Dr. Nicole Roberts, ND

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10/17/2026

Perimenopause called. Apparently hot flashes aren’t the only thing on the menu.

Hot flashes and night sweats get a LOT of attention. They matter. But they are not the entire menopause experience.

Some women barely experience hot flashes. Instead they come to me because they aren’t sleeping. Their mood has changed. They’re more anxious or irritable. Their concentration has changed. Their joints hurt. S*x feels different. Their libido has changed. They’ve developed vaginal dryness. They’re experiencing bladder symptoms. Or they simply keep saying:

“Something has changed and I don’t feel like myself.”

This is one reason tools like the Menopause Rating Scale look beyond hot flashes and assess symptoms across somatic, psychological and urogenital categories. The goal isn’t to blame every symptom you experience after 40 on perimenopause. Quite the opposite.

The goal is to recognize the full range of symptoms that CAN occur while still properly investigating what else may be contributing. Your body is allowed to have more than one thing going on.

I provide evidence informed naturopathic care for women experiencing perimenopause and menopause throughout Ontario, with virtual appointments making care easier to access wherever you live in the province.

✔️ Want to learn more? SEE LINK IN BIO FOR MORE ON SUPPORT

“Can we test my hormones?”This is one of the most understandable questions a woman can ask when she thinks she is enteri...
10/15/2026

“Can we test my hormones?”
This is one of the most understandable questions a woman can ask when she thinks she is entering perimenopause. If hormones are changing, why wouldn’t we just measure them and get our answer?

Because unfortunately, your hormones did not agree to sit perfectly still while we test them.

Hormone levels naturally fluctuate throughout the menstrual cycle, and during perimenopause those fluctuations can become even more unpredictable. One isolated estrogen result does not necessarily explain why you are waking at 3 a.m., why your period suddenly changed or why you don’t feel like yourself.

Does that mean female hormone testing is useless? Absolutely not.

There are situations where it can provide useful information. That may include women who have had an ablation or use a Mirena IUD, women with a history of PCOS, situations where we need to rule out other causes of menstrual changes, or when assessing the efficacy or absorption of estrogen medication. But when I am assessing a woman through perimenopause, I also want to look beyond reproductive hormones.

What is happening with your iron status? Your thyroid? Blood sugar and insulin resistance? Vitamin D? Liver and kidney function? Cholesterol? What does your menstrual history look like? How are you sleeping? What has changed with your mental health? What are your cardiovascular and metabolic risk factors?

Perimenopause care should be much bigger than asking, “What is my estrogen?”

Testing should have a purpose. I want blood work to help us answer clinical questions and make better decisions, not simply create a giant folder of numbers that nobody knows what to do with.

10/13/2026

Do I need my hormones tested to know if I’m in perimenopause?

This is one of the questions I get ALL the time. And I understand why. You’re experiencing symptoms. You want an answer. So naturally, you think:

“Test my hormones and tell me what’s happening.”

Except perimenopause doesn’t always cooperate that nicely. Estrogen and other reproductive hormones fluctuate. A single blood test gives us information from one moment in time. That doesn’t mean female hormone testing is useless.

There are situations where it can be helpful, including certain menstrual histories, PCOS, ruling out other causes of cycle changes or assessing estrogen medication absorption.

But here’s the part I wish received more attention:

There is other blood work I care VERY much about during this transition. Complete blood count and iron studies. Thyroid. Blood sugar and insulin resistance markers. Metabolic inflammatory markers. Vitamin D. Liver and kidney function. Cholesterol and lipids.

Perimenopause care should be bigger than chasing an estrogen number. I want to understand your symptoms, menstrual history, sleep, mental health, metabolic health, cardiovascular risk, family history and what has actually changed.

That’s the difference between ordering a test and doing an assessment. I provide individualized perimenopause and menopause care virtually for women throughout Ontario.

Want to learn more? SEE LINK IN BIO FOR MORE ON SUPPORT

When I say perimenopause symptoms, what is the first thing you think of?Hot flashes? That is usually the answer.Hot flas...
10/10/2026

When I say perimenopause symptoms, what is the first thing you think of?

Hot flashes? That is usually the answer.

Hot flashes and night sweats absolutely belong in the perimenopause and menopause conversation, but if that is ALL we talk about, we are leaving a lot of women wondering why they suddenly do not feel like themselves.

Perimenopause can show up in your sleep. It can show up in your mood. It can affect concentration, energy and cognition. Women may experience anxiety, irritability, depressive mood, physical and mental exhaustion, joint and muscle discomfort, sexual changes, vaginal dryness or bladder concerns.

Some women will have significant hot flashes. Some will barely have them at all. Meanwhile, they are waking up every night, forgetting the word they were about to say and wondering why their bladder has suddenly developed a personality.

This is why I want women to understand that there is no single universal menopause experience. I also don’t want us going in the opposite direction and deciding that absolutely everything that happens after your 40th birthday must be estrogen’s fault.

Fatigue deserves investigation. Cognitive changes deserve investigation. Changes in mood deserve investigation. Sleep problems deserve investigation. Menstrual changes deserve investigation. Recognizing the MANY symptoms that can occur during perimenopause should help us ask better questions. It should not stop us from looking for other things that may be contributing.

This is a big part of how Dr. Nicole Roberts ND approaches perimenopause and menopause care. Instead of focusing on one symptom or assuming everything is “just hormones,” Dr. Nicole looks at the bigger picture and develops an individualized plan based on what is actually happening with YOU.

Dr. Nicole Roberts ND provides virtual naturopathic care for women experiencing perimenopause and menopause symptoms throughout Ontario.

Want to learn more? SEE LINK IN BIO FOR MORE ON SUPPORT

10/08/2026

“You’re probably just stressed.”

