Women's Intimate Health
Physical, emotional, sleep, sexual, vaginal, or urinary changes associated with the menopause transition.
Physician-led assessment · individualized care · Vancouver clinic
Understanding Menopause Symptoms
Maybe it's waking up drenched at 3 a.m., a hot flash in the middle of a meeting, or feeling unlike yourself in ways that are hard to put into words. Menopause can sneak up quietly or arrive all at once, and it's never too early to ask for support.
Menopause is confirmed after twelve months without a period, but most of the changes happen in the years before, during perimenopause. Symptoms can touch many parts of life: hot flashes and night sweats, sleep and mood, and the vaginal, urinary and sexual changes that often go unmentioned. Some, like hot flashes, tend to ease with time, while vaginal and urinary changes usually improve best with their own care. There are effective options for all of them, and good care starts with your history and what's bothering you most.
Related Presentations
These focused pages explain different patterns within this concern.
Causes and Contributing Factors
Menopause is a natural stage marked by a decline in ovarian function and falling levels of hormones, particularly estrogen. Most women reach menopause naturally, typically in their late forties to mid-fifties. It can also occur earlier or suddenly after surgical removal of the ovaries, certain cancer treatments such as chemotherapy or radiation, or as premature or early menopause. The hormonal changes underlie many symptoms, though the way symptoms are experienced is also influenced by individual, health, and lifestyle factors.
Signs and Symptoms
Common symptoms include:
Assessment
Menopause is often recognized from your age and the pattern of your symptoms, especially when periods have stopped and symptoms are typical, so testing is used only where it helps. At your confidential appointment, Dr. Gidon Frame goes over your symptoms, menstrual history, medical and family history and medications, and talks with you about your personal risks and preferences. Hormone blood tests may help in specific situations, such as suspected early menopause, and we'll check that nothing else is causing similar symptoms. Together we'll shape a plan around the symptoms affecting you most and the life you want to enjoy.
Hormone consultations are physician appointments with a consultation fee, confirmed when you book.
Treatment Options
These are some of the options connected to this concern. The appropriate plan depends on assessment, suitability, and your goals.
Your care is built around you and may combine lifestyle measures, non-hormonal options and, where it suits you, hormone therapy, which is effective for many menopausal symptoms. Through our Hormone Assessment & Therapy, Dr. Gidon Frame weighs your symptoms, personal and family history, and preferences to find the right balance of benefits and risks for you. Local vaginal treatments often help with vaginal and urinary symptoms, and our Pink Intimate for Women program may include options such as the diVa Vaginal Laser or PRP. diVa sessions are provided by our senior laser technicians, and PRP is performed by our experienced physicians. Established medical options come first, and we'll walk you through what the evidence shows for any energy-based treatment.
We order only the tests that will guide your care and explain what the results mean for you.
A physician-led approach to intimate-tissue concerns, offered here as Pink Intimate, that may include assessment and selected energy-based or regenerative options where appropriate.
Personalized hormonal health care in Vancouver with Dr. Gidon Frame, including assessment, treatment guidance, and ongoing monitoring for your symptoms and health goals.
For the fuller picture, explore the treatment pages above or discuss the options during a consultation.
Medical Assessment
Medical assessment is important for bleeding after menopause, very heavy or unusual bleeding during perimenopause, or bleeding after intercourse, as these need evaluation. Symptoms before age 40, severe mood changes or low mood, or symptoms that significantly affect daily life also warrant review. Anyone considering hormone therapy or other treatments should have an individual assessment to weigh the potential benefits and risks for their situation.
Frequently Asked Questions
Perimenopause is the transition leading up to menopause, when hormone levels fluctuate, periods often become irregular and symptoms may begin. Menopause itself is confirmed after 12 consecutive months without a period. Many symptoms start during perimenopause, so it's a good time to come in and talk about support.
Hormone therapy is an effective option for many menopausal symptoms and suits many people. The balance of benefits and risks depends on your age, health history and the type of therapy, so Dr. Frame looks at your own health picture before you decide. You'll leave with a clear understanding of your options.
Yes. Menopause-related vaginal and urinary symptoms are common and often ease with the right treatment, including local options. They're a recognized medical concern, and we're glad to talk about them openly and confidentially.
Physician Assessment
An assessment can help clarify what may be contributing, which options may be appropriate, and what a reasonable next step could look like for you.
Visit Our Clinic
Anti-Aging Medical & Laser Clinic combines medical assessment, individualized planning, physician oversight, and a broad range of treatment options in its Vancouver clinic.
Bring your questions, treatment history, and goals. Your provider can help you understand appropriate options, expected recovery, and realistic outcomes.
Make an Appointment
Use our consultation form below and the clinic can guide you toward the appropriate starting point.
