Perimenopause, menopause & HRT
Menopause care in Colombia, built around your experience.
Understand the changes. Explore your options.
Changes in sleep, periods, temperature, mood, or sexual comfort can raise questions about perimenopause and menopause.
TRT Optima helps you access physician assessment, discuss HRT (hormone replacement therapy) and other appropriate options, and coordinate ongoing care—with support in English and Spanish.
You can ask for help while you still have periods.
Understanding the transition
Changes can begin before periods stop.
Perimenopause and menopause describe different stages. Understanding where you are helps guide the conversation about care.
You do not need to wait until symptoms become severe to discuss treatment.
Perimenopause
The transition leading up to menopause. Periods may change, and symptoms such as hot flashes, night sweats, disrupted sleep, or mood changes can begin while you still menstruate.
Menopause and beyond
Natural menopause is generally recognized after 12 months without a period when there is no other explanation. Symptoms may continue afterward. Hormonal contraception or a hysterectomy can make menstrual history harder to interpret.
Understanding treatment
HRT can relieve menopause symptoms.The right approach is individual.
Hormone replacement therapy uses estrogen, sometimes alongside a progestogen, to help manage symptoms associated with the menopause transition.
The formulation, route, and treatment schedule depend on your symptoms, menstrual history, medical background, and preferences.
What HRT can help with
Systemic HRT is the most effective treatment for menopausal hot flashes and night sweats.
It can also help sleep disrupted by these symptoms and helps prevent bone loss while used.
Treatment is chosen around your symptoms and health history. HRT is not a general treatment for weight loss, aging, or memory problems.
Why the hormones differ
If you have a uterus, systemic estrogen generally needs a progestogen—including progesterone—to protect the uterine lining.
After a total hysterectomy, estrogen-only treatment is often appropriate. Your physician reviews any circumstances that could change that recommendation.
Vaginal symptoms may need a different approach
Low-dose vaginal estrogen can target dryness, irritation, and discomfort during sex. It has much lower systemic exposure than systemic HRT and generally does not require an added progestogen.
It does not treat hot flashes. Your physician discusses local and systemic options according to your needs.
Explore vaginal dryness & discomfort →A decision made together
Understand the benefits.Discuss the risks that apply to you.
For many healthy women with bothersome symptoms who start HRT before age 60 or within 10 years of menopause, the benefit–risk balance is favorable. Individual assessment remains essential.
NHS — HRT benefits and risksBritish Menopause Society — Individualizing care
Your medical history matters
Your physician reviews unexplained vaginal bleeding, previous cancers, blood clots, stroke, liver disease, and other relevant history before recommending treatment. Some situations require specialist input or a different approach.
The type of treatment matters
Combined systemic HRT can increase breast cancer risk, with risk influenced by duration and other factors. Oral estrogen carries more blood-clot risk than estrogen delivered through the skin.
Your preferences matter
If HRT is unsuitable or you prefer another approach, discuss non-hormonal treatments and support suited to your symptoms.
From first conversation to follow-up
A plan you understand.A team to help you follow through.
Start with the symptoms affecting you most, your menstrual history, and any treatment you already use. Your physician reviews your situation and explains the available options.
Assessment before treatment decisions
In otherwise healthy women aged 45 or older with typical symptoms, menopause assessment usually relies on symptoms and menstrual history rather than routine hormone blood tests.
Testing may help when the picture is unclear, symptoms begin earlier, or another condition needs investigation.
Review as your needs change
If treatment is prescribed, your physician sets a review schedule to assess symptom response, side effects, and any adjustments.
Your dedicated WhatsApp team helps coordinate appointments, recommended testing, and prescription arrangements. Medical questions and treatment changes go to your physician.
Ask our team about current consultation, testing, and ongoing care costs.
See how care works at TRT Optima →Questions about menopause care and HRT
Can I consider HRT while I still have periods?
Yes. HRT may be considered during perimenopause when symptoms warrant treatment. Your physician chooses an appropriate approach based on your cycle, health history, and contraception needs.
Do I need a hormone panel before contacting you?
No. Start with your symptoms and any results you already have. Your physician determines whether testing would help answer a specific question. Explore hormone health for women →
Does HRT prevent pregnancy?
No. HRT is not contraception. Pregnancy can still be possible during perimenopause, so discuss contraception and any pregnancy plans with your physician.
What if I cannot or do not want to use HRT?
Other options may help, including non-hormonal medication, menopause-specific cognitive behavioral therapy, and treatments targeted to particular symptoms. Your physician explains suitable options and any referral needs. NHS — menopause treatment options
Can testosterone help during menopause?
It may be considered for persistent, distressing low sexual desire in selected circumstances after a broader assessment. It is not a routine treatment for fatigue, weight gain, or brain fog. Explore sexual health care for women →
Can you review HRT I already use?
Yes. Share your prescription, formulation, treatment schedule, and any recent changes or side effects. Your physician assesses whether to continue, adjust, or investigate further. Continuation of an existing prescription is not guaranteed.
How long would I need treatment?
There is no single duration that suits everyone. Review considers symptom control, side effects, preferences, and changing risks. Decisions about continuing or stopping are made with your physician. NHS — HRT duration and review
What if symptoms start before age 45?
Arrange a physician assessment. Earlier symptoms or changes in periods may need a different investigation, including assessment for early menopause or premature ovarian insufficiency where appropriate.
Bleeding after menopause should be checked
If you have vaginal bleeding after 12 months without periods, arrange prompt medical assessment, even if it happens only once. New or unexpected bleeding while taking HRT should also be discussed with your clinician.
Understand your options.Choose your next step.
Tell us what has changed and what you would like help with. Our team will explain how to arrange a physician assessment and prepare for the conversation.
English and Spanish support across Colombia.