Take control of your perimenopause journey
Get perimenopause symptom treatment prescribed online.

Evidence-based solutions
Take control of your perimenopause symptoms with effective hormone therapy, non-hormonal treatments, and supplements.

“It just makes me feel a little less alone.”
Guidance at your fingertips
Get direct, 24/7 access to healthcare practitioners trained in menopausal care.

Personalized treatment plans
Get ongoing support and recommendations tailored to your unique needs, lifestyle, and symptoms

Perimenopause deserves attention
The menopause transition is natural, but it’s far from trivial.
Perimenopause is more than hot flashes
Hormonal changes can trigger a range of uncomfortable menopause symptoms. Menopause treatment can often help alleviate these symptoms, improve your quality of life, and decrease your risk of ongoing health issues.
Menopause is universal
Everyone with ovaries will spend between one-third and one-half of their lives in the menopause continuum. While the stages of menopause are expected, suffering through them shouldn’t be. Fortunately, Felix offers science-backed treatments to help you manage your symptoms now and into the future.

How it works,
in 4 simple steps
How it works,
in 4 simple steps
What is perimenopause?
Perimenopause is the beginning stage of the menopause transition.
During this initial stage, your body begins a gradual decline in producing estrogen, which leads to hormonal fluctuations, irregular menstrual cycles (periods), and in many cases, perimenopausal symptoms (i.e., hot flashes, night sweats, decreased libido, vaginal dryness, mood swings, etc.).
Perimenopause can last anywhere from 1 year to several years, depending on the individual.
What age do most women start perimenopause?
Most women enter their perimenopausal stage during their 40s, but it is possible to start perimenopause at age 35 or younger, depending on your unique biology and genetics.
If you notice that your periods have become irregular, or if you notice any of the other perimenopause symptoms beginning to occur (i.e., hot flashes, mood swings, insomnia, etc.), you may want to consider talking to your practitioner about whether you’ve entered perimenopause.
This will allow them to provide you with additional guidance on how to manage and control your perimenopause symptoms throughout this stage of menopause.
Treatment options for managing perimenopause
It’s important to remember that there is no ‘cure’ for perimenopause, because this is a natural stage of life that every woman goes through at some point.
However, if your perimenopause symptoms are beginning to affect your daily quality of life, your practitioner may suggest that you consider trying treatments to reduce the severity and frequency of symptom flare-ups.
At Felix, we offer our patients medications that have been authorized for sale by Health Canada.In addition to these types of perimenopause treatments, there are some lifestyle adjustments that help your general well-being.
These include:
- Reducing alcohol intake
- Avoiding caffeine
- Regular exercise
- Managing stress
- Getting more sleep
- Quitting smoking
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Take control of your perimenopause journey
Hormonal changes can trigger a range of uncomfortable menopause symptoms. Menopause treatment can often help alleviate these symptoms, improve your quality of life, and decrease your risk of ongoing health issues.
- Licensed Canadian practitioners
- Direct insurance billing
- Free, fast shipping
- Initial consultation with a practitioner
- Personalized treatment plan
- Unlimited follow ups
- Free, fast shipping
- Competitive medication prices — comparable to what you’d pay at your local pharmacy
- Progress check-in with your care team
- Prescription renewal or adjustment as needed
- Scheduled when your provider recommends it
Have insurance?
Upload your insurance information during your online visit and we’ll bill your carrier directly.
- 1
Tell us about your health
Answer a few simple questions about your health.
- 2
Receive a treatment plan
Your healthcare practitioner will build a personalized plan just for you.
- 3
Get your treatment delivered
We’ll deliver your treatment directly to your home in discreet packaging.
- 4
Ongoing care and support
Connect with your healthcare practitioner any time you need them.
Dr. Kelly Anderson
Family Physician, MD, CCFP(EM), Medical Director at Felix
Tracey Phillips, BScPhm, MBA
Chief Pharmacy Officer
Frequently asked questions about perimenopause
Can perimenopause cause mood swings, anxiety, or depression?
