clinician registered in your province
Every assessment is reviewed by a clinician registered in your province, trained in health conditions prescribing.
C
Care365
online health care in Ontario
Menopause Treatment Online — online health care in Ontario
See a licensed healthcare professional online for menopause — no waiting room, no travel.
Menopause is confirmed after 12 months without a period, but the years leading up to it — perimenopause — often bring hot flashes, night sweats, disrupted sleep, mood changes, and vaginal dryness as hormone levels fluctuate. Menopausal hormone therapy (MHT/HRT) is the most effective treatment for these symptoms and comes in several forms — pills, patches, or local vaginal products — depending on which symptoms you're targeting and your personal health history.
clinician registered in your province
Usually responds within 24 hours
Prescriptions sent directly
CCare365
Care365 workflowComplete assessment → clinical review → prescription sent when appropriate.
Quick Self-Check
Answer a few quick questions. This isn't a diagnosis — a real clinical assessment is the next step either way.
How We Work
A Care365 online clinical consult in Ontario reviews your personal and family health history — clotting risk, breast cancer history, unexplained bleeding, and cardiovascular history among them — to confirm hormone therapy is safe for you, then helps match the right formulation, such as a transdermal patch if you smoke or have migraine with aura, or vaginal estrogen if genitourinary symptoms are your main concern.
Complete a short online assessment
Answer real, condition-specific questions — takes a few minutes, no appointment needed to start.
A licensed clinical reviews your answers
A real clinician registered in your province reviews your case, with a response within 24 hours of booking in most cases — not an automated approval.
Get your treatment plan
When appropriate, your prescription is sent directly to your preferred pharmacy, with clear next steps.
Why Choose Care365?
Fast, Real Assessments
No generic templates — your answers are reviewed by a real person, with a response within 24 hours of booking in most cases.
Secure & Private
Your information is encrypted and only seen by the clinical reviewing your case.
Prescriptions Sent Directly
When appropriate, your prescription goes straight to your preferred pharmacy — no extra trip needed.
What Our healthcare professionals Can Assess
Perimenopause
The transitional years before periods stop completely, when hot flashes, night sweats, and irregular cycles typically begin.
Menopause
The point confirmed after 12 full months without a period.
Postmenopause
The years following menopause, when symptoms like vaginal dryness can persist even as hot flashes often ease.
Common Symptoms
- Hot flashes — sudden waves of heat, often with sweating
- Night sweats that disrupt sleep
- Periods becoming irregular, heavier, lighter, or more spaced out
- Vaginal dryness or discomfort during sex
- Mood changes, irritability, or increased anxiety
- Trouble falling or staying asleep
- Brain fog or trouble concentrating
- No period for 12 months in a row
Treatment Options
These options may be prescribed by a Care365 clinician after a real assessment — this is general information, not a recommendation to use any specific medication without one.
| Medication | Class | Route | Typical Duration |
|---|---|---|---|
| Estradiol, transdermal (patch) | Estrogen | Transdermal | Ongoing, reassess annually |
| Estradiol, oral | Estrogen | Oral | Ongoing, reassess annually |
| Micronized progesterone (uterus-intact only) | Progestogen | Oral | Ongoing alongside estrogen |
| Estradiol, vaginal (ring or tablet) | Local estrogen | Vaginal | Ongoing |
| Venlafaxine (non-hormonal option) | SNRI | Oral | Ongoing |
Non-medication options
- Cognitive behavioural therapy (CBT) — Reduces how bothersome VMS are; improves sleep/mood/coping.
- Vaginal moisturizer/lubricant for GSM — First non-hormonal step for genitourinary symptoms.
- Smoking cessation counseling — Reduces VMS severity and independently reduces CV/fracture risk.
Everything in One Place
- Easy online scheduling — submit your assessment in minutes
- Real clinical review, not an automated approval
- Prescriptions sent directly to your preferred pharmacy when appropriate
- 100% virtual — no travel, no waiting room
Frequently Asked Questions
I still have my uterus — do I need progesterone along with estrogen?
Yes, if your uterus is intact you need a progestogen alongside estrogen to protect your uterine lining from overgrowth. This isn't needed with vaginal-only estrogen used specifically for genitourinary symptoms.
I've had some unexpected spotting this year — can I still start hormone therapy?
Bleeding or spotting that isn't an expected period or withdrawal bleed needs to be checked out before starting MHT, to rule out other causes first. This gets flagged for prompt review rather than worked around.
I smoke and get migraines with aura — is hormone therapy off the table for me?
Not necessarily. A transdermal patch is often preferred specifically for people with these risk factors, since it carries a different risk profile than an oral estrogen pill.
What if I only have vaginal dryness or discomfort, not hot flashes?
Local vaginal estrogen, as a ring or tablet, is first-line specifically for genitourinary symptoms and doesn't require added progestogen even with an intact uterus, since very little reaches the bloodstream.
Is there a non-hormonal option for hot flashes?
Yes, venlafaxine, an SNRI, is a first-line non-hormonal option — particularly helpful if mood or anxiety symptoms overlap with your hot flashes.
Menopause Can Be Treated
Complete a real assessment online — a licensed Ontario clinical reviews your case and arranges treatment and prescription support when appropriate.
Start a visit request