Throughout our reproductive years, our hormones rise and fall in monthly CYCLES. As we progress towards our late reproductive years, these hormones fluctuate unpredictably. Eventually, in our post-reproductive phase, the production of estrogen and progesterone declines and menstrual cycles come to an end, or CESSATION.
WHO WE ARE
We are a team of Nurse Practitioners and University of Alberta researchers who have developed The Alberta Women’s Cycles to Cessation Clinic, to offer comprehensive care through the journey of perimenopause and menopause.
We strongly believe women's health is a part of public health, and that accessibilility to quality care can be improved for women. To support this belief we are leading a three-year pilot project designed to demonstrate the need for publicly funded, nurse practitioner–led care that provides comprehensive, evidence-based care designed to support women during perimenopause and menopause.
Through our digital platform ‘Awareness and Understanding in Reproductive Aging’ - AURA, women have access to educational information about perimenopause and menopause, and guidance on physical activity, nutrition, and mindfulness to support you through your journey.
In addition, our clinic embraces research-driven initiatives to advance women’s health care and improve outcomes, helping to shape a healthier future for all women in Alberta.
“Women were long viewed as lesser and more troublesome versions of men … This has resulted in inadequate research and education about the female body and in the dismissal of women’s health concerns.”
OUR SERVICES
Our services focus on the assessment and treatment of hormone-related symptoms during perimenopause and menopause. We provide evidence-based hormone therapy for women experiencing symptoms such as hot flashes and night sweats, poor sleep, mood changes, brain fog, fatigue, changes in menstrual cycles, low libido, vaginal or urinary symptoms, and other concerns related to hormonal changes in midlife.
Our clinic is intentionally specialized in menopause hormone care so we can offer thoughtful, individualized treatment for this stage of life.
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To join this program, applicants must meet the following eligibility criteria.
Current resident of Alberta
Experiencing perimenopause or menopause symptoms
Between 40 and 60 years old
Have access to video conferencing and be able to attend virtual care
Physically in the province of Alberta during the appointments
Not currently receiving primary care *services specifically for perimenopause or menopause symptoms
PLEASE NOTE:
You must NOT currently be receiving primary care services specifically for perimenopause or menopause symptoms — this means you are not actively seeing a clinician, in the public primary care system, who is experienced and knowledgable in hormone therapy for evaluation or treatment focused on those symptoms.*This does not include private paid services.
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Complete the pre-screening form located below “request an appointment”
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Once you complete the pre-screening form you will be forwarded to the Telus Health Platform to create an account
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Schedule an initial consultation with one of our Nurse Practitioners and ensure you complete all intake questionnaires 48 hours prior to your first visit
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Your Nurse Practitioner will discuss follow-up care with you and provide guidance on scheduling your next appointment
OUR PROCESS
Your Nurse Practitioners
KELSEY MRAMOR
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Kelsey is a Nurse Practitioner with extensive experience in family health, with the majority of her nearly 20-year career dedicated to women’s health and pediatrics.
Over the course of her practice, she also developed a strong interest in designing healthcare programs that reduce barriers to care. She has played a key role in building new clinical initiatives across primary care, sexual health, and women’s health, with a particular focus on leveraging technology and systems to deliver safe, high-quality virtual care.
Kelsey's north star is providing evidence-based, patient-centred support for individuals navigating health challenges. Outside of work, she is happiest being active and spending time with her young family.
DAVINA WELCH
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With over 17 years of experience in women’s health, Davina Welch brings a compassionate, evidence‑based approach to menopause care, grounded in attentive listening and a deep commitment to supporting women through this transition.
Davina values collaboration, clear communication, and supporting women with the knowledge and guidance they need to navigate menopause confidently. She is dedicated to ensuring women receive accessible, personalized menopause care that enhances their quality of life.
Outside of her professional work, Davina enjoys reading, crocheting, baking, and traveling, activities that bring balance, creativity, and joy to her everyday life.
Our Team and Contributors
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Dr. Colleen Norris PhD (Epidemiology) MN BScN RN FAHA FCAHS FESC
Founder of Alberta Women’s Cycles to Cessation Clinic
Cavarzan Chair in Women’s Health Research
Professor, & Associate Dean of Research, Faculty of Nursing, University of Alberta
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Maya Henriquez
Program Manager
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Jenna Wowdzia
Senior Project Coordinator
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Sela Scott
Master’s Student
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Kate Bykowski
Post Doctoral Fellow
AURA Contributors
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Dr. Puneeta Tandon
Professor of Medicine, Director of the Cirrhosis Care Clinic and Transplant Hepatologist
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Dr. May Sanaee
Urogynecologist
Chronic Pelvic Pain specialist at the Lois Hole Hospital for Women
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Dr. Lori Brotto
Excecutive Director - Womens Health Research Institute
Canada Research Chair in Women’s Sexual Health
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Dr. Liisa Galea
Neuroscientist
Treliving Family Chair in Women's Mental Health at Centre for Addiction and Mental Health
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Dr. Emma O'Donell
Exercise Physiologist
Researcher in estrogen, exercise and cardiovascular health in in post-menopausal women
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Dr. Briana Botsford
Naturopath
Owner of Flow Functional Health Elevating the standards of evidence-based care in natural health care
Request an appointment today
You will first be directed to a page that will ask pre-screening questions. If you are eligible for the clinics current criteria, you will be directed to book an appointment.
NEW APPOINTMENTS ARE RELEASED ON THE LAST WEEK OF EACH MONTH
If there are no available appointment times, please complete pre-screening and then go to our page “waitlist”, we will let you know when new appointment times are released.
FAQs
Do I need a referral?
No referral is required. You can self-refer to the clinic.
Why do I need to complete a pre-screening before booking an appointment?
Because our clinic provides virtual care, we need to make sure it is safe and appropriate option for you before your first visit. Some health concerns require a physical exam or in-person assessment, and virtual care has limitations for which these cannot be provided.
Is there a cost for services?
Our clinic was created to demonstrate the urgent need for publicly funded womens reproductive health services in Alberta. Because of this commitment, all of our care is fully covered, with no cost to you, through the Government of Alberta Primary Care Innovation Fund. By receiving care here, you are helping drive change, closing gaps, and moving women’s health forward for every woman who comes after you.
How does the clinic incorporate research?
Our clinic is part of a three-year pilot project working to show the need for womens primary care services and Nurse Practitioner led care. Participation in research is voluntary, and the care you receive is the same whether or not you join the research component