Yes, perimenopause can cause symptoms like these, due to fluctuating hormone levels in your body.
When you begin facing mood swings, anxiety, or depression due to perimenopause, it’s a good idea to talk to your practitioner from Felix about these feelings. They can help suggest resources to assist you in managing and coping with these feelings.
Does perimenopause affect your period?
It doesn’t necessarily work this way for everyone, but due to fluctuating estrogen levels, it can begin to affect your period in ways other than making it stop occurring.
In some cases, women may notice that perimenopause causes longer or shorter periods that occur more randomly, or that their periods skip a month or two and then return as normal for a while. It can also cause heavier periods or spotting in between periods, depending on your individual biology, genetics, health, and other factors like lifestyle.
There’s no single one-size-fits-all approach to managing perimenopause, because everyone’s experience is going to be unique.
Our practitioners are skilled at helping identify the specific perimenopause symptoms that you’re facing, so that they can work with you to create a personalized plan that fits both your needs and your lifestyle.
How do I know if I’m in perimenopause or just have irregular periods?
The only way to get more information about that kind of change in your body would be to talk to your practitioner. If you’re in your 40’s, they may suggest that due to your age it’s natural that your periods are becoming irregular.
Even women 35 or under can face perimenopause, depending on their individual genetics, lifestyle, health, and biology.
Talking to a licensed healthcare practitioner from Felix will give you the guidance and direction to understand the potential causes of these changes in your body, as well as the best methods for dealing with them.
How long does perimenopause usually last?
Perimenopause can last for shorter periods of time (i.e., 1 year at minimum), up to several years depending on the individual and their unique health, biology, and genetics.
Is it normal to have weight fluctuations during perimenopause?
Yes, it is. Some people may find that their appetite changes during hormonal fluctuations, which can lead to changes in eating habits that lead to weight gain.
Also, due to these hormonal changes, your body’s insulin and metabolism levels can be affected, which may also contribute to increased weight.
In regards to fat distribution in your body, lower estrogen levels can cause your body to shift where it’s storing fat. Where before perimenopause it may have been more evenly distributed, during perimenopause fat may begin accumulating more around the abdomen.
This is often referred to as ‘menopause belly’ or ‘worry waist’, and it can occur without your weight even changing drastically. You should be mindful of excess visceral fat accumulation, as it can lead to health concerns due to fat being stored around your organs.
What are signs that perimenopause is ending?
A complete cessation of periods is usually a sign that perimenopause is coming to an end, since the diagnosis of menopause is that periods have stopped for a total of 1 year.
Although it’s important to remember that some women will have periods halt for months at a time and then begin again, which is why perimenopause can last for several years for some people.
What are the first signs of perimenopause?
Typically, the first sign of perimenopause that you’ll notice is that your periods will begin to change from the way they’ve regularly appeared for you in the past.
This could mean that your menstrual cycle doesn’t start at the same time each month, or it could mean that perimenopause causes shorter or longer periods that occur sporadically. It can also change the flow of your period, making it heavier or lighter than usual.
What is the difference between perimenopause and menopause?
Perimenopause is the first stage in the menopausal transition, when hormone levels in your body start to fluctuate.
When periods stop occurring for 1 year, you’re considered having reached the menopause stage, which means perimenopause is over.
If you were born with ovaries, these are all natural life stages for you to go through as you age.
What lifestyle changes help manage perimenopause symptoms?
There are a number of healthy lifestyle changes that may not only benefit your transition into menopause, but also may help you improve your overall health, such as:
- Quitting smoking
- Reducing alcohol intake
- Reducing or avoiding caffeine
- Getting plenty of sleep
- Increasing your calcium intake
- Maintaining a healthy body weight
- Reducing stress or anxiety triggers
You may also want to consider taking a multivitamin as a treatment for perimenopause; although this should be done with the oversight of your practitioner to ensure that you’re taking in the vitamins that suit your body and lifestyle for overall well-being.
