Hormone Health & Menopause

Personalized assessment and treatment for symptoms and health concerns associated with perimenopause and menopause.

Common concerns include:

Hot Flashes & Night Sweats

Hot flashes and night sweats are common symptoms of the menopause transition and can significantly affect sleep and quality of life. Treatment is tailored to your symptoms, health history, and preferences and may include lifestyle strategies, non-hormonal therapies, or menopausal hormone therapy when appropriate.

Changes in concentration, memory, and energy are commonly reported during perimenopause and menopause. Your assessment considers hormonal, medical, sleep, lifestyle, and other potential contributors, with a management plan developed around your individual findings and concerns.

Mood changes, irritability, and anxiety may occur or worsen during the menopause transition. Care focuses on understanding your symptoms in the context of your overall health and exploring appropriate education, treatment, and supportive strategies.

Difficulty falling asleep, frequent waking, and disrupted sleep can occur during perimenopause and menopause. Potential contributors are explored alongside evidence-informed strategies and treatment options to support better sleep and overall well-being.

Changes in weight and body composition are common during midlife and can be influenced by hormonal, metabolic, lifestyle, and other health factors. An individualized approach may incorporate nutrition, physical activity, lifestyle strategies, and medication management when clinically appropriate.

Changes in sexual desire and sexual well-being are common and can have multiple contributing factors. These concerns are approached with privacy and compassion, with treatment options guided by your symptoms, health history, preferences, and goals.

Changes in estrogen during menopause can contribute to vaginal dryness, irritation, discomfort with intimacy, and urinary symptoms. Hormonal and non-hormonal treatment options can be explored based on your symptoms, preferences, and individual health considerations.

Changes in menstrual timing, duration, and flow are common during perimenopause. Bleeding patterns and individual risk factors are reviewed to determine whether further investigation or management may be appropriate.

Menopausal hormone therapy can be an effective treatment option for certain menopause-related symptoms and may provide additional health benefits for appropriately selected patients. Through shared decision-making, we can explore the potential benefits and risks of MHT/HRT, along with medication, dose, and route options that reflect your health history, symptoms, preferences, and goals.

Fertility & Family Planning

Comprehensive, evidence-informed assessment and guidance for individuals seeking reproductive support or planning for pregnancy.

  • Fertility & Reproductive Health Assessment: Reviews medical and reproductive history, menstrual patterns, symptoms, and other factors that may be relevant to fertility and reproductive health. 
  • Preconception Planning: Identifies modifiable health and lifestyle factors and provides individualized guidance to support health before pregnancy. 
  • Cycle & Ovulation Support: Provides education about ovulation and fertile-window tracking, with assessment and management of menstrual-cycle or ovulation concerns when clinically appropriate. 
  • Nutrition & Supplement Guidance: Offers evidence-informed nutrition and supplement guidance based on individual reproductive and preconception health needs. 
  • Laboratory Testing: Targeted laboratory investigations may be ordered when clinically indicated to assess relevant hormonal, metabolic, or other health concerns.
Postpartum Wellness

Comprehensive, compassionate care during the first year after childbirth, providing a dedicated space to discuss your recovery, ask questions, address new concerns, and receive individualized education and support throughout the postpartum period.

  • Physical & Hormonal Recovery: Assessment of postpartum symptoms, physical recovery, and hormonal concerns, with individualized education and treatment.
  • Feeding Support: Compassionate clinical assessment, education, and support for lactation concerns, infant feeding challenges, and feeding transitions. 
  • Mood & Emotional Wellness: Screening and assessment for postpartum depression and anxiety, with personalized support for the emotional adjustment to parenthood and treatment when clinically appropriate. 
  • Sleep, Fatigue & Nutrition: Assessment of postpartum fatigue, sleep, and nutritional concerns, including screening for potential nutritional deficiencies when indicated. Receive realistic, evidence-informed strategies to support nutrition, sleep, energy, and postpartum recovery. 
  • Postpartum Education & Support: A dedicated opportunity to discuss the questions and concerns that arise after childbirth, including recovery, feeding, sleep, sexual health, return to activity, medications, emotional well-being, and adjusting to life after pregnancy.
Medical Weight Management

Personalized medical weight management combining clinical assessment, practical lifestyle coaching, and ongoing support to help you work toward sustainable, individualized health and weight goals.

  • Comprehensive Health Assessment: Review of your health history, medications, weight history, and medical, metabolic, hormonal, and lifestyle factors that may contribute to weight concerns. 
  • Nutrition & Lifestyle Coaching: Practical, sustainable guidance around nutrition, physical activity, sleep, and daily habits, tailored to your lifestyle, preferences, challenges, and goals. 
  • Goal Setting & Weight-Loss Support: Collaborative goal setting, education, and ongoing coaching to help you navigate challenges, build sustainable habits, and stay engaged with your weight-management plan. 
  • Prescription Medications: Weight-management medications may be considered when clinically appropriate, with individualized education and treatment planning based on your health needs and goals. 
  • Ongoing Monitoring & Support: Regular follow-up to review progress, troubleshoot challenges, adjust your treatment plan, and monitor medication effectiveness, safety, and tolerability.
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Book With

Teshla Johnston, MN-NP, NP (Family)

Teshla is a Family Nurse Practitioner with over 13 years of nursing experience, primarily in emergency and primary care. She completed her Master of Nursing – Nurse Practitioner program at the University of British Columbia. Her approach to care is compassionate, evidence-informed, and individualized, with a strong focus on education, prevention, and helping patients better understand their health and their options.

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Book With

DR. PAARAS KAUR

Dr. Paaras Kaur is a Naturopathic Physician with over 17 years of experience in integrative and preventative medicine. She is passionate about helping patients feel their best through personalized care that considers the whole person - from nutrition and lifestyle to hormonal health, regenerative medicine, and aesthetic wellness. Known for her warm and thoughtful approach, Dr. Kaur takes the time to truly listen, understand what matters most to you, and create a plan that feels both supportive and achievable. Her goal is to help you feel heard, empowered, and confident in your health journey.