SERVICES & TREATMENTS
MENOPAUSE AND HORMONE CARE, VIRTUAL ACROSS ONTARIO
Perimenopause and menopause care from a Nurse Practitioner who takes your symptoms seriously, virtually, anywhere in Ontario.
Are You Struggling With Any of These?
Hot flashes
Irregular periods or cycle changes
Night sweats
Mood swings
Fatigue
Insomnia
Weight gain or difficulty managing weight
Anxiety or depression
Decreased libido
Vaginal dryness
Memory fog
Most women spend years being told their labs are normal. We start with what you are actually experiencing.
FIND OUT WHERE YOU STAND
TAKE THE HORMONE SYMPTOM QUIZ
Not sure if what you're experiencing is perimenopause or a hormonal condition like PCOS (now known as PMOS)?
You're not alone. Most women spend years wondering before getting answers.
This 3-minute quiz is based on the Menopause Rating Scale (MRS), a validated clinical tool used by menopause specialists worldwide. Answer 11 questions about how you've been feeling and receive a personalized symptom score, a full breakdown of your results, and a clear next step.
You will get your score by email, along with a breakdown of what it means.
WE’RE HERE TO HELP
At Bonita, we offer women personalized, medically-guided hormone optimization, including bioidentical hormone replacement therapy (BHRT), designed to meet your unique needs.
Hormonal symptoms are often dismissed as a normal part of aging. Whether you are navigating perimenopause, menopause, or a condition like PCOS (now officially renamed PMOS), you deserve answers and a plan.
Jessica, our board-certified Nurse Practitioner specializing in women’s health, is dedicated to supporting you through hormone optimization. As a member of The Canadian Menopause Society and The Menopause Society, Jessica offers expert guidance to help you manage symptoms and improve your overall well-being.
Best of all, these services are available virtually, allowing women across Ontario to receive the care they need from the comfort of home.
HOW THE PROGRAM WORKS
It starts with a VIRTUAL initial consultation with Jessica Caceres, Nurse Practitioner, a member of The Canadian Menopause Society and The Menopause Society.
Using Jane App, a secure medical platform, you can connect from anywhere in Ontario. No referral, and no waiting on bloodwork.
| Appointment | Price | Included |
|---|---|---|
| Initial virtual consultation | $225 | 45 minutes with Jessica Caceres, NP. Assessment, lab requisition, and a prescription the same day where appropriate. |
| Follow-up virtual visit | $175 | 30 minutes. Lab review and dose adjustment. First one is two to six weeks after starting. |
We order your bloodwork at the visit, OHIP covers most of the panel, and you fill your prescription at your own pharmacy, so what you pay us is the appointment itself. It is all virtual through Jane App, and wherever you are in Ontario works.
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A 45 minute virtual consultation with Jess. We go through your symptoms, your health history and what you have already tried. Every woman leaves with a plan, and often that plan includes hormone therapy. Where it is appropriate, your prescription goes to your pharmacy that day, and if hormone therapy is not the right call for you we will tell you that too. Your first prescription covers up to six weeks and we see you before then, because we start low and build from there, so adjustments are normal and expected. Bloodwork is ordered for every patient and what we order depends on your health history. You leave with your requisition and we book your follow-up before you go. Most of the panel is covered by OHIP. Medications and supplements are not included in the fee. It works the same way as an antibiotic from your family doctor, you fill it at the pharmacy, and many benefit plans cover it. The consultation is $225.
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Your first follow-up is two to six weeks after your initial consultation, once your bloodwork is back and you have had time on your starting dose. We review your labs, talk through what has shifted, and adjust. After that, follow-ups are scheduled around you. Some women come every three months while we find the right dose, others once a year. Menopause does not move on a set timeline. Prescriptions and renewals go to your pharmacy at the time of your visit, all virtual, anywhere in Ontario. Follow-ups are $175 for a 30 minute session.
Who provides menopause care at Bonita?
Jessica Caceres is a Nurse Practitioner with full prescribing authority in Ontario, a member of The Canadian Menopause Society and The Menopause Society, and the host of the Hot Flash Diaries podcast, where she works through the questions women bring to the clinic every week.
Bonita opened in 2017 as Waterloo Region's first Nurse Practitioner led clinic, and we now hold over 190 five star Google reviews. Hormone care sits alongside skin, intimate health, pelvic floor and Metabolic Balance under one roof, with the same clinician across all of it, so when your skin changes or your sleep goes or things shift intimately, you are not starting over with someone new who has none of your history.
Consultations run virtually through Jane App so you can be anywhere in Ontario, and if you would rather come in, there is a real clinic here with a door you can walk through.
Can a Nurse Practitioner prescribe HRT in Ontario?
Yes. Nurse Practitioners in Ontario are regulated by the College of Nurses of Ontario and hold an extended scope that includes diagnosing, ordering bloodwork and prescribing, and that covers estrogen, progesterone and testosterone.
You do not need a referral, and you do not need your family doctor's permission to come and talk to us. Family doctors, gynaecologists and Nurse Practitioners can all prescribe hormone therapy in this province. What matters more than the letters after someone's name is whether they have trained in menopause and whether they see it every week.
