Things are changing. Now you can understand why.

Perimenopause can begin in your late 30s or 40s, often years before menopause. Hormone levels rise and fall unpredictably, which is why one month can feel nothing like the last. It's not “just aging.” It's hormones, and there's a lot you can do about it.

If this sounds familiar, you're in the right place.

Symptoms vary from woman to woman, and month to month. These are the most common.

Period changes

Earlier, later, heavier, lighter, sometimes all in the same month. Cycle changes are usually the first sign.

Hot flashes and night sweats

A sudden wave of heat, day or night. One of the most common and most treatable symptoms.

Poor sleep

Trouble falling asleep, staying asleep, or waking unrefreshed. Hormonal shifts directly affect sleep.

Mood changes

More anxious, irritable, or reactive than usual? Hormones influence mood. It's not in your head.

Brain fog

Losing words, losing your train of thought. It's hormonal, it's real, and it's treatable.

Weight changes

Your body processes energy differently now, even when nothing else has changed. It's hormonal, not a personal failure.

Also common:

breast tenderness, worsening PMS, changes in libido, vaginal dryness. We treat those too.

A plan built for you, not a one-size prescription.

Complete your assessment, meet your provider, and get a personalized plan guided by clinical practice guidelines.

1.

Take the assessment

2.

Meet your specialist

3.

Start your plan

Perimenopause changes month to month. Your care keeps up.

Once your plan starts, tracking is how we know it's working. Log your cycle and symptoms in the Blair app and your care team sees the trends, so your plan adjusts as your hormones do.

Period tracker screen

What symptoms do you experience?

Please check all that apply.

Wondering if this is perimenopause?

Take the free assessment and we will tell you right away if you are in peri. No bloodwork needed.

Prefer to talk it through first? Book a free call with one of our nurse practitioners to see if Blair is right for you.

Book a free Nurse Practitioner call

From women who stopped waiting for answers.

Rated 5.0 on Google reviews.

★★★★★

“Prescribed me MHT that same day and it's been life-changing — I'm sleeping better than I have since I was a teenager.”

Skye W.

★★★★★

“I was on an 18-month waitlist to see a specialist. So grateful for the support as I began my HRT journey.”

Richelle L.

★★★★★

“I have never felt better. I feel so much more like me again. They actually cared about how I was feeling.”

Amy W.

Simple, transparent pricing

Transparent pricing, with complete care across every area you are interested in: perimenopause, menopause, urology and pelvic health, and clinical nutrition. The only thing that changes between plans is how long you commit.

6-month plan

$69.99

/mo. Billed $414 for 6 months.

Get started
  • 2 provider appointments included, for menopause, urology, or nutrition careExtra appointments any time at $100 each.
  • Full treatment planPersonalized diagnosis, prescriptions when appropriate, and care adjusted as your symptoms change.
  • Full app accessUnlimited tracking, educational resources, and messaging with your provider.
recommended

12-month plan

$49.99

/mo. Billed $149.97 every 3 months.

Get started
  • 4 provider appointments included, for menopause, urology, or nutrition careExtra appointments any time at $100 each.
  • Full treatment planPersonalized diagnosis, prescriptions when appropriate, and care adjusted as your symptoms change.
  • Full app accessUnlimited tracking, educational resources, and messaging with your provider.

Pay As You Go

$25

/month platform access. Cancel anytime.

Get started
  • Unlocks the full appAppointment booking, symptom tracking, educational resources, and unlimited messaging with your care team.
  • Pay per appointmentVideo visits with an NP or MD, in any vertical.$200 for your first appointment, $100 for each follow-up.
  • Full treatment planPersonalized diagnosis and prescriptions when appropriate, included with your first appointment.

Not sure yet?

Compare plans

Care designed by one of Canada's leading menopause specialists.

Dr. Lindsay Shirreff, MD, FRCSC

Blair's perimenopause care vertical was built by Dr. Lindsay Shirreff, MD, FRCSC, one of Canada's few fellowship-trained menopause subspecialists, with appointments at Mount Sinai Hospital and the University of Toronto and over 40 peer-reviewed publications.

Every Blair care plan follows the clinical protocols she designed.

Your care is delivered by licensed nurse practitioners and physicians. Whoever you see, the care is the same: every plan is expert-built on the same specialist-designed protocols, with specialist oversight at every step.

Your questions, answered.

Yes. Hormones can begin fluctuating before your cycle changes noticeably, so symptoms like poor sleep, mood shifts, or brain fog sometimes show up first. If something feels different, it's worth exploring. You don't need irregular periods to seek support.

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Stay in the loop

Understand your stage. Get a plan. Stay ahead of the change.

Specialist-designed care, personal tracking, and follow-up that keeps up with you, all in one place.