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Complex Menopause Clinic

The Complex Menopause Clinic (CMC) provides virtual and in-person care to patients across B.C. Our team of health-care providers are Menopause Society Certified Practitioners (MSCP).
Service eligibility


We care for the following patients:

  • women and gender-diverse people who are experiencing severe symptoms related to menopause, including those who have already been assessed and treated for these symptoms by a health-care provider without success
  • those with medical conditions that might prevent them from using certain medications for symptoms related to menopause, such as hormone therapy.
  • This includes people living with HIV, people with spinal cord injury, and people with premature menopause (spontaneous or iatrogenic) or primary ovarian insufficiency.

We do not provide basic menopause care which is available in the community, such as through a family doctor, nurse practitioner, urgent and primary care centre or a gynecologist in the community.

Service eligibility

To be eligible to receive care at this clinic, you must meet each of the criteria listed in Section A and one or more of the criteria listed in Section B. However, this does not guarantee that your referral, sent by a health-care provider, will be accepted.

Each referral is carefully reviewed by a BC Women's Hospital health-care provider and is assessed on an individual basis.

We do not accept self-referrals from patients. Please speak to your care provider to be referred to this clinic for care.


  • bothersome symptoms of menopause
  • currently living in B.C.
  • assigned female at birth
  • menopause symptoms that have not responded to usual management
  • contraindications or medical co-morbidities limiting medication options, such as hormone therapy (i.e. previous blood clot)
  • premature menopause (Age <40), spontaneous or iatrogenic 
  • carrier of Hereditary Cancer Syndrome with increased risk of breast or gynecologic cancer
  • spinal cord injury
  • living with HIV
  • recipients of a bone marrow transplant


Referral details
All referrals must be made by a health-care provider, such as a doctor or nurse practitioner, who is able to continue their patient's care plan once they are discharged from our clinic.

For further information on making a referral, visit our referral webpage.
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