Finally... the menopause care you deserve.
Our private telemedicine practice serves British Columbia residents looking for a higher level of menopause care.
We bring together education, lifestyle foundations and coaching, alongside personalized medical care, including hormone replacement therapy, lab testing, and supplements, when appropriate.
two ways to receive care:
We offer personalized medical menopause care, with the option to add on The Perimenopause Reset Program.
An Integrated Approach to Perimenopause Care
Our most comprehensive level of care, designed to support every aspect of your hormonal health.
Perimenopause is not a hormone-only transition, and medical treatment alone doesn’t always address everything women experience during this stage of life.
Hormone therapy can be incredibly helpful for symptom relief and long-term health. But hormones don’t work in isolation. Sleep, nutrition, blood sugar balance, stress, gut health, and movement all influence how your body responds to treatment.
For patients who want additional support alongside medical care, you are invited to join The Perimenopause Reset Program, a structured, lifestyle-focused education and coaching program designed to strengthen the foundations that help your body function more smoothly during perimenopause.
While medical care focuses on diagnosis, hormone therapy, lab testing, and medical management, the Perimenopause Reset supports the day-to-day environment your hormones operate in. Many women find that addressing these lifestyle foundations alongside medical care leads to greater symptom relief, and more sustainable outcomes.
Together, this approach reflects the gold standard of perimenopause care: personalized medical treatment with additional education and lifestyle support for women who want clarity, confidence, and results that last.
ready to explore the perimenopause reset?
Understanding your options is an important first step. To enroll in the program, a Perimenopause Assessment Call is required. Before booking, we invite you to learn more about how our approach works and whether it feels like the right fit for you.
Follow these 2 simple steps:
step 1:
WATCH THE MASTERCLASS
step 2:
BOOK A CALL
Let's Get You the Perimenopause & Menopause Care You Need...
Did You Know?
(Stats From The Menopause Foundation of Canada)
The average Canadian woman will spend up to half of her life in a menopausal state: perimenopause, menopause, or postmenopause
3 out of 4 women experience menopausal symptoms that interfere with their daily lives
10% of women will stop working due to unmanaged symptoms of menopause
common symptoms
Hot Flashes
Fatigue
Joint Pain
Never Sleeping
Irregular Periods
Hair thinning
Weight Gain
Vaginal Dryness
Brain Fog
Bladder Issues
Unstable Moods
Sexual Problems
Menopause is hard, but what if you finally had the support you need?
Why Hormone Replacement Therapy (HRT)?
Relief from Vasomotor Symptoms: HRT is particularly effective in alleviating vasomotor symptoms of menopause, such as hot flashes and night sweats, which are among the most common and disruptive symptoms.
Prevention of Bone Loss: Estrogen is important for maintaining bone density. HRT can help prevent osteoporosis that often accelerates after menopause due to the rapid decline in estrogen levels.
Improved Mood and Cognitive Function: HRT can help manage mood swings and may aid in reducing the risk of depression during menopause. It may also have a positive impact on cognitive function.
Improved Vaginal and Sexual Health: Estrogen helps maintain the health of the vaginal tissues and urinary system. HRT can relieve vaginal dryness, discomfort during intercourse, and bladder symptoms.
Improved Sleep: Night sweats and hot flashes are common menopausal symptoms that often disrupt sleep. HRT can significantly reduce these disturbances, helping you enjoy more restful and uninterrupted sleep.
Heart Health Benefits: Early initiation of HRT, particularly within ten years of menopause onset, may help reduce the risk of heart disease.
Improved Quality of Life: By addressing multiple symptoms of menopause, HRT can significantly improve overall quality of life, including sexual satisfaction, sleep quality, and daily functioning.
Ready to get some symptom relief, and feel like yourself again during your menopause transition?
Why Choose Us?
We are dedicated to redefining menopause care. Here's what sets us apart:
Menopause Experts: Our providers are Certified Menopause Practitioner's from the Menopause Society. We have a deep understanding of the complexities of perimenopause, midlife health, and HRT. This is all we do!
