The possible closure of Options for Sexual Health (Opt) clinics marks a heartbreaking moment for reproductive and sexual health in British Columbia, Canada.
For over 60 years, Opt has been a cornerstone in BC’s healthcare landscape—delivering low-barrier, inclusive, and essential services across dozens of rural, remote, and urban communities. The incredible staff—often working under lower-paying contracts but with unmatched expertise and compassion—have held space for respectful, comprehensive care. I know, because I had the honour of serving as Medical Director for five years and witnessed firsthand the trust and healing that took place in those clinics province wide.
Opt offers more than just paps, breast exams, contraception, STI care, and education—it offers a safe and welcoming home base to over 14,000 patients; its loss would leave a significant gap in sexual and reproductive health for all people—including for those navigating menopause.
So, what does this mean for menopause care?
Like many areas of reproductive health, menopause remains underfunded, poorly understood, and often sidelined. Clinics have been forced to adopt private models due to a lack of public funding—and many have closed. Since the Women’s Health Initiative (WHI) study led to decades of confusion, both education and clinical care around menopause have faltered, leaving people without clear guidance or accessible treatment. Now, just as people are reclaiming their menopause experience, the healthcare system is shrinking the spaces where they can get help.
I am frequently asked: What can you do?
Support the Canadian Menopause Society and the Society of Obstetricians and Gynecologists (SOGC). Advocate for organizations like Options for Sexual Health. Use your voice and vote to demand access to care. No provider wants to charge or close—we want to provide accessible care.
Please see more about Options for Sexual Health here.
Please see the work the Canadian Menopause Society has been doing here.
Please see more from the Society of Obstetricians and Gynecologists and Menopause here.