When should I talk to a doctor about perimenopause?
If you believe that you’re starting to show signs of perimenopause beginning, it can be a good idea to talk to a practitioner as soon as is convenient for you.
The earlier you seek guidance from a healthcare professional, the sooner you can start finding methods that work for managing perimenopause symptoms for you.
Not everything will work for everyone, which is why Felix specializes in custom-tailored treatment plans that are designed for each individual. This way, we can help you take back control of your health sooner, so you can get back to living life on your terms – the way it should be.
Can I just get the treatment and skip the online visit?
No. A visit with a licensed healthcare practitioner is required for all treatments currently offered through Felix.
Do I need to complete my online visit at a scheduled time?
No. We use an asynchronous telemedicine model so you can complete your online visit in your own time and we save your progress so you can come back later to finish it.
If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.
Does the online visit require a phone or video appointment?
Most assessments do not require a phone or video conversation. Once a prescriber has reviewed the info in your assessment they will respond to you via secure instant messages that you can access within your Felix account.
If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.
How does the visit work?
After creating an account, you will complete a medical assessment for evaluation by one of the Felix healthcare practitioners.
During your assessment, you will have the opportunity to send your practitioner questions via secure messaging.
In most cases, practitioners will complete your assessment with secure messaging alone but sometimes they may determine you require an audio or video visit and/or further diagnostic testing to help determine the best treatment plan for you.
If your practitioner has determined a prescription treatment is appropriate, they will approve your visit and write you a prescription. Our pharmacy will then ship your prescription to your home.
You’ll be able to message your healthcare practitioner if you have questions or want to make changes to your treatment at any time.
How quickly will a healthcare practitioner review my online visit?
You can expect to receive a response from a healthcare practitioner within 48 hours of submission. Delays may occur at high volume periods or over statutory holidays – we thank you for your patience and look forward to supporting you.
I completed my online visit. Now what?
Great, you’ve already taken the first step! Next, a healthcare practitioner will review your assessment and if necessary, will send you a link to book an online audio or video appointment with them. This appointment will help them determine the best treatment plan for you. If your healthcare practitioner thinks you will benefit from an available medication, they will write you a prescription. Our pharmacy can ship your medication to your home if you would like your medication dispensed through the Felix Pharmacy network.
Do I have to be home to receive my package?
A signature upon delivery may be required.
How and when can I update my shipping address?
Your address can be updated from the Shipping tab of your account. Kindly note that any changes need to be made 48hr ahead of your refill date.
How long will it take to get my medication?
Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.
The pharmacy will process and fill your prescription within 2-3 business days of your prescription approval date if there is nothing blocking them from doing so.
All packages are shipped via Express Post, which usually takes 2-3 business days. You will receive an email with your tracking number once your treatment has been shipped.
How many days do I have to notify you of an undelivered or lost package, or damaged medication?
You have 14 days from the date your tracking link was sent to notify us of an undelivered or lost package, or damaged medication.
How much does it cost for shipping my medication?
There is currently no cost to have your medication sent to you from our Felix Pharmacy network.
I received an email with a tracking number but it doesn’t seem to be working!
| Your tracking number will be activated once the courier picks up your shipment from the pharmacy. Please allow until 6 p.m. on the following business day for the tracking information to update. |
Is your packaging discreet?
Absolutely. All Felix shipments arrive in a nondescript blister package so you can have your treatment shipped wherever makes sense for you as long as there is someone there to sign for it.
What do I do if my package was returned to Felix?
We’ll contact you via email if your package is returned to us! For most treatments, your meds will be destroyed 1 month after your fill date should you fail to respond to Felix Customer Support or contact the partner pharmacy. Temperature controlled medications may have a reduced reshipment eligibility window due to their limited shelf life, in accordance with product guidelines. All reshipments are at the discretion of a pharmacist’s professional judgment.