Personalized Approach: We understand that every woman's menopause journey is unique, there is no one size fits all with menopause. Your care plan is tailored to your individual needs, preferences, and health goals. Initial appointments are 60 minutes to capture everything we need to know to create the best plan for you.
Face-to-Face Virtual Visits: We prioritize real, human connections. With our face-to-face virtual visits, you’ll have dedicated, one-on-one time with a provider who listens, understands, and tailors your treatment to your specific needs. This personalized approach ensures you receive the highest quality care, and can get all questions answered.
Evidence-Based Treatments: We stay up-to-date with the latest research and advancements in menopause care to ensure you receive the most effective treatments available.
Empowerment through Education: We believe in empowering you with knowledge. Our goal is to help you understand your body and make informed decisions about your care.
Compassionate Care: We prioritize empathy and understanding in all our interactions. You'll always feel heard, respected, and valued in our clinic. You will never feel dismissed.
At our clinic, you're not just a patient – you're a partner in your health journey. We're here to support you every step of the way, helping you navigate menopause with confidence and ease.
Not from BC and still need support?
Join The Perimenopause Reset!
(for anyone all over the globe)
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Meet Akemi
Hi, I'm Akemi! I’m a Nurse practitioner, Menopause Specialist, and mother of 2.
I am a Certified Menopause Practitioner from the Menopause Society. I have also received extra training in Advanced Bio-Identical Hormone Replacement Therapy from the prestigious Worldlink Medical.
My mission is to support women in midlife by providing you with credible, evidence-based guidance on menopause and perimenopause.
By embracing shared-decision making, I consider your medical history, present symptoms, and health goals to offer you treatment options and a clear plan of action that meets your needs!
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This is how I can help
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FAQS
What Services Do You Provide?
All appointments are virtual and conducted over secure video conference.
We provide care to women who are in perimenopause and menopause and are seeking relief of their symptoms. This includes assessment, diagnosis, treatment (HRT and other medications), and follow up care.
We incorporate medical care into an exclusive menopause program for lifestyle education, community, masterclasses, Q&A's and more.
Do you Prescribe HRT or BHRT?
We prescribe FDA approved HRT and prefer Bioidentical HRT when possible. We also prescribe non-hormonal treatments for menopause if needed. Testosterone and compounded hormones may be considered depending on the situation. All prescriptions are sent to the pharmacy of your choosing in BC.
What is the Process If would like the Perimenopause Reset and HRT?
Step 1: Book a Perimenopause Assessment Call HERE
The first step is to book a Perimenopause Assessment Call. This conversation is an opportunity to understand your current concerns, explore what type of support may be most helpful, and determine whether the Perimenopause Reset Program, alongside medical care is the right fit for you.
This call is not a medical or diagnostic appointment.
Step 2: Enroll in the Perimenopause Reset Program
If we both determine that working together is the right next step, you’ll be enrolled in The Perimenopause Reset Program. You’ll receive immediate access to the program so you can begin implementing lifestyle foundations alongside your medical care.
Step 3: Book your Initial HRT Visit HERE
After booking, you’ll receive a detailed intake form to complete. This is reviewed by your practitioner prior to your appointment.
During the visit, we’ll review your history, symptoms, and goals, determine a diagnosis, and decide whether lab work or further investigations are needed. Whether hormone replacement therapy (HRT) is initiated at the initial visit depends on individual clinical assessment. In some cases, lab results are required before starting treatment.
Step 4: Follow-Up Medical Visits (25 minutes)
Follow-up appointments are used to review lab results, monitor response to treatment, and adjust prescriptions as needed.
Follow-ups are typically scheduled every 3–6 months depending on your needs.
Once treatment is stable, annual follow-up is recommended for reassessment, hormone adjustments, and prescription refills.
Please note: Medical care and the Perimenopause Reset Program are separate services and are billed independently
what is the process if i want HRT only?
