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Understanding menopause, and what care can look like.

Perimenopause and menopause are a normal transition, and the symptoms that come with them are medical, not a character test. A licensed Canadian clinician reviews your history and symptoms, prescribes only where appropriate, and follows up on a schedule.

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The transition explained

What perimenopause and menopause are.

Perimenopause is the stretch of hormonal change before periods stop; menopause is confirmed after twelve months without one. Symptoms vary widely, and a clinician works out your stage from your history rather than from a test.

What changes

What changes in the body

Estrogen produced by the ovaries falls unevenly through this transition and settles lower afterward. That shift drives most of the symptoms women notice, and it does not move at the same pace for everyone.

How the stage is worked out

How your stage is identified

Perimenopause and menopause are usually identified from cycle history and symptoms rather than a blood test. Your clinician asks when your cycles changed, what changed alongside them, and what else is going on in your health.

What else is ruled out

Thyroid conditions, iron deficiency, sleep disorders and the side effects of medications you already take can all produce overlapping symptoms. A clinician looks for those before concluding anything.

Before anything is considered

What the assessment screens for

Tell your clinician if you have a history of hormone-sensitive cancer, blood clots or stroke, or any unexplained vaginal bleeding. Each of these changes what a clinician can consider, and the assessment asks about all of them.

A licensed Canadian clinician reviews your history in the assessment and decides what, if anything, is appropriate. Start free assessment

Before anything is decided

What the assessment covers.

Perimenopause and menopause are worked out from your history rather than from a single test. Here is what a clinician looks at before any decision is made.

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Free to start. You only pay if a clinician prescribes.

Not sure where to start? The assessment takes a few minutes and a licensed Canadian clinician decides.

01
Your cycle history
When your cycles changed, what changed alongside them, and how long it has been. This is what identifies your stage.
02
Your symptoms, in your words
Which symptoms you have, how much they affect your day, and which ones matter most to you.
03
What else could explain it
Thyroid conditions, iron deficiency, sleep disorders and the side effects of medications you already take can all produce overlapping symptoms.
04
What happens next
A clinician licensed in your province reviews everything and decides what, if anything, is appropriate. Plans are reviewed at follow-ups and you can message your care team at any time.

Self-check

Which stage sounds like you?

The transition runs in three stages, and each has its own pattern. Read through them and see which sounds familiar.

1 · Perimenopause

Cycles start to change in length or flow, and new symptoms appear alongside them: sleep that breaks, mood that shifts, the first hot flashes. Often the 40s, sometimes earlier.

2 · Menopause

Twelve months in a row without a period. Hot flashes, night sweats, brain fog and vaginal dryness are common at this point.

3 · Postmenopause

The years that follow. Some symptoms ease and others continue, and bone and heart health become part of the conversation.

Start free assessment

A general guide to the stages, not a diagnosis. Your clinician confirms your stage during your assessment, from your symptoms and cycle history.

Which of these are yours? Symptoms overlap across all three stages. A clinician works out the stage from your cycle history and age.

Tap any that sound familiar. Nothing is scored and nothing is stored.

Ten million of us

Did you know?

A few numbers about Canada, and about how many people are in the same place as you.

Across Canada

10 million

Ten million women in Canada are over 40 and at some stage of menopause.

You are in very large company.

Menopause Foundation of Canada, 2022

Women 40 to 60

95%

Nearly every Canadian woman aged 40 to 60 reports menopause symptoms.

This is the rule, not the exception.

Menopause Foundation of Canada, 2022

So far

41%

Fewer than half have raised their menopause symptoms with a doctor so far.

You can ask, and you can ask again.

Menopause Foundation of Canada, 2022

These figures describe how common these experiences are among Canadians. They are not results of any treatment.

Understanding menopause

It is a transition, not a switch.

Hormone levels fall unevenly over years, which is why symptoms can show up in sleep, mood, temperature and cycle at the same time. Knowing your stage changes the conversation.

What changes in the body

The physiology, simply

Estrogen levels fall unevenlyCycles lengthen, shorten or skipTemperature regulation shiftsSleep and mood chemistry shift

What women bring to a clinician

The common symptom clusters

Hot flashes and night sweatsBroken sleepMood changes and anxietyBrain fogVaginal dryness and urinary symptomsJoint achesCycle changes

How clinicians assess

History first, labs only when useful

Symptoms and cycle historyPersonal and family health historyScreening against risk factorsLabs where they would change the plan

Half the population goes through this.

Perimenopause and menopause are usually diagnosed from your symptoms and cycle history, not from a blood test. Labs are ordered when they would change the plan, for example to rule out a thyroid problem. Canadian and international guidelines set out how clinicians assess this transition, and your clinician works within them.

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Nothing added at checkout.

If a clinician prescribes treatment, your monthly price covers your medication, clinician follow-ups, plan adjustments and shipping. Your card is authorized when you submit your assessment and only charged once a prescription is issued. If you are not prescribed, you are not charged.

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· If prescribed

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What you actually payOne simple price

Expert care. No waiting rooms.

A licensed Canadian clinician reviews your symptoms and your history privately, prescribes only where it is appropriate, and stays with you through follow-ups and check-ins. Adjusting the plan is included.

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Have questions?
We have answers.

Everything women usually ask about perimenopause and menopause care, answered plainly. If yours is not here, we are one message away.

Menopause 101

Cycle changes plus new sleep problems, mood shifts, hot flashes or brain fog, often in the 40s and sometimes earlier, is the classic pattern. Diagnosis is mostly clinical, based on symptoms and cycle history, with labs where they would change the plan.

No. What is appropriate differs from woman to woman and depends on your age, stage, symptoms and personal and family history, which is exactly what your clinician screens before anything is prescribed.

That is decided by your clinician after your assessment, not chosen from a menu. It depends on your symptoms, your stage and your health history, and some plans include no prescription at all.

No. Perimenopause is a valid reason to seek care on its own. There is no requirement to wait until your periods stop, and no referral is needed.

Your plan

Every prescription option has potential side effects, and your clinician reviews the specifics of what is prescribed for you, alongside your personal risk factors, before you start and at every follow-up.

Sometimes. Menopause is largely a clinical diagnosis, so labs are ordered when they will actually change the plan, and your clinician explains what they are looking at and why.

No. Guidelines do not recommend them for setting doses. Where labs are useful, they are blood tests, ordered only when they would change the plan.

No. Your assessment is reviewed by a clinician licensed in your province, and everything happens online.

Practical

Curo serves patients across Canada. You are matched with a clinician licensed in your province, and delivery is free anywhere in Canada.

One price covers your prescription, clinician follow-ups and shipping, with longer plans lowering the monthly cost. You see your exact price before you pay anything.

Message your clinician any time. Adjusting the plan or changing approach entirely is included, and you are never locked in.

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