Specialist consultation · Menopause & MHT

Menopause.

Hot flushes, sleep problems, mood, joints, dryness — menopause symptoms are real, measurable and treatable. Together we clarify whether hormone therapy (MHT) makes sense for you: individual benefit-risk assessment, oral or transdermal — and what helps if hormones are not an option.

7.4 years
Duration · vasomotor symptoms

That's the median duration of hot flushes and night sweats — much longer than most expect. Waiting it out is rarely a good plan.

Source: SWAN study, JAMA Internal Medicine 2015
51
Average age · final period

Perimenopause often starts years earlier — with symptoms many don't connect at first.

Source: DGGG guideline peri- and postmenopause
1:1
individual · not one-size-fits-all

Whether and which MHT fits depends on your history: thrombosis risk, family breast cancer, blood pressure, lifestyle. That's exactly what we work through.

Latest research · 2026

Treating hot flushes without hormones — now in Germany too

Since April 2026, elinzanetant (Lynkuet®) offers a new non-hormonal therapy for moderate to severe hot flushes. It acts where the brain's heat regulation gets out of sync — without oestrogen. In the OASIS approval trials, the frequency of hot flushes dropped markedly; sleep and quality of life improved too.

What this means for you: if hormone therapy isn't an option for you — after breast cancer or with thrombosis risk, say — there's now a serious alternative. Whether it fits you, we clarify individually in consultation.
Reduction in hot flushes
OASIS trials, moderate–severe VMS
≥50% fewer hot flushes
Consultation In conversation by the window Roof terrace
Is this for me?

Who is this for?

  • ·Symptoms in peri- or postmenopause
  • ·Questions about benefits and risks of hormone therapy
  • ·Ongoing MHT that should be reviewed or adjusted
  • ·Early menopause or symptoms before 45
Process

How it works

1 · First appointment · 30 min

Structured history: symptoms, medical background, risk profile (thrombosis, family breast cancer, blood pressure).

2 · Lab work · as needed

Hormone status and relevant values — only what is truly needed for the decision.

3 · Follow-up · 15 min

Results discussion and your plan — written down, clear, actionable.

Conditions as in our hormone consultation — all details there.

FAQ

What you should know.

Does hormone therapy cause breast cancer?

The answer is nuanced: risk depends on the preparation, duration of use and your history. For many women the benefit outweighs the risk — we calculate your personal profile together, without downplaying or dramatising.

Are there alternatives without hormones?

Yes. From lifestyle (sleep, exercise, nutrition) to plant-based options, non-hormonal medication and local oestrogens without systemic effect. We discuss honestly what is evidence-based — and what is marketing.

What should I bring?

A list of your medications, known conditions (especially thrombosis, breast cancer in the family), your last check-up/mammogram. Notes on your symptoms help the conversation.

Menopause consultation
Menopause consultation

Menopause — Book an appointment.

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Ready for the next step?

Fill in the history form in advance, request an appointment, get to know the team.

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