Welcome.

Let’s figure this out together.

Naturopathic support for perimenopause and menopause.

Naturopathic doctor · The Junction, Toronto

naturopathic support for perimenopause & menopause

Personalized, evidence-informed care for women who are tired of being told it's "just your age." In person in the Junction, and virtually across Ontario.

Menopause Society Certified Practitioner (MSCP) · Naturopathic doctor since 2010 · Virtual care across Ontario

Sarah Bowler, ND, naturopathic doctor, smiling in front of a brick wall in the Junction, Toronto.

You don't have to navigate this alone

Whether you're just starting to notice these shifts or you're years past menopause, this stage of life can be confusing and easy to have dismissed. You deserve care that makes sense of it all. You might be noticing:

  • Hot flashes and night sweats that disrupt your sleep or leave you feeling drained

  • Mood changes — feeling more irritable, anxious, or emotionally sensitive than usual

  • Brain fog or forgetfulness that makes it hard to focus or find the right words

  • Changes in your cycle — heavier, lighter, more frequent, or suddenly unpredictable

  • Trouble sleeping, even if you've never had sleep issues before

  • Low energy or fatigue that doesn't improve with rest

  • Changes in libido or discomfort during intimacy

  • Weight gain, especially around the belly, despite no major changes in habits

  • Hair thinning or skin changes you weren't expecting

  • Joint pain, body aches, or a general sense of stiffness

  • Increased sensitivity to stress or feeling overwhelmed more easily

Hi, I'm Sarah, and this stage of life is personal to me.

I'm 43, and the way perimenopause first showed up for me was sleep — waking consistently at 3am, mind already running through the day's to-do list, no matter how tired I was. [Read my full story →]

I created Menopause in the Junction because I saw a need: women deserve care that's local, personalized, and rooted in both science and respect for their lived experience.

I work with women in perimenopause and menopause who want someone to take the time to look at everything together: hormones, sleep, mood, metabolism, and heart and bone health. When it's the right fit, that includes prescribing hormone therapy.

You deserve care that's local, personal, and rooted in both science and your own experience.

What I help with

Areas of focus

Hot flashes, brain fog, low libido, poor sleep, or simply not feeling like yourself: you don't have to push through it.

perimenopause & menopause

Cycle changes, hot flashes, mood shifts, brain fog and low libido, looked at in the context of your whole health.

hormone therapy

Natural-first, not natural-only. Bioidentical hormone therapy when it fits your body, history and goals, alongside nutrition and lifestyle.

sleep

3am wake-ups are rarely one thing. We look at hormones, stress, thyroid and daily habits, and use CBT-I, a structured, evidence-based approach to insomnia.

Heart, metabolism & bone

Midlife is a good time to look ahead, so cardiovascular, metabolic and bone health are part of every plan.

My approach

How I work

Evidence-informed

Labs, data and current Menopause Society guidelines guide every recommendation.


Visits run 60 to 90 minutes and cover hormones, metabolic and heart health, bone health, mood and sleep together, not one symptom in isolation.

Collaborative

You're involved in every decision. Prefer not to test? We'll build a plan around your symptoms and history.


Natural-first, not natural-only

Nutrition, lifestyle and bioidentical hormones, in whatever combination fits.


Sustainable

No extreme protocols, just realistic plans that hold up in a busy life.

Background

2010

In practice since

Training and experience

MSCP

Menopause Society certified

60 - 90

Minute visits

ON

virtual care province-wide

What to expect

three simple steps to feeling like yourself again

Your plan and follow-ups:

A realistic, personalized plan, with follow-ups to check in and adjust as things change.

First visit

Free discovery call

A short 15-minute call to talk through what's going on and see whether we're a good fit.

90 minutes on your symptoms, history, sleep, mood and long-term health. We decide together whether testing makes sense.

Why menopause-specific certification matters:

The Menopause Society (NAMS) is the leading professional authority on menopause medicine in North America, and its Menopause Society Certified Practitioner (MSCP) credential represents specialized, rigorous training beyond what most practitioners — naturopathic or conventional — receive in general practice. It means staying current on the latest evidence-based guidelines for hormone therapy, symptom management, and the health risks that come with this transition, from bone density to cardiovascular health.

Relatively few practitioners in any field hold this certification. I'm a NAMS Menopause Society Certified Practitioner (MSCP), bringing this specialized layer of training to the naturopathic care I provide.

I work with women who are:

  • In early perimenopause, sensing something is changing but unsure what

  • In late perimenopause or menopause, dealing with symptoms like hot flashes, night sweats, mood changes, sleep issues, or vaginal dryness

  • Years after menopause, still struggling with lingering symptoms, changes in weight or bone health, or wanting support for healthy aging

  • Curious or cautious about BHRT — whether you're using it, considering it, or unsure if it's right for you

  • Not using hormones, but looking for natural ways to feel better and stay healthy long-term

If you're feeling lost in the "is this normal?" stage, or just want a thoughtful, personalized approach to your hormones and health, you're in the right place.

"Your hormones have been working hard for you your whole life.

When they shift, it's not failure — it's a transition. And transitions can be supported."