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

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.
Menopause isn't only “no period for 12 months.” How you get there changes what it feels like and how we treat it.
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.
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
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.





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.
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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
/mo. $414 for 6 months.
12-month plan
$49.99
/mo. $149.97 every 3 months.
Pay As You Go
$25
/month. Cancel anytime.
Not sure yet?
Compare plansYour 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.

Blair's perimenopause care was built by Dr. Lindsay Shirreff, MD, FRCSC, one of Canada's few fellowship-trained menopause subspecialists, with an active research program 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.
Every Blair provider, NP or MD, is licensed, specialist-trained, and held to the same clinical standard.
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.

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