Okay. But why did Sarah suddenly become so much worse at tolerating the stress she has been carrying for years?

Sarah is 43. She wakes up at 2 a.m. and struggles to fall back asleep. She’s forgetting words during meetings. She feels more anxious. She’s snapping at her partner. Her periods are regular but heavy. And yes, she has stress. But perimenopause and mental health intersect in ways that deserve more attention.

During perimenopause, dramatic hormonal fluctuations create what researchers have described as a window of vulnerability for women. The presentation notes that women in perimenopause are three times more likely to experience a major depressive event compared with women in their reproductive years, even without a previous history.

This doesn’t mean every mood change is caused by hormones. It means we need to stop looking at these symptoms in isolation. Sleep matters. Stress matters. Mental health matters. Hormonal changes matter. Iron status may matter. Your menstrual history matters. Your overall health matters.

And sometimes more than one thing is going on. That’s where individualized care becomes important.

I work with women across Ontario virtually to assess the bigger picture during perimenopause and menopause and develop a plan based on their symptoms, health history, risk factors and goals.

Because “you’re stressed” may be an observation. It isn’t a complete plan.

Want to learn more? SEE LINK IN BIO FOR MORE ON SUPPORT

10/04/2026

Can you be in perimenopause if your period is still regular?

YES. And this is exactly why so many women don’t realize they have entered the menopause transition.

Let’s go back to Amala. She’s 49. Her period still shows up when expected. But she’s waking up hot at night. She’s noticed her heart racing at odd times. Her libido has changed significantly. She’s exhausted and she keeps saying:

“I just don’t feel like myself.”

That last sentence is something I hear a lot. Perimenopause is the natural transitional phase leading to menopause. During this time, estrogen and progesterone fluctuate and eventually decline. It often begins in the 40s, or sometimes the late 30s, and can last years.

Your period does NOT have to disappear first. And your experience doesn’t need to look exactly like your friend’s experience. This is why I want women to understand the FACTS about perimenopause instead of waiting for their period to disappear or for a hot flash dramatic enough to require standing in front of the freezer.

If you’re noticing changes in your sleep, menstrual cycle, mood, cognition, sexual health, temperature regulation or overall functioning, they deserve to be properly assessed.

I work with women throughout perimenopause and menopause to look at the entire picture, identify important risks and create an individualized plan for this transition.Care is available virtually throughout Ontario, which means you can access support without adding another commute to your already full schedule.

Want to learn more? SEE LINK IN BIO FOR MORE ON SUPPORT

One of the biggest misconceptions I hear about perimenopause is that it is something women need to think about when they...
10/01/2026

One of the biggest misconceptions I hear about perimenopause is that it is something women need to think about when they are 50. For many women, the conversation starts much earlier.

Perimenopause commonly begins in the 40s and can begin in the late 30s. It is a transition that can last for years as estrogen and progesterone fluctuate and eventually decline. Your periods may change, but your menstrual cycle is not the only place you might notice it.

Maybe you’re suddenly waking up at night. Your anxiety feels different. Your patience is shorter. You are forgetting words halfway through a sentence. Your periods are heavier or your cycle length has changed. Or maybe you have realized that skipping meals, staying up late and trying to do 47 things at once suddenly comes with consequences it never used to.

This is what I sometimes call the “What is going on?” era. And no, you do not need to wait until your period disappears before you start paying attention.

Menopause itself is actually one point in time. It is reached after 12 consecutive months without a menstrual period. There is an entire hormonal transition happening before that point, and I want women to understand it BEFORE they find themselves completely overwhelmed by it.

Your 40s are an important opportunity to establish health baselines, investigate new symptoms, look at your mental, metabolic and menstrual health and start thinking about what you want your health to look like through menopause and beyond. If you are in your late 30s or 40s and thinking, “Could this be perimenopause?”, that is a very reasonable question to start asking.

Dr. Nicole Roberts ND focuses on supporting women through perimenopause and menopause with individualized, evidence informed naturopathic care. Virtual appointments are available to women throughout Ontario.

💁‍♀️ Want to learn more? SEE LINK IN BIO FOR MORE ON SUPPORT

09/16/2026

Tired all day but still not sleeping well at night? Your iron status may be worth looking at.

We often associate iron deficiency with fatigue, but iron also plays an important role in the brain systems involved in sleep.

Iron is involved in the metabolism of serotonin, noradrenaline and dopamine, which are all important to sleep physiology. Iron deficiency can alter dopamine neurotransmission in areas of the brain involved in sleep regulation and may affect REM sleep quality, quantity and timing.

Iron deficiency anemia has been associated with poorer subjective sleep quality, but sleep related concerns are not limited to people with anemia.

Non anemic iron deficiency has also been associated with Restless Legs Syndrome, Periodic Limb Movements in Sleep and Restless Sleep Disorder. This creates an incredibly frustrating situation.

You are exhausted because your iron is low, but your sleep may also be disrupted, making you even MORE exhausted the next day.

If poor sleep is accompanied by fatigue, restless legs, headaches, brain fog, heavy menstrual bleeding or other symptoms of iron deficiency, I want to know about it.

Dr. Nicole Roberts works with women across Ontario experiencing sleep disruption, perimenopause, fatigue and iron deficiency. Looking at the connections between symptoms can help us understand why sleep is suffering rather than simply reaching for another sleep solution.

Clink the link in my BIO to learn more about Iron and how it may or may not be affecting you.

https://www.drnicolerobertsnd.com/articles-1

Address

1246 Yonge Street, Suit 303
Toronto, ON
M4T1W5

Opening Hours

Monday 9am - 3pm
Wednesday 9am - 8pm
Friday 9am - 3pm

Telephone

+16477801406

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