Endurance on 8th · Perimenopause & Menopause Care
Perimenopause & Menopause Care in Downtown Calgary
Perimenopause and menopause affect every woman differently. At Endurance on 8th, you can explore medical assessment, lifestyle and physical health support, or both, each through the right practitioner, at a pace that makes sense for you.
Not sure where to begin? Take the symptom quiz.
A free scorecard helps you organize what you’ve been noticing across ten areas, and suggests a starting point for care. At the end you’ll receive a plain-language summary you can bring to any healthcare appointment. A member of our team reviews every response before anyone follows up.
Three ways to begin
The right starting point depends on your main concern.
These are not packages you must take together. Each pathway is available independently. The appropriate route is based on your symptoms, health history and preferences, and can be combined over time if your needs change.
Pathway A
Medical Assessment
Start here if you want to discuss hormonal symptoms: hot flashes, night sweats, cycle changes, libido shifts or vaginal discomfort, with a prescribing practitioner.
Alexandra Galli, Nurse Practitioner, provides individualized women’s and hormone health care. Assessment determines whether investigations, treatment or referral are appropriate for your situation.
No referral needed. Available in person or virtually.
Pathway B
Lifestyle & Physical Health Support
Start here if musculoskeletal concerns, movement limitations, or changes to your energy, sleep, and nutrition are your main focus, and you want a structured approach, not a generic wellness program.
Dr. Wendy Carvalho-Ashby and Dr. Kevin Ashby, Doctors of Chiropractic, assess and manage musculoskeletal concerns and support movement, strength, and nutrition within their professional scope.
No prescription required. No waiting list.
Pathway C
Combined Care
Choose this if you’re dealing with significant hormonal symptoms alongside musculoskeletal concerns, movement changes, or disruption to your sleep, energy, or physical capacity. These aren’t separate problems, and they respond best when both are addressed.
Hormonal changes affect how the body moves and recovers, and physical health patterns affect how the body responds to hormonal shifts. Each practitioner works within their own scope, with care coordinated between them from day one.
Your concerns deserve individual attention
Symptoms aren’t automatically caused by menopause, and they aren’t automatically untreatable.
Changes in how you move, recover, eat, sleep or feel can all affect daily life significantly. An appropriate assessment helps clarify what needs attention and what the right next step looks like, whether that’s medical review, chiropractic care, nutrition support, or a referral.
What we assess
Hormonal & Vasomotor Symptoms
Hot flashes, night sweats, cycle irregularity, libido changes and vaginal discomfort. These point toward medical assessment with a prescribing practitioner.
What we address
Movement, Strength & Nutrition
Joint changes, postural shifts, reduced strength or stamina, and nutrition concerns. Assessed and managed by our Doctors of Chiropractic within their professional scope.
What we support
Sleep, Energy & Recovery
Disrupted sleep, fatigue and reduced physical resilience. These often overlap with both hormonal changes and musculoskeletal function, which is why coordinated care works best when both are present.
The people supporting your care
Different scopes. Coordinated care.
Each practitioner works within their own professional scope. With your consent, relevant information can be shared to support coordination between them.
Alexandra Galli
Nurse Practitioner · Medical Assessment & Prescribing
Alexandra’s practice includes women’s health, hormone health and family care. She has completed advanced menopause education through The Menopause Society and develops individualized, evidence-informed care plans. Assessment, investigations, treatment and prescribing fall within her scope.
Dr. Wendy Carvalho-Ashby
Chiropractor · Movement & Lifestyle Support
Dr. Wendy provides chiropractic assessment and management of musculoskeletal concerns, including joint pain, postural changes, movement limitations and injury. Her role in menopause care includes movement, strength and nutrition support within her professional scope.
Dr. Kevin Ashby
Chiropractor · Movement & Lifestyle Support
Dr. Kevin provides chiropractic assessment and management of musculoskeletal concerns, including joint pain, postural changes, movement limitations and injury. His role in menopause care includes movement, strength and nutrition support within his professional scope.
What happens next
Three steps from where you are to a clear plan.
You don’t need to arrive with a diagnosis or a decision already made. Bring your concerns, and we’ll help you figure out the right place to start.
Step 1
Choose a starting point, or take the quiz
Contact our team or take the symptom quiz to get a suggested pathway. A real person reviews every response before we reach out, with no automated routing.
Step 2
Discuss your history and goals
Your practitioner reviews relevant information, assesses concerns within their scope and discusses suitable next steps for your situation.
Step 3
Agree on a plan
Understand the proposed care, which practitioner provides it, and the associated fees before proceeding. Follow-up is based on your needs and response, not a preset program length.
Ongoing support · Pathways B and C
You shouldn’t have to chase your own care.
The menopause transition isn’t linear. Symptoms shift, sometimes week to week. We build a weekly check-in into Pathways B and C so your plan stays current with what’s actually happening in your body, not just what was true at your last appointment.
We reach out. You don’t have to.
Weekly check-ins are initiated by your practitioner, not left to you to schedule, request, or remember. If something has changed, we want to know before your next visit.
Adjust the plan as your symptoms shift.
Movement tolerance, energy, sleep and nutrition responses all fluctuate during the transition. Regular contact means your practitioner can adjust guidance between appointments rather than starting from scratch each visit.
In person or by Telehealth.
Check-ins are available in person at the clinic or remotely, whichever fits your schedule and preference. The goal is continuity, not another appointment to fit in.
Weekly check-ins are included in Pathways B and C. They are not a separate service or an add-on fee.
Common questions
Questions about menopause care at Endurance on 8th
Do I have to take hormone therapy?
No. Medical treatment decisions are made with Alexandra after considering your history, symptoms, preferences, and the relevant benefits and risks. Chiropractic and nutrition support are available with or without a medical route.
Can chiropractic or lifestyle support replace medical care?
Chiropractic care, movement support and nutrition guidance can meaningfully improve quality of life and physical function. They do not replace an appropriate medical assessment, diagnosis or prescribed treatment when those are indicated.
Do I need to see everyone on the team?
No. Access the services that match your main concern. Additional practitioners are involved only where appropriate and with your agreement.
What will it cost, and is it covered?
Fees depend on the practitioner and service, and are billed separately by each provider. Chiropractic visits are often covered by extended health plans. Contact our team for current pricing and receipt details.
Do I need a referral to see Alexandra?
No referral is required. Alexandra welcomes patients directly. Appointments are available in person at the clinic or virtually.
What if I’m not sure which pathway fits?
Take the symptom quiz, or contact us and describe your main concern. Our team can explain the available starting points and help you decide without pressure.
Start with a conversation.
Tell us your main concern and whether you’re looking for medical assessment, chiropractic and nutrition support, or both. We’ll help you find the right starting point.
Suite 260, 607 – 8th Avenue SW · +15 level, Plains Midstream Plaza