Mature Women's Health & Menopause

Program Director: 
Dr. Wendy Wolfman 
Professor, Department of Obstetrics & Gynaecology, University of Toronto 

Bessie Kelakis 
Tel: (416) 586-4753

Site: Mount Sinai Hospital

Application Deadline: Submit Application Form by December 31st of each year 

To All Applicants:

If you have also applied to the U.S match through the National Residency Matching Program (NRMP), please be advised that the University of Toronto is a participating institution and adheres to the match policy. The policy states that "Applicants who have matched to a program or have accepted a position during the Supplemental Offer and Acceptance Program (SOAP), shall not apply for, discuss, interview for, or accept a concurrent year position in another program prior to the NRMP granting the requested waiver." More information is accessible at

Program Information 

The Fellowship in Mature Women’s Health & Menopause is a unique program offered by the Department of Obstetrics & Gynecology at the Mount Sinai site of the University of Toronto. Over 5 million women are of menopausal age in Canada. The graying of Canada over the next 25 years will present special challenges for gynaecologists faced with the unique needs of this age group of women. The specific problems of peri-menopausal women experiencing the ramifications of fluctuating levels of estrogen are very different from the older female population who are troubled by the diseases of aging and pelvic floor issues.

The program is 2 years in length and one (1) candidate is accepted per year. The applicants are required to provide FRCS(C) or equivalent or Board Eligible and completion of an accredited residency program in Obstetrics & Gynaecology as an admission requirement. There is currently no salary provided by the University of Toronto; successful applicants must provide their own funding either from an independent agency or country of origin. The evaluation will be made by the course director in conjunction with evaluations from other staff exposed to the candidate. A certificate from the Department of Obstetrics and Gynecology is provided to fellows at the end of successful completion of the program.

The volume of patients is at least 50 menopausal women a week. Toronto is a large diverse metropolis with patients from around the world. As well specific groups of patients originate from the breast cancer clinics at Princess Margaret Hospital as well as transplant patients from the large program at University Health Network. A large proportion of cases relate to causes of perimenopausal and postmenopausal bleeding. There are short outpatient cases performed in a surgical area in the clinical area. Opportunities for electives in urogynecology, osteoporosis, psychiatry basic research, dermatology can be arranged depending on the fellow’s interest.

As a tertiary referral centre for Southern Ontario, the Menopause Unit at Mount Sinai Hospital sees the most challenging patients referred by other health practitioners. The core program involves several days per week of clinical work at the Menopause Unit, a general gynaecology office with a special emphasis on the older woman as well as a bi-monthly premature ovarian failure clinic. The latter clinic is staffed by both gynaecology and endocrinology and liases with oncology at Princess Margaret Hospital, pediatric gynaecology at the Hospital for Sick Children, and endocrinology at Women’s College Hospital. The program connects with reproductive biology, urogynecology, and the osteoporosis unit at Mount Sinai Hospital and the University Health Centre. 

Objectives & Expectations

The goal of the fellowship is to provide further expertise in the medical and surgical care of women through the menopausal transition as well as the post-menopausal age group. Special expertise and familiarity will be developed with the prescription and alternatives for hormone therapies. The surgical responsibilities involve attending at major surgeries of clinical patients in both main and outpatient operating settings. 

The successful candidate will be expected to complete a clinical research project during the two fellowship years. The successful candidate will be expected to get involved with teaching residents and medical students during their rotations through the same unit. The candidate will attend the NAMS meeting each year and be encouraged to be certified as a NAMS clinician with expertise in the menopause.