Dr. Denise Handscomb, ND Dr. Denise Handscomb is a licensed Naturopathic Doctor with over 10 years of experience supporting patients in reaching their health care goals. She is the co-owner of Abaton Integrative Medicine, in Oakville, and she has a special focus in women’s health, supporting women during peri-menopause, menopause, and pregnancy. Dr. Denise has completed additional training in prenatal care, pediatric care, environmental medicine, is a Naturopathic Doula who attends births and has met the College of Naturopaths of Ontario's Standard of Practice for Prescribing. This allows Dr. Denise to prescribe Menopausal Hormone Therapy (MHT) and provide comprehensive hormone support for women during the transitional years.

For Patients Welcome to Our Clinic: Your Visit Starts Here This video walks you through what to expect when you arrive at our clinic. From the moment you enter, our goal is to make your visit smooth, comfortable, and stress-free. We want every patient to feel supported and at ease the moment they step through our doors. I am anxious/scared for my procedure. Is there anything extra you provide to help? We offer an optional Tulip Comfort Experience t hat includes Penthrox pain management for patients who prefer additional support. This service is not medically required, not covered by OHIP (although some insurance plans may cover Penthrox), and does not affect access to OHIP-insured care. Please contact info@tulipwomenshealth.com for more information. How long is the wait time to get an appointment? The wait time depends on the urgency of your appointment types but currently 3-4 weeks. To ensure a timely appointment, the patient will be scheduled with first available doctor in the clinic. If you want to request a specific doctor, please ask your doctor to indicate which doctor you want to see in the referral. Wait time may be longer depending on the requested doctor's availability. Do you see patients for pregnancy? What about for surgeries? No, we do NOT provide obstetric care or do any surgical management. How do I get there? Getting Here

Careers Join our team! Are you an OBGYN or a GP with women's health focused designation looking for a place to practice in a modern, new space with excellent admin support? Are you a clinical assistant or medical office assistant looking for a modern clinc to work alongside friendly, professional, colleagues? Feel free to contact us at admin@tulipwomenshealth.com if you are interested in learning more.

Quick expert access to IUD and Implant consultation, insertion, removal and replacement IUD (Intrauterine device) IUD (Intrauterine Device) Intrauterine Devices, or IUDs, are small, soft, T-shaped device with a nylon string attached to it. It is put in the uterus to help prevent pregnancy. Depending on the type of the IUD, it can help prevent pregnancy for 3 to 10 years. Copper IUDs are favored by patients who hormone free birth control that is more effective than the pill. It is also a great option for people who want to have monthly bleeding, either for reassurance or beliefs. Copper IUD users can expect heavier and longer periods with more cramps, so may not be a great option if you already have heavy or painful periods. They are often not covered by insurance, but cost much less than the hormonal IUDs. Hormonal IUDs come in 2 sizes. The smaller one (Kyleena) is recommended for those who are younger (including teens) or those who never had a pregnancy. They last 5 years and are covered under most drug plans, including OHIP+ if you are under 25 yo. Hormonal IUD users like that their periods are often much lighter, and about 20-40% will report that their periods stop altogether, which is completely ok. We place over 700 IUDs a year and complications are very rare. Everyone's IUD insertion experiences are different and most do very well. The whole procedure will only take 1-2 minutes usually. It will help to take some pain relievers just before your insertion appointment. Request Consultation

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Cosmetic Removal of Vulvar lesions Cosmetic removal of vulvar lesions Cysts and lesions on your vulva are mostly benign but can be bothersome. Please request for consultation and more information. This is considered elective and will not be covered by OHIP. You do NOT require a referral for elective procedures, so you can just email or call our office. Fee will depend on the type and number of cysts/lesions you have but generally start at $300+. Request Consultation

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Naturopathic Support Naturopathic Medicine For those in perimenopause/menopause, and those with PCOS We have partnered with Naturopathic Doctors (ND) specializing in women's health, Dr. Stephanie Zelembaba and Dr. Denise Handscomb of Abaton Integrative Medicine . This team-based approach allows us to be able to provide you with the most comprehensive care, ensuring women receive the best of both worlds—integrative, whole-person support alongside the expertise of conventional medicine. Perimenopause is a time of transition that can bring physical, emotional, and hormonal changes. Naturopathic doctors (NDs) provide personalized, holistic care to support women through this stage of life. From nutrition and lifestyle strategies to natural therapies, NDs focus on restoring balance, reducing symptoms, and promoting overall wellness. Our Naturopathic Doctors are trained and licensed to prescribe MHT (Menopause Hormone Therapy) More information Book an Appointment

Dr. Iryna Vyarverska, MD, FACOG Care Comes First. Dr. Vyarvelska is proud to be able to serve the Burlington community and Greater Toronto Area. She completed her Obstetrics and Gynaecology residency training at McMaster University. She speaks English, Ukrainian, Polish, and Russian. She is interested in providing care for women throughout their lifespan. She has expertise in providing care for various gynecologic conditions including contraception, colposcopy, pessary care, menopause, and pelvic pain. She is also a busy mother of two active boys and a fur boy “Leo” who is a standard doodle. They enjoy our walks, hikes, and time together when not at work.

Frequently Asked Questions For Patients Read More For Physicians Read More Preparation for IUD/Implant Read More Post IUD insertion care Read More Cosmetic Procedures Read More Prescription Renewals Read More

Clinic Policies Cancellation Policy Read More Uninsured Services Read More Locum Physicians Read More Medical Learners Read More Harassment Policy Read More Prescription Renewal Read More Privacy & SMS Policy Read More

Dr. Laura Pipher, ND Dr. Laura Pipher is a Naturopathic Doctor focusing in hormonal and metabolic health with a clinical focus on PCOS, perimenopause, and menopause. Her work centres on managing concerns such as irregular or absent ovulation, acne, androgen excess, insulin resistance, weight gain, cycle irregularity, heavy or painful periods, hot flashes, sleep disruption, mood changes, and genitourinary symptoms. Dr. Pipher has completed Pelvic Floor Training Level 1 and integrates pelvic health assessment and education into care where appropriate, particularly for bladder symptoms and vaginal health. She is also a member of the Menopause Society. She combines evidence-informed naturopathic medicine with conventional laboratory testing to create individualized treatment plans for hormonal and metabolic optimization.

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Vulvar Dermatology Vulvar Dermatology We treat various vulvar conditions, such as lichen sclerosis, lichen planus, lichen simplex chronicus. More information Request Consultation

Medical Learners On occasion, you may see a medical learner during your appointment, such a resident physician, who is a licensed physician in training, or a nurse practioner student, who is a nurse going through more training to become an NP. Any issues discussed with the learner are reviewed and overseen by your physician. We appreciate your participation in training the next generation of physicians and nurse practioners.