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title: "Services Menopause"
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# Perimenopause & Menopause

## Take control of your hormones and get back to what you love.

By 2038, Canadian women will spend up to 40% of their lives in post-menopause. The transition period through menopause, called perimenopause, can last up to 10 years. During this time, it is common to experience dramatic hormonal changes that can impact quality of life. There are also new symptoms and co-existing conditions that increase after menopause, including cardiovascular disease, osteoporosis, joint pain, and more.

Let's change the perimenopause and menopause experience.

There are safe, effective treatments to support you, improve your quality of life, and prevent health concerns that arise after menopause.

## Dr. Ashley is accredited as a Menopause Society Certified Practitioner (MSCP) (formerly North American Menopause Society (NAMS) Certified Practitioner (NCMP)

## with a focus on

##  evidence-based, effective solutions for perimenopause and menopause.

## Symptoms of perimenopause and menopause.

Each person's transition through menopause will vary. If you're struggling, know that there are effective treatment options available for you.

Common symptoms during this time:

- Irregular bleeding (short or long cycles)
- Heavy bleeding
- Mood disturbance (including depression, anxiety, irritability)
- Sleep disturbance
- Worsening PMS 
- Vasomotor symptoms (hot flashes, night sweats)
- Frequent UTIs or urinary incontinence 
- Uncomfortable intercourse
- Vaginal dryness or irritation
- Headaches
- Low libido or sex drive
- Changes to hair, skin, or nails
- Weight gain and metabolic changes
- Poor cognition, memory, or brain fog

## Advanced hormone therapy training  - not everyone is qualified to give you the best in hormone therapy.

## Dr. Ashley has advanced comprehensive training in menopause hormone therapy. She is certified and accredited by the North American Menopause Society (MSCP/NCMP/NAMS provider).

## During your consultation, Dr. Ashley will run through the safety, monitoring, and suitability of treatments so you can find a plan that is best for you.

## Everyone's hormones and menopause experience are unique. A tailored plan is key.

## How it works

Dr. Ashley works with you 1:1 to create a holistic hormone plan. Assessment may include:

- Lab and hormone testing
- Metabolic markers of health
- Risk assessments for cardiovascular health, breast cancer, and fracture risk
- Nutritional counseling 
- Hormone therapy
- Herbal and nutritional supplementation

Targeted, holistic treatment plan

- Education and resources to target and understand hormonal and metabolic changes
- Strategies to improve metabolic health
- Custom nutrition guidance and resources
- Lifestyle strategies to support menopause transition: stress, sleep, digestion, and more.
- Prevention: a custom plan to assess your risk and tailored monitoring recommendations

Follow-up, reassessment, and acceleration of the plan

- The real changes come with follow-up. We need to make sure your body is responding, and monitor progress. During our follow-ups, we adjust your strategy and treatment plan with clear goals.

## Get started today

Dr. Ashley is accepting new patients, in-person and virtually across British Columbia.

REQUEST A DISCOVERY CALL

## Articles you may find interesting

### Menopause Hormone Therapy: What is it and who may consider it?

### The Link between Menopause and Weight Gain: Insights from Latest Research

### Hormones in your 40's: Common changes to your period and common symptoms experienced.

### REQUEST A DISCOVERY CALL

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