At Bonita, Jess is the Nurse Practitioner who assesses you, orders the bloodwork, writes the prescription and manages your doses over time. It is the same person at every visit.
Do I need a referral for menopause care in Ontario?
No. You can book directly with us, and you do not need to be referred by a family doctor or wait for a specialist appointment.
A lot of women wait because they assume there is a queue to join or a gatekeeper to get past. There is not. If your symptoms are affecting your quality of life, that is reason enough to be assessed, and waiting does not make the assessment any easier.
How much does hormone therapy cost in Ontario?
At Bonita the initial virtual consultation is $225 for 45 minutes and follow-up visits are $175 for 30 minutes.
The prescription itself is filled at your own pharmacy like any other medication, so what it costs you depends on your drug plan, and your pharmacist can tell you the exact price before you fill it. Bloodwork is ordered at your appointment and most of the panel is covered by OHIP.
Your first prescription covers up to six weeks and we see you before then, because we start low and build from there, so adjustments are normal and expected.
OPTIMIZE FROM THE INSIDE OUT
Metabolic Balance®
Looking for a deeper approach to your metabolic and hormonal health?
Our Metabolic Balance®program creates a personalized nutrition plan built from your individual blood work, designed to reset your metabolism, support hormonal balance, and promote lasting wellness from the cellular level.
Nutrition plays a foundational role in how your body produces, processes, and responds to hormones. For many women navigating perimenopause and menopause, pairing hormone optimization with personalized nutrition creates results that go far beyond what either approach can achieve on its own. Better energy, more stable moods, improved sleep, reduced inflammation, and sustainable weight management.
FREQUENTLY ASKED QUESTIONS
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In Ontario you do not need a doctor for this. Nurse Practitioners have full prescribing authority and hormone therapy sits squarely inside that scope. At Bonita, Jessica Caceres is the NP who assesses you, orders the bloodwork, writes the prescription and manages your doses over time, and she holds membership with both the Canadian Menopause Society and The Menopause Society. Family doctors, gynaecologists and NPs can all prescribe it. What matters more than the letters is whether the person in front of you has trained in menopause.
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You can, and plenty of women do and get turned down. Sometimes that is appropriate, because there are real contraindications and they need ruling out. Often it is because menopause training has been thin in medical education for decades, and the 2002 Women's Health Initiative study left a generation of clinicians cautious in a way the current evidence no longer supports. If you have asked and been dismissed, that is worth a second opinion from someone who does this every day.
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The consultation is private and paid out of pocket. Most of the bloodwork panel is covered by OHIP. The hormones themselves are prescription medications filled at your own pharmacy, and whether they are covered depends on your extended health plan, though many plans do cover them. We provide receipts you can submit.
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Hot flashes and night sweats are the ones everybody knows. The ones that get missed are sleep that breaks at three in the morning, brain fog, joint aches, anxiety that arrived out of nowhere, a much shorter fuse, weight settling around the middle, vaginal dryness and a libido that dropped off a cliff. You do not need all of them and you do not need to have stopped your period. If your quality of life has changed and you are in your late thirties or beyond, it is worth being assessed.
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The general guidance is that starting within ten years of your last period, or before sixty, is where the balance of benefit to risk is most favourable. That is a guideline rather than a cutoff, and starting later is a conversation about your individual risk rather than an automatic no. Vaginal estrogen is a separate matter and can be started at any age.
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You are not alone in hearing this. Perimenopause can begin in the late thirties and right through the forties, well before the average age of menopause, which is fifty-one in Canada. Many women are symptomatic for years before anyone offers them support. We assess you on your symptoms and your biology, not your age alone.
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This is the most common concern we hear and it is completely understandable. For most healthy women under sixty, or within ten years of menopause, the benefits of hormone therapy outweigh the risks. The 2002 Women's Health Initiative study created confusion that has since been re-examined by the leading menopause researchers, and current guidance from the Canadian Menopause Society and The Menopause Society reflects that. We go through your personal risk at the consultation rather than applying a blanket rule.
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Bioidentical hormones are chemically identical in structure to the hormones your body produces. Conventional hormone therapy uses hormones with a similar but not identical molecular structure. Both are clinically validated. We prescribe based on your labs, your history and your symptoms rather than a trend or a blanket preference.
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Most women notice changes within four to twelve weeks, though it varies by symptom. Sleep and mood often respond earliest. Vaginal and urogenital symptoms can take a few months. Your first follow-up is two to six weeks in, once your bloodwork is back and you have had time on a starting dose, and we adjust from there.
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Yes. PCOS was renamed polyendocrine metabolic ovarian syndrome, PMOS, in May 2026 following a global consensus published in The Lancet. It affects one in eight women and is one of the most underdiagnosed hormonal conditions in Canada. Jess assesses and treats PMOS as part of the hormonal health program, including in women who are also navigating perimenopause.
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No. Hormone consultations run virtually through Jane App, a secure medical platform, so you can be anywhere in Ontario. Your requisition goes to a lab near you and your prescription goes to your own pharmacy. If you are local and would rather come in, you are welcome to.
