Physician-Led · Menopause · Hormones
Care for everyseason ofwomanhood.
Expert, unhurried care for perimenopause, menopause, hormone health and intimate wellbeing — led personally by a double board-certified physician, never a substitute.
Take your health personally. We do.
Our philosophy
A clinic built around how you actually feel.
Midlife is not a decline. It is a threshold.
Perimenopause and menopause reshape the body in ways medicine has too often ignored. At ASTERA, this season is met with curiosity, evidence and warmth — never dismissal.
Hormones deserve nuance, not one-size answers.
We read the full picture — labs, symptoms, history and your own goals — before shaping a hormone strategy that is genuinely yours, and revisited as you change.
Sexual health is health. Full stop.
Desire, comfort and intimacy are essential to wellbeing. We hold space for these conversations with candor and zero shame, and we treat what others leave unspoken.
What we treat
Whole-woman medicine for the middle chapters.
Every service is delivered by a physician — grounded in the latest evidence, with the time and attention midlife care demands.
Perimenopause / Menopause Care
Personalized, physician-led care to manage the physical and emotional changes of perimenopause and menopause.
- Bioidentical Hormone Replacement Therapy (BHRT)
- Comprehensive hormone assessments
- Individualized symptom management plans
- Hot flashes, night sweats & sleep concerns
- Mood, energy & healthy aging support
Intimate & Vulvar Health
Confidential care for conditions affecting comfort, confidence, and sexual wellness.
- PRP (Platelet-Rich Plasma) therapy
- Vaginal dryness, discomfort & vulvar conditions
- Sexual wellness consultations
Labiaplasty & Corrective Procedures
Expert surgical care tailored to your functional and aesthetic goals.
- Labiaplasty
- Corrective vulvar procedures
- Personalized surgical consultations
Physician-led care
You'll always see a real doctor — never a substitute.
Most perimenopause and hormone clinics are run by nurse practitioners and support staff. At ASTERA, your care is led end-to-end by a double board-certified physician with two decades of specialist experience.
Dr. Evgeniya Fefelova
Double Board-Certified Obstetrician-Gynaecologist
MD · Ph.D. in Medicine · FRCSC
Dr. Fefelova is a double board-certified obstetrician and gynaecologist who has devoted her career to helping women optimize their health. She joined Royal Victoria Hospital in 2014 and established her full-time OB/GYN practice in Barrie, Ontario that same year.
With 20 years of experience, she brings specialized knowledge, skill and professional capability across both the medical and surgical care of the female reproductive system — with particular expertise in menopause and mature women's health.
Throughout her career she has built her knowledge and skills with social accountability, so she can serve a diversity of patients with consistently high-quality care.
Affiliated with the Royal Victoria Health Centre and the Royal Centre of Plastic Surgery — Barrie, Ontario.
In their words
The care women wish they'd found sooner.
For the first time a doctor listened to all of it — the sleep, the moods, the fog — and gave me a plan. I feel like myself again.
Diane R.
Patient, age 52
ASTERA treated my sexual health like it mattered, without a hint of judgment. It changed my marriage and my confidence.
Sofia L.
Patient, age 48
The hormone plan was tailored down to the detail and adjusted as I changed. Warm, brilliant, unhurried care.
Grace M.
Patient, age 55
Financing
Care that fits your life — and your budget.
We partner with trusted financing providers so you can begin your care now and pay over time. Apply in minutes — most decisions are instant.
PayBright
Flexible monthly payments, in minutes.
- Affordable monthly / semi-monthly payments
- Renewable credit limit
- Accelerated payment options
- Open-ended loan — pay off any time
- Application takes less than a minute
- Instant result display
- Applying will not affect your credit score
Credit Medical
Fast, confidential approval with fixed rates.
- Fast and easy credit approval
- No down payment or collateral required
- Assured confidentiality
- Competitive, fixed interest rate for the term
- Open loans — pay out at any time
- Borrow any amount you need ($1,000 minimum)
- Flexible terms (6 months to 5 years)
Medicard | Finance
Same-day approval, up to $18,000.
- Online and phone application
- Same-day approval
- Payment terms up to 6 years
- Rates based on loan size (7.9% – 15.9%)
- No down payment required
- Loans up to $18,000
- No penalties for early payments
Financing is provided by independent third-party lenders. Approval, rates and terms are determined by each provider and subject to their eligibility criteria.
Physician-led. Woman-centred.
You changed. So should your healthcare.
Exceptional care for every stage of womanhood — we take your health personally, because you should too.
Visit ASTERA
Begin with a conversation.
Share a little about what you're experiencing. A member of our care team will reach out to find a time that works for you.