Menopause: Medical guides
Menopause is a stage of life, not a disease — but its symptoms are real and treatable. These guides explain what defines perimenopause, who hormone therapy makes sense for, which non-hormonal options exist and what the evidence says about each, without alarmism or hype.
Treatments: hormonal and non-hormonal
Can I take hormone therapy if I have had a thrombosis, or have high blood pressure or excess weight? When it is possible and which route to use
If you have high blood pressure or excess weight, menopausal hormone therapy can usually still be considered, and guidelines prefer a patch or gel. A previous thrombosis changes things. We explain what the studies show, why the route matters so much and what the Spanish summaries of product characteristics say.
04 Nov 2026
Starting hormone therapy at 60 or over: when it is reconsidered and what the alternatives are
From the age of 60, or more than 10 years after your last period, the balance of hormone therapy changes. We explain what age-based trials show, when it is reconsidered and what local and hormone-free options exist in Spain.
02 Oct 2026
Early menopause or premature ovarian insufficiency: symptoms, diagnosis and treatment
Premature ovarian insufficiency is the loss of ovarian function before the age of 40. We explain the symptoms, how it is properly diagnosed, which treatment options are used in Spain and what should not be taken for granted.
25 Sept 2026
Menopause tablets: what actually exists and what needs a prescription
When someone searches for "menopause tablets" they are usually looking for two very different things: a prescription medicine or a jar from the health food shop shelf. We go through which groups actually exist, what the NICE NG23 guideline says about each of them and why the line separating a supplement from a medicine is, above all, a legal one.
03 Sept 2026
How long does hormone therapy take to work? What to expect in the first few months
The Spanish product information for transdermal oestradiol refers to "the first few weeks", while guidelines set the first review at 3 months. The honest answer lies between those two markers: what is actually known about timescales, what is normal along the way, and why there is no week-by-week calendar.
31 Aug 2026
Side effects when starting hormone therapy: what is normal in the first few weeks
Breast tenderness, bloating, some unexpected bleeding, headaches. Many women starting menopausal hormone therapy notice odd things in the first few weeks and are not sure whether it is to be expected or a sign to stop. Here we explain what the AEMPS-approved product information (ficha técnica) actually says, how to read those frequency categories, and which figures, quite simply, nobody has.
26 Aug 2026
Estradiol and micronised progesterone: what modern hormone therapy looks like
Menopausal hormone therapy has changed a great deal since the study that called it into question two decades ago. Today the conversation is about estradiol and micronised progesterone, the window of opportunity and tailored dosing. Here's what the evidence says, without scaremongering and without overselling.
18 Aug 2026
Aspirin to prevent a heart attack: what the evidence says about taking it daily
Low-dose aspirin is a medicine cabinet classic, but the science has gradually refined when it genuinely protects you and when the bleeding risk eats up the benefit. Here's what the trials and guidelines say, without the scaremongering.
14 Aug 2026
Menopausal hormone therapy (HRT): what it is, who it's for and its real risks
For twenty years, a single study from 2002 frightened an entire generation of women and their doctors. We now know its findings were misread. Here's what menopausal hormone therapy really is, who it makes sense for and what its real risks are, with the figures on the table and the nuances that go with them.
31 Jul 2026
Fezolinetant (Veoza): the new non-hormonal pill for hot flushes
Veoza is the first non-hormonal medicine authorised in Spain for moderate to severe menopausal hot flushes. What it is, what the SKYLIGHT trials found and why it requires liver monitoring.
22 Jul 2026
Nutraceuticals and supplements
Phytoestrogens, isoflavones and menopause supplements: what works and what doesn't
Phytoestrogens, isoflavones, vitamins, omega-3… the menopause supplement shelf is enormous, but the evidence is more modest than the packaging suggests. Here's what the science says, what the law allows a label to claim, and why a food supplement is never a medicine.
13 Aug 2026
Guides, prices and comparisons
Menopause treatment by telemedicine in Spain: how it works and the rules that govern it
We explain how a telemedicine service for menopause works in Spain and what the law requires of any health website offering consultations: authorisation of the clinic, transparency and clear limits on advertising prescription-only medicines.
06 Aug 2026
Symptoms
Vaginal dryness and painful sex: the side of menopause nobody talks about
Vaginal dryness and pain during sex are common symptoms after the menopause and form part of what is known as genitourinary syndrome. We explain why it happens, what the evidence says and why effective treatment exists even though many women never seek help.
03 Aug 2026
Stages: perimenopause and menopause
Perimenopause: what it is, when it starts and how long it lasts
Perimenopause is the transition towards menopause, not a single point in time. We explain what it is, why it happens, how long it usually lasts and what the evidence says about the symptoms and their treatments, with nuance and without scaremongering.
22 Jul 2026
Assessment and follow-up
Learn about the medical assessment and follow-up process.
View the assessment