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.
“If I had to sum up my experience, I would use the word transformational.”
Yves, a Felix patient
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
“It just makes me feel a little less alone.”
Survey respondent (Menopause Society)
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.
Find your treatment
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.
Find your treatment
How Felix works
Tell us about your health
Answer a few quick questions and we’ll be in touch — usually within minutes.
Confirm your diagnosis
Your healthcare practitioner will build a personalized plan just for you.
Get your treatment plan
We’ll deliver your treatment directly to your home for free in discreet packaging.
Ongoing care and support
Connect with your healthcare practitioner any time you need them.
What is perimenopause?
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?
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
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
Trusted by over 1,000,000 Canadians
Exceptional care delivered by experts
Access our network of leading healthcare practitioners across Canada.
.webp)
Dr. Kelly Anderson, MD
Medical Director, Felix
Pricing
Frequently asked questions about perimenopause
Perimenopause
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.
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 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.
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.
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 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.
Online Visits
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.
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 quickly will a healthcare practitioner review my online visit?
You can expect to receive a response from a healthcare practitioner within 24 hours of submission. If you’ve been waiting longer than this, please reach out to our Patient Support team through the chat bubble in the bottom right corner of your account or our Contact Us page.
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 provided through Felix’s service.
Shipping
How long will it take to get my treatment?
Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.
Treatment plans will be processed within 2-3 business days of your approval date if there is nothing blocking fulfillment.
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.
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.
Do I have to be home to receive my package?
A signature upon delivery may be required.
How much does it cost to ship my treatment?
There is currently no cost to have your treatment shipped to you from our Felix Pharmacy network.
Insurance
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.
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.
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 birth control covered by OHIP in Ontario?
OHIP+ covers some birth control for eligible residents of Ontario who are under 25 years old and do not have private insurance. You can check if your birth control medication is covered here. Make sure to upload your Ontario health card during your online visit so our pharmacy partners can apply your coverage directly.
Felix 101
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.
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.
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.
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.
Who can use Felix?
Anyone who is 18 years or older 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.
Our Healthcare Practitioners
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.
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.
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).
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.