Treatment of Hormonal Disorders in Women During Menopause in Germany

Menopause is the absence of menstruation for 12 or more months. During the period of extinction of the reproductive function, women experience unpleasant symptoms. In addition, there is a restructuring of metabolism, and due to a deficiency of hormones, complications may develop, for example, bone demineralization (postmenopausal osteoporosis). A woman has an increased risk of fractures and cardiovascular diseases. Hormonal imbalances in menopausal women can, however, be corrected. You are welcome to use the Booking Health website to get top-class medical services abroad. On our website, you can make an appointment for your treatment of hormonal disorders in menopausal women in Germany or find out treatment costs at German hospitals.

Content

1. Hormonal treatment for menopause
2. How to choose therapy for menopause?
3. In what medical center is it best to undergo your treatment for menopause?

Hormonal treatment for menopause

The basis of the treatment of hormonal disorders in menopausal women in Germany is hormonal therapy. It is selected individually. Personalized treatment is important to achieve a better quality of life with minimal risk of complications.

Principles of hormonal therapy:

• minimum doses to achieve the desired clinical result;
• determination of the optimal dosage form;
• periodic correction of the therapy regimen, taking into account the ongoing extinction of ovarian function.

The goal of treatment is not only to relieve symptoms and normalize sexual life but also to prevent complications, most of which are associated with estrogen deficiency. It is advisable to start therapy in women under 60 years of age with a menopausal duration of not more than 10 years.

How to choose therapy for menopause?

Doctors initially prescribe higher doses of hormonal medicines, but they are gradually reduced. In addition, the earlier replacement therapy for hormonal disorders is first prescribed, the higher the doses will be. This approach is also used for menopause in young women, which may be associated with ovarian diseases or ovarian removal surgery.

In standard cases, medium and low doses of hormones are prescribed for perimenopause and ultra-low doses for postmenopausal women.

Here is what to consider when choosing a treatment regimen:

• woman's age;
• duration of menopause;
• stage of reproductive aging;
• body mass index;
• having prediabetes or diabetes;
• the presence of cholelithiasis and gallbladder removal surgery in the patient's medical history;
• liver diseases;
• high blood pressure and cardiovascular pathologies;
• having a migraine.

Prior to treatment, women undergo a diagnostic examination. It helps determine the doses of drugs and eliminate contraindications for the treatment of hormonal imbalances. Contraindications are uterine bleeding, breast, endometrial, or ovarian cancers, large and multiple myomatous nodes, thrombosis, severe cardiovascular diseases, liver pathology, and endometrial polyps.

Drugs for replacement therapy necessarily contain estrogens. These may also include antiandrogens and progestogens. Medicines can be taken orally and used in the form of a gel or patch. In recent years, synthetic steroids have also begun to be used instead of estrogens, which replace them. They have a number of advantages and can often eliminate all symptoms without any additional risks associated with endometrial and mammary gland proliferation.

In what medical center is it best to undergo your treatment for menopause?

You can contact one of the medical centers in Germany. You are welcome to use the Booking Health website to find out treatment costs and make an appointment for your preferred dates. When using our service, the cost of treatment in Germany will be lower for you compared to a direct visit to a Gynecology Center due to the absence of additional taxes for foreign patients.

The Booking Health specialists will take care of all the arrangements for your trip. We will help you find a German hospital whose doctors specialize in the treatment of hormonal disorders in the perimenopausal and postmenopausal periods, contact the administration of the medical center, book a hotel room, and buy airline tickets for you. We will also take care of your transfer from the airport to the hospital and back.

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

Sources:

MedlinePlus

UpToDate

Medscape