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Dr. Tia Patychuk ND
Perimenopause & Menopause Care in Vancouver

Perimenopause & Menopause Care

Perimenopause and menopause are naturally occurring stages in the menstrual lifespan. Fluctuating hormone levels can impact mood, sleep, energy, weight, focus, cognition, and overall quality of life. Many women and menstruating people are told these changes are normal and something they simply have to deal with. Even though these changes are normal, no one should have their symptoms and discomfort dismissed. 

At my Vancouver naturopathic practice, perimenopause and menopause care is personalized, evidence-informed, and focused on helping you feel like yourself again. Care may include in-depth hormone assessment, nutrition and lifestyle support, targeted supplementation, hormone prescriptions (BHRT), and integrative treatment options tailored to your symptoms, goals, and health history

Understanding Perimenopause & Menopause

Perimenopause and menopause are natural hormonal transitions that can affect many aspects of physical, emotional, and mental health. Perimenopause is the transitional phase leading up to menopause and can begin years before periods stop completely often in your late 30s or 40s. During this time, hormone levels fluctuate unpredictably, which may cause symptoms even when blood work appears “normal.”

Menopause is defined as 12 consecutive months without a menstrual period. Hormonal changes continue well beyond this point and can significantly influence long-term health, energy, mood, and metabolism.

Common Symptoms Across Perimenopause and Menopause may Include:

  • Irregular, heavier, or unpredictable periods
  • Hot flashes and night sweats
  • Mood changes, anxiety, or irritability
  • Sleep disturbances or night waking
  • Brain fog or difficulty concentrating
  • Fatigue and low motivation
  • Weight changes or increased abdominal fat
  • Vaginal dryness or discomfort
  • Joint pain or stiffness
  • Changes in skin, hair, or libido

How Naturopathic Care Supports Perimenopause & Menopause

Naturopathic care for perimenopause and menopause focuses on understanding the full picture of your health and addressing the root causes of symptoms, not just managing them in isolation. Because hormonal transitions affect multiple body systems, the best care is individualized, evidence-informed, and responsive to your unique experience.

Your care may include a comprehensive review of your health history and symptoms, along with strategic hormone and health testing when clinically appropriate. While lab work can be helpful, hormone levels, especially during perimenopause fluctuate daily, so results are always interpreted alongside symptoms and clinical context rather than in isolation.

Hormone Testing & Assessments

  • Blood or urine hormone testing (when appropriate)
  • Thyroid function and antibody tests
  • Iron and nutrient status
  • Inflammatory markers
  • Metabolic assessments

Treatment plans are tailored to your goals and may involve nutrition strategies to support hormone metabolism and blood sugar balance, evidence-based supplementation, lifestyle support for sleep, stress, and nervous system regulation, and education around hormone therapy options when indicated.

Care is provided through a trauma-informed, inclusive, and collaborative approach that respects LGBTQ+ and gender-diverse patients, different family structures, and lived experiences. You deserve care that listens, validates your symptoms, and supports both short-term relief and long-term health.

This approach may be especially helpful if you feel dismissed or unheard about hormonal symptoms, have been told your labs are “normal” but don’t feel well, want support navigating perimenopause or menopause naturally, are exploring hormone therapy options, or are looking to protect long-term bone, heart, and metabolic health.

Additionally, for many women and menstruating people, the hormonal shifts of perimenopause and menopause can amplify or even unmask symptoms of ADHD, making everyday tasks feel suddenly overwhelming.

What to Expect at Your First Appointment

Your initial visit includes

  • A detailed review of symptoms and health history
  • Discussion of current concerns and goals
  • Personalized treatment plan
  • Clear next steps and follow-up recommendations
  • Virtual and in-person appointments are available.
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