Menopause + Perimenopause
Perimenopause is real, and treatable
Understand how your hormones are shifting so you can feel like yourself while protecting your long-term health.
5 nights/wk
Logged in the app, tracked daily
Women's hormonal health at Circle
Menopause and perimenopause are more than hot flashes or mood swings. Thoughtful treatment supports your long-term bone health, cardiovascular risk, metabolic resilience, cognitive health, and quality of life.
What we measure(it's more than hormones)
Beyond hormone levels, we track how estrogen and progesterone are affecting the rest of your system. You review your results with a Circle physician so you know exactly what they mean, what you need to work on, and why.
Context, not a gatekeeper
Why we test it
Levels change weekly in perimenopause, but it still helps us understand the full picture.
Fluctuating
Why we test it
Used as a snapshot for trend tracking and to guide therapy—never to diagnose or deny treatment.
The great mimic
Why we test it
Fatigue, mood swings, and weight changes may be thyroid. We rule this out first, always.
Heart-risk particle
Why we test it
Heart risk accelerates after menopause. We get your baseline now, not at 65.
The hormone carrier
Why we test it
SHBG controls how much of your hormones are actually available to your body. It's how we read the numbers behind the numbers.
Metabolic shift
Why we test it
This often rises through the transition. We watch it before it becomes a diagnosis.
Markers shown are just some of what we test. This program includes 15+ total biomarkers*, and more may be added based on your clinical picture — chosen to provide the best care for your specific concern and clinical picture. Program testing is targeted only to your specific treatment program.
* Subject to physician confirmation of clinical eligibility and clinical assessment. Your Circle physician reviews your health intake and confirms which tests are appropriate for you; tests may be added or removed at their discretion.
Is it perimenopause?
Take a 60-second quiz to find out if this treatment makes sense for you.
A plan, not a prescription
Treatments are tailored to your real life and come with the support you need to follow through.
What's included:
The Circle treatment loop
We understand, measure, treat, and retest until your numbers move towards optimal.
Start with your story
Before we test, treat, or prescribe, a Circle physician reviews your symptoms, cycle changes, sleep, and mood to determine if this treatment is right for you.
Built on the pillars of longevity
Sleep
Prioritize the hours you need for optimal health
Nutrition
Tied to your labs, not food trends
Supplements
Matched to your biomarker data
Medication
Only when the evidence says so
Exercise
Actionable next steps, not advice
Great on its own.
Better with membership.
Your monthly treatment fee includes quarterly prescription renewals and clinical check-ins—no fresh consult fee at each refill. Or get this whole treatment for free when you become a Circle member.
Women's hormonal health
Not a member? $89 to start + $49/month.*
*The $89 is waived when you pay for the year ($588).
Focused testing, treatment, and coaching for this concern
- Targeted testing + 1:1 consult
- Personalized 360° treatment plan
- Tailored prescriptions + supplements
- Quarterly coaching + renewals
Circle membership
From $149/month
Everything in this treatment, plus care for your whole health
- Free focused treatments
- Unlimited primary care: visits, prescriptions, referrals
- Foundations Visit + 6-month review: 68+ biomarkers*, physical, body composition, biological age
- Personalized care plan with ongoing physician coaching
- The Circle app, Clara AI assistant, credits for wellness therapies + more
Discreet delivery
Your medications and supplements ship to your home in plain packaging, with next-day delivery in Toronto.