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.

Night sweatsTracked

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 res 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.

FSH

Context, not a gatekeeper

Why we test it

Levels changes weekly in perimenopause, but it still helps us understand the full picture.

Estradiol

Fluctuating

Why we test it

Used as a snapshot for trend tracking and to guide therapy—never to diagnose or deny treatment.

Thyroid

The great mimic

Why we test it

Fatigue, mood swings, and weight changes may be thyroid. We rule this out first, always.

ApoB

Heart-risk particle

Why we test it

Heart risk accelerates after menopause. We get your baseline now, not at 65.

Body composition testing

Muscle, fat, and bone

Why we test it

Estrogen decline speeds bone loss. Measure it now so you can defend your bones with strength training.

Fasting insulin

Metabolic shift

Why we test it

This often rises through the transition. We watch it before it becomes a diagnosis.

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:

1:1 consult · physician or NP
Hormone therapy (if right for you)
Bone + sleep supplement stack
Strength + nutrition plan
Quarterly review
Body composition scan (optional $69–$99 add-on)
Take the quiz

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

$89 to start + $49/mo*

Focused testing, treatment, and coaching for this concern


  • Targeted testing + 1:1 consult
  • Personalized 360° treatment plan
  • Tailored prescriptions + supplements
  • Quarterly coaching + renewals
  • $89 waived on annual · 3-month minimum

Circle membership

From $149/month*

Everything in this treatment, plus care for your whole health


  • Free focused treatments
  • Unlimited primary care: doctor 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. Get one-tap refills in the app and next-day delivery in Toronto.

Take control of your hormonal health

Get started with a 60-second quiz.

Women's hormonal health FAQ

*Fees are strictly for the uninsured components of care. Any publicly insured services will be billed to the provincial health insurance plan. Payment of membership fees or subscription to a program are not a precondition to access insured physician services nor will it provide preferential access to such services.