‘I just don’t feel like myself’: new clinic to focus on women’s health before, during and after menopause

U of A nursing team tapped to pilot virtual primary care and lead research for women aged 35+ in northern 91ÒùĸÊÓÆµ.

An older woman has a virtual medical consultation. (Photo:

Post-reproductive women in 91ÒùĸÊÓÆµ will have more health-care and research support, thanks to a new project led by U of A nursing experts. (Photo: Getty Images)

Post-reproductive women’s health is getting more attention — in headlines, in everyday conversation and in the medical community. Still, for many women, especially in the years leading up to menopause, evidence and support remain out of reach.

A new primary care clinic set to open in Edmonton later this year aims to address that gap. Led by Faculty of Nursing professor , specialized virtual care will focus on a period Norris calls “the most stressful time of a woman’s life.” 

The project includes nearly $1 million from 91ÒùĸÊÓÆµ’s new to pilot the clinic and lead research focused on post-reproductive women aged 35 and older.

Norris notes that while private services exist, they can be expensive and are not always evidence-based. 

“Every woman should have access to publicly funded care that is based on scientific evidence,” says Norris, who is the , supported by the .

Many women experience symptoms ranging from anxiety, depression and brain fog to sleep issues, hot flashes and heart palpitations, yet there’s little research or publicly funded medical treatment available, Norris says.

They will go to their family doctors saying, “I just don’t feel like myself,” but if their periods haven’t changed, reproductive aging may be overlooked as a cause of their symptoms, Norris says. She suspects their estrogen may already be waning or erratic.

“Estrogen does eight really vital things for your vascular system, which is your heart, brain and your blood vessels,” says Norris, who is associate dean of research for nursing and is also an adjunct professor of cardiology and public health. “It protects. It keeps the elasticity. It clears out the bad fats. It elevates the good fats. All these things we need for our vessels to work properly.”

“Our goal is that after the three-year pilot, this model will be picked up and it will keep going,” says research project co-ordinator , a registered nurse with a master’s degree in public health. “We will be providing analytics to the government about patient flow, uptake of services, all of those things.”

A focus on research

The team plans to open the virtual clinic in Edmonton by the end of this year, with nurse practitioners providing specialized primary care for women before, during and after menopause, and Norris and her team carrying out research projects. 

They’ve already created a registry of 300 patients who are willing to participate in research and will recruit more once the clinic is open. 

This is the most stressful time of a woman’s life…. When you’re constantly stressed, you’re always in fight or flight, the brain prioritizes the production of cortisol over estrogen. It’s a double whammy.

Colleen Norris

Colleen Norris
(Photo: William Au)

“This is the most stressful time of a woman’s life. Careers are ramping up, you may have young kids, you’re taking care of parents, bills, medical things,” says Norris, who is a member of the . “When you’re constantly stressed, you’re always in fight or flight, the brain prioritizes the production of cortisol over estrogen. It’s a double whammy.”

One research project will look at a condition known as , which reduces the ability of the arteries to expand and contract. It can be measured by estimating the time it takes for blood to be pumped between the carotid and femoral arteries and is a good indicator of overall cardiovascular health. 

“Women with poor vascular health are more likely to have hot flashes, night sweats and trouble sleeping, and we know that sleep deprivation is correlated with dementia,” she explains. “The remedy might be estrogen.”

Norris says was once not recommended because of an associated breast cancer risk, but it can now be tailored by dosage and delivery methods for individual patients, making it safer for many women.

“We’ve got to stop saying all of these symptoms are normal and start figuring out reasons why it's happening and how to prevent it,” she says.

The team is planning to create a comprehensive, evidence-based education platform so women don’t have to dig through misinformation to find what they need.

Norris will continue to build on her previous research investigating the (the “metabolic equivalent of doing the Tour de France”), , (interrupted periods) and on reproductive aging. 

“We’re trying to collect as much data as we can about women’s entire experience — not just the clinical data but the social factors — and really start to look at the big picture,” says Henriquez.