What happens if there isn’t anyone available for the delivery?
Depending on your province of residence and the treatment being dispensed, your Felix packages may require a signature on delivery. If this cannot be collected where necessary, your package will be available at the closest post office for pick up. Usually, packages are available for up to 14 days after the first attempted delivery. If you don’t pick up your package within the allotted time, it will be returned to the sender, which may cause a further delay in your delivery.
When is my medication shipped?
Status updates for your prescription will appear in the Upcoming tab. You’ll be able to see if your prescription is being processed by our pharmacists or if it’s en route for delivery.
Refill schedule (drug dependent)
- Monthly: refill is processed approx. every 20 to 23 days
- Every 2 months: refill is processed approx. every 50 to 53 days
- Every 3 months: refill is processed approx. every 76 to 84 days
Will I be able to receive my medication on time during the holidays?
Yes, the pharmacy will process your prescription to account for any expected delays due to the holiday season.
Am I covered by my insurance?
Treatment coverage varies greatly between different insurance plans.
The good news is that if you are covered, Felix can bill your insurer directly, and then process your treatment plan at no additional cost to you. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before processing your treatment plan.
Insurance coverage for treatment plans through Felix doesn’t include the cost of your visit.
I didn’t have insurance when I first got my prescription, but now I have it. What do I do?
Go to Billing where you can add or update your insurance information on file.
I forgot to upload my insurance information before my first fill was charged. What can I do now?
You will find the official receipt for your medication costs within your package from the pharmacy. This receipt can be used to submit a manual claim directly to your insurance/benefits provider. Future refills will be direct-billed directly to your insurance provider, once you have uploaded your insurance information from the Billing tab of your account.
I uploaded my insurance information during my online visit but still see a cost for the medication in my profile.
The coverage you are eligible for will not be deducted until the pharmacy processes your refill, so the price you see in your profile is the estimated maximum medication cost before benefits. Once the pharmacy ships your meds, the actual cost will be displayed for the respective refill.
Is the medication covered by my insurance or provincial health plans?
Medication coverage varies greatly between different plans, provinces, and has specific criteria that determine eligibility. For private insurance, we recommend contacting your benefits administrator with your details and the Drug Identification Number (DIN) and the drug name to determine your coverage.
For more details on provincial health plan coverage see below:
Alberta: Learn more about AHCIP here. Search for covered drugs here.
British Columbia: Learn more about MSP here. Search for covered drugs here.
Manitoba: Learn more about MHSIP here. Search for covered drugs here.
Newfoundland and Labrador: Learn more about MCP here. Search for covered drugs here.
Nova Scotia: Learn more about MSI here. Search for covered drugs here.
Ontario: Learn more about OHIP+ here. Search for covered drugs here.
Prince Edward Island: Learn more about Health PEI here. Search for covered drugs here.
Saskatchewan: Learn more about Saskatchewan Health Coverage here. Search for covered drugs here.
Is the online visit covered by my insurance or provincial health plans?
A Felix online visit is considered asynchronous since it is conveniently completed through a secure chat bases system. Currently, asynchronous visits are not covered by insurance or provincial health plans so you will be charged a visit fee, depending on the category of treatment you are requesting.
My insurance provider needs a physician to fill out a form before they will cover my medication costs. Can this be done through Felix?
Can I be accurately assessed remotely?
Absolutely. Our online assessments have been designed to ask all the necessary questions required for diagnosis. We’ve worked with specialists to create an assessment process that can provide sufficient information for the healthcare practitioner to determine whether or not you are eligible for a prescription and craft an appropriate treatment plan.
Does Felix replace my doctor?
No. Felix provides a faster, hassle-free way for you to get a treatment plan for certain conditions, but our service does not replace your primary care provider. For matters that extend beyond obtaining a lifestyle treatment safely and easily, we encourage you to consult your primary health practitioner in person — whether for checkups, personal health concerns, or to inform them about your current treatments or treatment plans.
