4. How to Access and Get Effective Menopause Care in Canada, and What Your Treatment Options Are

4. How to Access and Get Effective Menopause Care in Canada, and What Your Treatment Options Are

More than one in five Canadians do not have a doctor or health care provider they can see regularly (OurCare.ca, 2023) and for those who do, physicians often do not have sufficient training in menopause care, leaving millions of women suffering needlessly for years.

In this episode, family physician and menopause specialist Dr. Sarah Naomi Shaw discusses the many barriers to accessing effective menopause care in Canada, from lack of doctor training in medical school, to long waitlists for specialists, to persistent misconceptions about the risks of treatments like menopause hormone therapy and more. Dr. Shaw tells us where and how to find a certified menopause specialist in your area and how patients can best prepare for doctor visits to receive the best care possible.

Finally, Dr. Shaw discusses all of the treatment options available to women from lifestyle changes, to non-hormonal therapies, to menopause hormone therapy.

The main non-hormonal medications categories for hot flashes are:

  • SSRI/SNRI (selective serotonin reuptake inhibitors/selective norephinephrine reuptake inhibitors) medication. These drugs are most often used to treat depression and anxiety but also can help manage hot flashes. For example, paroxetine, venlaxfaxine, escitalopram
  • Gabapentinoids
  • Oxybutinin

Fezolinetant is approved in the USA and hopefully will be available in Canada in 2024.

Find Dr. Shaw and her colleagues on Instagram at @ItsOurTimeCanada.

Find Melissa Grelo on Instagram @MelissaGrelo and @AgingPowerfullyWithMG, or on her website AgingPowerfullyWithMelissaGrelo.com. Find clips of the show on YouTube @MelissaGrelo.

Producer: Melissa Grelo

Technical Producer and Editor: Drew Garner

Avsnitt(85)

79. World Sleep Day Special (Part 2) - “Tired but Wired: Why Women Cannot Sleep”, With Dr. Colleen Carney

79. World Sleep Day Special (Part 2) - “Tired but Wired: Why Women Cannot Sleep”, With Dr. Colleen Carney

This special double episode drops in recognition of World Sleep Day — March 13th.Are you exhausted but wide awake at night? Melissa sits down with sleep expert Dr. Colleen Carney to unpack why sleep g...

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79. World Sleep Day Special (Part 1) - “Tired but Wired: Why Women Cannot Sleep”, With Dr. Colleen Carney

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This special double episode drops in recognition of World Sleep Day — March 13th.Are you exhausted but wide awake at night? Melissa sits down with sleep expert Dr. Colleen Carney to unpack why sleep g...

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77. Heart Smart: The Midlife Woman's Heart Health Wake-up Call With Dr. Tara Sedlak

77. Heart Smart: The Midlife Woman's Heart Health Wake-up Call With Dr. Tara Sedlak

Heart disease doesn’t always look the way we think it does — especially in women. In this episode of Aging Powerfully with Melissa Grelo, I’m joined by cardiologist and women’s heart health expert Dr....

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76. "PREGNANCY & PERIMENOPAUSE… AT THE SAME TIME?" With Fertility Specialist Dr. Kaajal Abrol

76. "PREGNANCY & PERIMENOPAUSE… AT THE SAME TIME?" With Fertility Specialist Dr. Kaajal Abrol

Women are having babies later than ever — which means many are trying to conceive while also entering perimenopause. In this eye-opening episode of Aging Powerfully with Melissa Grelo, Melissa sits do...

19 Feb 1h 2min

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Women’s desire is often misunderstood — and oversimplified. In this candid, science-backed conversation, melissa sits down with psychologist and leading sexuality researcher Dr. Lori Brotto to unpack ...

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Cancer is one of the most frightening diagnoses any of us can face — and yet, it’s also an area of medicine where progress is happening at an extraordinary pace.In honour of World Cancer Day, this epi...

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74. From Lab to Life (Part 1): What You Need To Know About Cancer Diagnoses, Research and Care in Canada With Dr. Lillian Siu & Dr. Miyo Yamashita

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Cancer is one of the most frightening diagnoses any of us can face — and yet, it’s also an area of medicine where progress is happening at an extraordinary pace. In honour of World Cancer Day, this ep...

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