
Fotona IncontiLase® Vaginal Laser – A non-surgical laser treatment intended to support vaginal tissue remodelling in patients with stress urinary incontinence. Evidence of effectiveness and long-term safety remains limited, so treatment suitability, risks and established alternatives should be discussed with a clinician.
Pelvic Floor Physiotherapy – A first-line treatment that helps improve pelvic floor muscle strength, coordination and bladder control to reduce involuntary urine leakage.
Pessary Fittings – Removable vaginal support devices that may help manage stress urinary incontinence or pelvic organ prolapse. MAUD offers individualised pessary assessments and fittings.
EMSELLA by MAUD – A non-invasive treatment using electromagnetic stimulation to activate pelvic floor muscles and potentially improve bladder control in suitable patients.
Vaginal Estrogen Therapy – May help improve menopause-related vaginal and urinary tissue health when GSM is present, although it is not a primary treatment for stress urinary incontinence.
Our team can help determine which treatment, or combination of treatments, is appropriate for your symptoms.
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.
MAUD offers non-surgical laser and radiofrequency treatments designed to stimulate collagen remodelling and address cosmetic concerns such as fine lines, skin texture and laxity.
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
Vaginal dryness, irritation, itching and painful intercourse are common during perimenopause and menopause. These symptoms may be associated with genitourinary syndrome of menopause (GSM), which can also affect urinary comfort and vaginal tissue health.
At MAUD Medical Clinic in Calgary, we offer physician-led assessments and personalised treatment options to help manage these changes.
Our services include:
Vaginal estrogen therapy and other prescription treatments
Fotona vaginal laser treatments, including RenovaLase, with individual assessment of suitability, benefits and limitations
Fotona Vulvar Laser for external vulvar skin concerns
Pelvic floor physiotherapy for pelvic discomfort and painful intercourse
Vaginal moisturisers and lubricants to support everyday comfort
Our team can help you understand your symptoms and explore treatment options suited to your needs.
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.
Available services:
Physician-led vaginal and vulvar health assessment
Vaginal estrogen and other medical treatment options
Vaginal moisturiser and lubricant guidance
Pelvic floor physiotherapy
Fotona RenovaLase
Fotona IntimaLase
Fotona Vulvar Laser
Urinary Urgency & Frequent Urination During Menopause
Experiencing sudden urges to urinate, frequent bathroom trips, nighttime urination or difficulty controlling your bladder? Hormonal changes during perimenopause and menopause can affect the vaginal and urinary tract tissues, contributing to bladder symptoms.
At MAUD Medical Clinic in Calgary, we offer physician-led assessments and non-surgical treatment options to support bladder control, pelvic floor health and urinary comfort.
Our services include:
Fotona Vaginal Laser Treatments – MAUD offers Fotona IncontiLase for stress urinary incontinence and RenovaLase for menopause-related vaginal tissue changes. These treatments may be considered following a medical assessment, although evidence for improving urinary urgency and frequency remains limited.
EMSELLA by MAUD – A non-invasive treatment using electromagnetic stimulation to activate pelvic floor muscles and potentially improve bladder control in suitable patients.
Pelvic Floor Physiotherapy – Individualised rehabilitation to improve pelvic floor strength, coordination and relaxation, alongside bladder retraining strategies.
Vaginal Estrogen Therapy – Local estrogen treatment may help improve urinary urgency and frequency associated with genitourinary syndrome of menopause (GSM).
Physician-Led Assessment – Evaluation of potential contributing factors, including overactive bladder, urinary tract infections, pelvic floor dysfunction and menopause-related tissue changes.
Because urinary urgency and frequency can have several causes, a consultation can help determine which treatments may be appropriate for your symptoms.
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
Bladder leakage, urinary urgency, frequent nighttime urination and changes in sexual function can become more noticeable during perimenopause and menopause.
At MAUD Medical Clinic in Calgary, we offer non-surgical treatment options to support pelvic floor health, bladder control and sexual well-being.
Our services include:
EMSELLA by MAUD – A non-invasive treatment that uses electromagnetic stimulation to strengthen pelvic floor muscles and may help improve bladder control.
Pelvic Floor Physiotherapy – Individualised rehabilitation to improve pelvic floor strength, coordination and relaxation.
Pessary Fittings – Non-surgical support for certain types of pelvic organ prolapse and stress urinary incontinence.
Fotona IncontiLase – A vaginal laser procedure offered following individual assessment and discussion of its benefits, risks and evidence limitations.
Orgasm Anatomy Program – An EMSELLA-based program combining pelvic floor education, body awareness and sexual wellness exercises. Explore EMSELLA by MAUD →
Osteoporosis & Bone Health During Menopause
Did you know that declining estrogen levels during menopause can accelerate bone loss and increase your risk of osteoporosis and fractures?
Menopausal hormone therapy (MHT) has been clinically shown to help preserve bone density, prevent bone loss and reduce the risk of fractures.
Research from the Women's Health Initiative found that women receiving menopausal hormone therapy experienced a 34% lower relative risk of hip fractures and a 40% lower relative risk of major osteoporotic fractures compared with those receiving a placebo.
The Menopause Society also recognises hormone therapy as an effective option for preventing bone loss, particularly in healthy women under 60 or within 10 years of menopause onset, when the benefits may outweigh the risks.
At MAUD Medical Clinic in Calgary, our menopause services include:
Menopause Hormone Therapy Consultations – Individualised assessment of whether hormone therapy may support your menopause symptoms and long-term bone health.
Bone Health & Osteoporosis Risk Assessment – Review of personal risk factors and recommendations for appropriate screening and prevention.
Nutrition & Lifestyle Guidance – Education about calcium, vitamin D, resistance exercise and other strategies that support healthy bones.
For women over 50, Canadian guidelines recommend approximately 1,200 mg of calcium daily from food and supplements combined. Vitamin D requirements vary by age and individual risk factors.
Hormone therapy is not appropriate for everyone, and women with established osteoporosis may require other medications. Bone protection from hormone therapy also diminishes after treatment is discontinued, making ongoing bone health planning important.
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