It’s an emergency. What do I do?
Call 911 or proceed to your nearest emergency room immediately. Felix is not intended for medical emergencies. Once the emergency has been addressed or resolved, contact your prescribing practitioner to inform them of your experience as this may impact your current treatment plan.
What is Felix?
Felix is Canada’s first truly integrated healthcare platform. We provide on-demand treatment for everyday health needs like weight loss, mental health, sexual health, and more. Founded in 2019, our digital-first approach to healthcare includes everything from diagnosis to prescription — all accessible from the comfort of home.
Who can use Felix?
Anyone who is 18 years or older (16 or older for acne and birth control prescriptions), and is located in Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Prince Edward Island, Saskatchewan or Ontario. We cannot ship treatments outside of these provinces at this time.
Can I see the same Felix practitioner after my initial assessment?
You will have the ability to chat with your designated Felix practitioner for the entirety of your prescription length. When your prescription is nearing completion, we will email you to submit a checkup visit so one of our prescribers can renew your prescription.
Our matching system is based on availability, so we can’t guarantee you’ll be paired with the same healthcare practitioner at your renewal visit.
How do I communicate with my Felix practitioner?
Your Felix practitioner will message you via secure instant message. You’ll receive an email when you have a new message and can respond to these from within your Felix account.
What does your medical team do?
Our medical team and board members help oversee each of our treatments to ensure our medical assessments are thorough, safe, personalized, and provide best-in-class care. Our pharmacists provide treatment support through medication counselling and education.
Who are the practitioners that will be reviewing my online visit?
They are all licensed, real Canadian healthcare practitioners! All online visits submitted via Felix are reviewed by them and they must be licensed in your province to prescribe you the medication. It is these healthcare practitioners, and not Felix, who determine whether or not to write you a prescription, as well as the appropriate dosage (where applicable).
Can I pick up my medication from my own pharmacy?
| Absolutely. If you would prefer to pick up your medication from a community pharmacy of your choice instead of using free shipping through the Felix pharmacy network, select “Pickup at external pharmacy” on the checkout page of your online visit.
Please note that we cannot guarantee pricing at pharmacies outside the Felix network. |
How do I change my medication after it has been prescribed?
Changing medication does legally require a new prescription as the healthcare practitioner will need to both cancel the existing prescription as well as review a health assessment of yours in the context of this different drug.
Go to Treatments, click “View details” on your prescription, and use the “Change my treatment plan” feature to submit a free follow-up visit and request a medication change with your healthcare practitioner.
How long does a prescription last?
Prescriptions written by Felix healthcare practitioners will last up to 12 months from the date of issue. Generally, your Felix prescription will contain refills for the prescribed medication. However, the amount of medication and the number of refills prescribed will ultimately be decided by the practitioner who reviews your online visit.
I already have a prescription, can I transfer it to Felix?
Felix Pharmacy currently accepts prescription transfers from existing Felix patients for medications within our formulary. If that applies to you, we’d be glad to help get your transfer started.
I don’t want to wait to receive the backordered drug I selected, what should I do?
| If your visit is still pending, message your prescribing healthcare practitioner directly. They may be able to recommend a similar medication that is not backordered. If your prescription has already been approved, a new prescription will be required to change medications. |
What is the pharmacy fill fee?
Every pharmacy charges a dispensing fee for filling prescriptions. Think of it as a service fee for knowledge and service provided by the pharmacist. If you get your medication through Felix, our pharmacy is still required to charge a fill fee and that fee is included in the price of medication that we display. A $12.00 fill fee is charged for each drug, every time you get a refill.
What other medications will become available via Felix?
We are planning to offer prescriptions for a variety of other everyday ailments. If you want to know when they become available, sign up for our mailing list by creating an account.