Navigating Menopause in Whistler: Dr. Claire Wilson on Symptoms, Treatment & Support

Hot flashes. Mood swings. Night sweats. Weight gain. Brain fog. Trouble maintaining muscle mass. Vaginal dryness.

Sound familiar?

Welcome to the world of menopause — one of life’s most significant transitions for women. Whether you are in perimenopause, post-menopause, or know someone struggling with these changes, this guide is for you.

At Creekside Health in Whistler, Dr. Claire Wilson works with women every day to help them manage symptoms, understand treatment options, and feel empowered in their health. Left untreated, menopausal symptoms can be debilitating, isolating, and drastically impactful on quality of life — but there are safe, effective ways to regain balance.

What Is Menopause?

Menopause is officially defined as the absence of menstrual periods for 12 consecutive months. It marks the end of ovarian function and the natural decline in estrogen and progesterone production. Most women reach menopause between ages 45 and 55, but the timing can vary.

Common menopause symptoms include:

• Hot flashes and night sweats

• Vaginal dryness

• Sleep disturbances

• Mood changes

• Slowed metabolism and body composition changes

What Is Perimenopause?

Perimenopause (the menopause transition) refers to the years leading up to menopause, when hormone levels fluctuate dramatically. This stage can last 4–8 years and often begins in the early to mid-40s.

During perimenopause, women may notice:

• Irregular periods (shorter, longer, heavier, or skipped cycles)

• Mood swings and irritability

• Increasing frequency of hot flashes

• Difficulty concentrating or “brain fog”

• Trouble sleeping

Unlike menopause (which is defined by an end point), perimenopause is a transition phase — and many symptoms can feel worse due to constant hormonal ups and downs.

HRT vs. MHT: What’s the Difference?

You’ve probably heard terms like “HRT” (Hormone Replacement Therapy) or “MHT” (Menopausal Hormone Therapy) tossed around on social media, in articles, or in conversations with friends. Some sources claim estrogen is the “fountain of youth,” while others warn that it increases cancer risk. No wonder it feels confusing!

Here’s some clarity:

• Myth #1: Menopause treatment replaces estrogen back to pre-menopausal levels.
  Truth: With MHT, smaller, carefully chosen doses are used to manage symptoms during the menopause transition — not to turn back the hormonal clock.

• Myth #2: HRT only refers to treating menopause symptoms with estrogen and progesterone.
  Truth: “Hormone Replacement Therapy” can also mean thyroid hormone medications or contraceptives. To avoid confusion, “MHT” is now the preferred term when referring to menopause treatment.

Who Might Benefit from MHT?

MHT can be a life-changing option for women experiencing severe symptoms or significantly reduced quality of life due to menopause. It’s also considered for women who go through early menopause (naturally or surgically) and those at higher risk of osteoporosis.

Guidelines for MHT:

• Best initiated within 10 years of the last menstrual period

• Not suitable for women with certain contraindications (which your provider will review)

Benefits of MHT include:

• Fewer hot flashes and night sweats

• Better sleep quality and duration

• Improved mood stability

• Reduced brain fog

• Support for healthy body composition and metabolism

• Relief from vaginal dryness and recurrent UTIs

• Protection of bone density and reduced fracture risk

What About the Risks?

Every medical treatment comes with risks — whether it’s blood pressure medication, vitamin supplements, or MHT. That’s why it’s important to work closely with your healthcare provider.

One of the most common concerns is breast cancer risk. According to the British Menopause Society, in healthy, low-risk women, the risk of developing breast cancer from MHT (estrogen + progestogen) is lower than the risk from drinking two or more alcoholic drinks per day.

Since the first estrogen product (Premarin) was introduced in 1942, decades of research have helped us better understand MHT safety. What matters most is what type of hormone is used, how it’s delivered, and when treatment begins.

This is why Dr. Wilson emphasizes personalized care — together, you and your provider can weigh the risks and benefits and make the right decision for you.

Is MHT the Only Option?

Not at all. While MHT can be an excellent tool, it’s not the only one. Foundational health habits play a huge role in easing symptoms and preventing long-term disease.

• Nutrition: Balanced, whole foods support energy and hormone health.

• Exercise: Strength training and movement are essential for bone, muscle, and mood.

• Sleep & stress management: Rest is critical for hormone balance and resilience.

• Non-hormonal treatments: Both pharmaceutical and natural options can help with symptoms like mood swings, pain, and hot flashes.

For example, if shoulder pain is disrupting your sleep (and triggering poor food choices and irritability), treating that pain might be the best first step.

At Creekside Health, we treat the whole person — not just menopause.

As a Menopause Society Certified Practitioner (MSCP), Dr. Claire Wilson recommends The Menopause Society’s Guidebook as a trusted starting point for patient education.

If you’d like to better understand your options, or if menopause symptoms are affecting your life, book an appointment at Creekside Health in Whistler. Together, we can help you navigate this transition with clarity and confidence.

Disclaimer: This article is for educational purposes only and is not medical advice. For questions about your individual care, please schedule a consultation.

Dr. Claire Wilson, ND, RYT-500