Hormone Therapy
Bio-identical hormones, carefully tailored to your body and monitored with blood testing.
What is this treatment
During menopause and perimenopause, the hormonal balance in your body changes. These changes can lead to hot flashes, poor sleep, fatigue, mood swings, and concentration problems. Bio-identical hormone therapy uses hormones that are molecularly identical to what your body itself produces, so they're recognized as substances your body already knows.
When is this suitable?
Hormone therapy comes into the picture when your symptoms turn out to be hormonal in nature and there are no medical contraindications. You don't have to wait until your period has completely stopped: it's precisely in early perimenopause, when hormone levels fluctuate strongly, that guidance is worthwhile. The timing of starting also matters. Women who start within ten years of menopause experience a protective cardiovascular effect. This is called the window of opportunity.
Why this approach
Bio-identical hormones are often preferred over synthetic hormones because of their structure, which exactly matches that of the hormones in your own body. Your hormone receptors recognize them exactly as they would recognize your own hormones. The French E3N study, involving more than 80,000 women, showed that women who used bio-identical progesterone in combination with estrogen did not have a significantly increased breast cancer risk, unlike women who used synthetic progestogens.
What it delivers
Fewer hot flashes and night sweats
Better sleep and more energy
More stable mood
More mental clarity
How it works in practice
Intake and medical questionnaires
We start with an extensive intake focused on your symptoms, health history, and life stage.
Blood testing
Blood testing always follows the intake. This carefully maps your hormonal situation and other relevant bodily processes.
Medical assessment and treatment plan
Based on the intake, questionnaires, and test results, a doctor assesses which guidance is appropriate. When hormone treatment is indicated, we work exclusively with bio-identical hormones.
Monthly monitoring and adjustment
We repeat blood testing every 12 weeks. You also have a monthly consultation with a doctor and fill in the MRS questionnaire beforehand, which lets us map your symptoms systematically. This way we see not just what your blood values are doing, but also how you actually feel.
Frequently asked questions
What women most often ask about hormone therapy at Menovia:
Does it help against hot flashes?
Hot flashes, night sweats, and other vasomotor symptoms can decrease significantly. These are often the first symptoms where women notice improvement.
What will I notice about my sleep?
Progesterone has a calming and sleep-promoting effect via the GABA receptors in the brain. For women who lie awake or wake up early, this is often one of the first noticeable improvements.
And my mood?
Estrogen, progesterone, and testosterone each have a direct influence on the neurotransmitter system. Many women report a more stable emotional state.
Does it help with brain fog?
Concentration problems and mental fatigue can improve. Estrogen supports the production of acetylcholine, essential for memory and attention.
Monitoring and adjustment
Hormone therapy requires careful follow-up. A consultation every month, blood testing every 12 weeks. That's why:
You fill in the MRS questionnaire every month, so we can track your symptoms objectively
You discuss with a doctor every month how things are going, and we adjust where needed
We repeat blood testing every 12 weeks to check the dosage
When is caution advised?
Hormone therapy isn't suitable for everyone. With a history of hormone-dependent cancer, severe thrombosis or pulmonary embolism, active liver disease, or certain cardiovascular conditions, extra caution is required or treatment is contraindicated. These are individual considerations always made together with a doctor. The delivery method also matters: oral estrogens slightly increase thrombosis risk via the first-pass effect in the liver, while transdermal delivery doesn't increase that risk. That's why transdermal is the most recommended route for estrogen in current guidelines.
Fixed care process
With intake, blood testing, and optional microbiome, DNA, and DUTCH test
Medical assessment by experienced doctors
Exclusively bio-identical hormones
When hormonal treatment is appropriate
Personal guidance and continuous monitoring
Scientifically grounded approach
Tailored to your body
Other treatments
Experiences from other women
Start with personal hormonal guidance
Want to find out whether hormone therapy is right for you and what your body needs during menopause? Schedule an intake consultation with Menovia.
At Menovia, you are at the center. We guide you carefully and transparently, so you can make well-informed choices about your hormonal health.
Bio-identical hormone therapy (BHRT) can be an effective and safe way to relieve menopause symptoms. By using hormones your body already knows, we help you restore your hormonal balance and improve your quality of life.
At Menovia, we offer comprehensive, tailored treatment to reduce your symptoms during menopause. Through proven hormone therapy, supplements, and lifestyle advice, we help you feel energetic and balanced again during menopause. You don't have to go through this period alone — we're here to support you, every step of the way.
