Naturopathic Care for Perimenopause
What is Perimenopause?
Dr. Sue Love ND & Dr. Sapna Patel Flower ND
Both Dr. Sue and Dr. Sapna hold their North American Menopause Society Certified Practitioner (MSCP) designation as evidence-based practitioners in the fields of Perimenopause and Menopause care and are active members of the North American Menopause Society (NAMS).
Perimenopause means “around menopause”, and it begins with either changes in the timing of menstrual cycles, or other menopause-related symptoms. These changes can happen over a period of up to 10 years before the last menstrual period. As ovarian follicles decline, you experience more anovulatory periods (where you don’t release an egg). These hormonal shifts cause irregular, longer or shorter menstrual cycles along with other physical and emotional changes.
This is a normal transition, but it can feel overwhelming, intense, and unsettling. We find that with our approach, women feel empowered, more in control and like themselves again.
We love working with women in this stage to also be proactive about decreasing the risk of osteoporosis, cardiovascular disease and diabetes.
If you’re ready to have the conversation, we’re ready to empower you with evidence based options.

Common Symptoms of Perimenopause :
- Changes to menstrual cycles – timing and symptoms
- Changes to amount of menstrual flow
- Dips in energy
- Difficulty concentrating, issues with word recall
- Mood changes or swings
- Sleep disruptions
- Weight changes
- Joint and muscle aches
- More frequent urination, incontinence
- Night sweats, feelings of heat or hot flashes
- Vaginal dryness
- Decrease in libido
- Pain during sexual activity
- Thinning hair
- Metabolic changes to cholesterol and blood sugars on labs
How can our Naturopathic Doctors help you in Perimenopause?
Our Naturopathic Doctors, Dr. Sue and Dr. Sapna are fiercely armed with evidence based strategies to help support you during the rollercoaster of perimenopause and menopause. We listen to your concerns and can help identify what would be the best course of action to help address your concerns.
After in depth case taking, we will discuss appropriate lab assessments and design a protocol to help you feel better during the transitions.
We encourage you to come with as many questions as you like! Your health is always a welcome conversation and we want you to feel empowered, heard and ready to take this on with answers and understanding.
Expect an evidence led treatment plan laid out just for you and your concerns. We will discuss optimal lifestyle and nutrition for perimenopause, botanical medicine options, nutraceutical therapy and potential support with Hormone Therapy (HT) that is tailored to your specific needs and preferences.
Is Naturopathic Medicine covered by Insurance?
Most Extended Insurance Plans will have coverage for Naturopathic Medicine, please check your insurance provider for details.
Cancellation Policy: Please note that we require 24 hours notice for cancelled appointments. Patients will be charged the FULL FEE of the appointment for late cancellations or no shows.
Please refer to our ONLINE BOOKING PAGE to view our fees.