Treatments primer
A plain-language overview of conventional treatments worth knowing about. We don't prescribe and we don't dose. We help you walk into your next appointment with the right questions.
BC: free universal MHT coverageSince March 1, 2026, listed MHT products are free at the pharmacy counter in BC under Plan NP. See coverage by provinceNot after a prescription? The relief finder filters non-drug options by symptom, sleep, movement, pelvic floor, CBT, cooling, food.
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Card A
Card B
| Patch | Gel | Spray | Oral |
|---|---|---|---|
| 25 mcg | 1 pump | 1 spray | about 1 mg |
| 50 mcg | 2 pumps | 2 sprays | 1 to 2 mg |
| 75 mcg | 3 pumps | 3 sprays | about 2 mg |
| 100 mcg | 4 pumps | not listed | about 2 mg |
Rough equivalents from doses and brands, decoded. Absorption varies between people.
Card C
British Columbia · Publicly covered
Free under National Pharmacare (Plan NP) since March 1, 2026, for listed products.
Myth, then evidence
Vaginal estrogen is the same risk as systemic HRT
It isn't. Local vaginal estrogen is one of the safest treatments in menopause medicine.
Free for everyone, before your next appointment
10 seconds · once a day for 14 days
'I feel awful' is hard to act on. Three numbers on a sticky note ('sleep 4/10, mood 3/10, hot flashes ×6') tell your doctor exactly where to start.
Try this: Sticky note on the bathroom mirror. Sleep, mood, flashes. One number out of ten for each, plus the count. Two weeks. Bring it to the appointment.
Start logging5 minutes · the night before
You'll forget two of the four things you wanted to ask. Doctors expect a list, they prefer it.
Try this: Write the three questions that matter most. Hand them over at the start: 'These are my three. If we run out of time, can we book a follow-up?'
Build your appointment packOne sentence in the room
If you ask 'what should I take?' you get one answer. If you ask 'what are my options?' you get a real conversation.
Try this: Try this exact sentence: 'What are the options here, including doing nothing? What are the trade-offs of each?' Then listen.
See the question scriptsBy area of the body
Where the treatment only works alongside a practice, we give the area its own hub.
Pelvic health
Leaking, urgency, heaviness and a floor that won’t switch off: how breath and the pelvic floor work together, four voice-guided practices, the 12-week program, and when to bring in a physio.
Open the pelvic health hubThis page is education, not advice.
Nila isn't a medical service. Nothing here is a recommendation to start, stop or change a medication. Use it to know what exists and to bring better questions to your doctor or specialist.
In depth, by symptom area
Before the prescribing conversation
Estrogen, progesterone, testosterone, FSH and LH — one focused page for each, plus the synthetic family and the newer non-hormonal options. Most of the appointment goes better when the words are already in place.
Read the hormones primerGo deeper
A note on second opinions