Step 1: Book a New Patient Initial Medical Visit (60 minutes) HERE
Patients seeking medical care only can book a new patient medical visit directly. No assessment call is required.
After booking, you’ll receive a detailed intake form to complete. This is reviewed by your practitioner prior to your appointment.
During the visit, we’ll review your history, symptoms, and goals, determine a diagnosis, and decide whether lab work or further investigations are needed. Whether hormone replacement therapy (HRT) is initiated at the initial visit depends on individual clinical assessment. In some cases, lab results are required before starting treatment.
Step 2: Follow-Up Medical Visits (25 minutes)
Follow-up appointments are used to review lab results, monitor response to treatment, and adjust prescriptions as needed.
Follow-ups are typically scheduled every 3–6 months depending on your needs.
Once treatment is stable, annual follow-up is recommended for reassessment, hormone adjustments, and prescription refills.
What Provinces Do You Serve?
We accept clients from anywhere in British Columbia. You must be physically located in BC at the time of your appointment to receive care.
Pricing: How Much Does it Cost?
Medical Care:
Initial Appointment (60min): $400
Follow up Appointments (25min): $175
*Prices Subject to Change
The Perimenopause Reset Program & Medical Care:
Pricing varies depending on individual needs and the level of support chosen. Details are discussed during the Free Perimenopause Assessment Call to ensure the approach is appropriate and tailored to you.
As a private telemedicine practice, appointment consultation costs and the Perimenopause Reset Program are not covered by MSP and you will have to pay out of pocket for the appointment fee. However, if you have a health spending account (HSA) from your workplace, you may be able to submit receipts for reimbursement. Please check with your plan if you're unsure.
The Lab tests I order are free for BC residents through their medical services plan.
Medication costs differ from person to person and depend on your insurance drug plan. I can prescribe medications that are covered under your drug plan if you have coverage. Check with your insurance provider if you are not sure.
Booking Deposit and Cancellations
To secure your appointment, we require a $50 deposit through our secure online health platform, Jane App for all Initial Appointments. This deposit will go towards your appointment fee. This policy helps us manage our high-demand appointment slots and minimize no-shows. In the event of a no-show, a fee of $100 will be charged and is non-refundable.
Please provide at least 24 hours' notice if you need to cancel or reschedule your appointment.
Is This Covered by Health Care Insurance?
There is a consult fee associated with seeing our clinic which is not covered by the public health system. If you have a Health Spending Account (HSA), you may be able to submit receipts for reimbursement however this differs depending on the plan. Please check with your plan to confirm. All lab tests are covered by MSP. Prescription coverage is dependent on your drug plan.
What is The Perimenopause Reset? How do I get Access?
The Perimenopause Reset goes beyond just addressing symptoms. It encompasses your overall well-being, including physical, emotional, and lifestyle factors. This 12 week lifestyle program offers menopause lifestyle education, expert-led masterclasses, live Q&As, and more, all designed to provide you with the accountability and support you need to make lasting changes.
Expecting HRT alone to resolve all your menopause symptoms is a common misconception that will leave you disappointed. While it can be an effective part of your treatment plan, true relief often requires a holistic approach that includes lifestyle changes. This is the driving force behind our program. LEARN MORE ABOUT IT HERE
The Perimenopause Reset is a non-medical, lifestyle education and coaching program. It does not include medical advice.
What do we NOT do?
I cannot serve as your primary care clinician. Since all appointments are virtual, I cannot do physical assessments, pelvic or breast exams, IUD insertions, biopsies, or pap smears. You should see your primary care provider or walk in clinic for all your other medical needs. You will be asked to sign an agreement consenting to virtual care prior to your appointment.
Please Note:
For safety reasons, we are currently unable to provide care if you have a history of breast, uterine, or ovarian cancer, deep vein thrombosis (DVT), are a current smoker, or are experiencing unexplained vaginal bleeding.
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