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Menopause Hormone Therapy

Menopause is not only the end of menstrual cycles, but a significant transition that affects hormonal balance, metabolism, energy levels, sleep quality, and emotional well-being. Declining levels of estrogen, progesterone, and testosterone may lead to symptoms such as hot flashes, sleep disturbances, weight gain, low libido, and mood changes. At Ebru Ünal, MD’s clinic in Istanbul, Turkey, menopause hormone therapies are applied within the Unal Vitality approach, aiming not to suppress symptoms, but to support the body’s natural hormonal balance and improve overall quality of life.

The primary goal of menopause hormone therapy is not high-dose hormone suppression, but to restore the body’s physiological rhythm using bioidentical hormones. Within this approach, hormone replacement therapy (HRT) is planned based on both clinical symptoms and quality of life, ensuring personalized and medically supervised care. The Unal Vitality protocols address menopause as a whole, integrating weight management, bone health, sexual health, and mental well-being. This allows menopause to become a balanced, sustainable transition, rather than a period that negatively impacts daily life—making this approach suitable for international patients traveling to Istanbul for menopause and hormone care.

Balancing Menopause with Bioidentical Hormones

Is hormone therapy necessary during menopause?

Is hormone therapy necessary during menopause?

Hormone therapy during menopause is not necessary for every woman. However, if there are symptoms such as hot flashes, sleep disturbances, decreased libido, and bone loss, it can significantly improve quality of life.

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Does hormone therapy during menopause cause weight gain?

Does hormone therapy during menopause cause weight gain?

No. Properly planned hormone therapy does not cause weight gain; on the contrary, it can help balance metabolism. Weight gain is most often due to hormone deficiency.

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Which hormones decrease during menopause?

Which hormones decrease during menopause?

During menopause, estrogen and progesterone levels most commonly decrease. In some women, low testosterone levels can also lead to decreased energy and sex drive.

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Can hormone therapy relieve hot flashes?

Can hormone therapy relieve hot flashes?

Yes. Hormone therapy is one of the most effective methods for reducing hot flashes and night sweats during menopause.

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What is bioequivalent hormone therapy?

What is bioequivalent hormone therapy?

Bioequivalent hormones are hormones that are structurally compatible with the body's own hormones. This allows hormone replacement to be performed in a more balanced and well-tolerated manner.

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Does hormone therapy during menopause increase the risk of breast cancer?

Does hormone therapy during menopause increase the risk of breast cancer?

Individualized hormone therapies with regular monitoring have not shown an increased risk. Regular breast examinations are an important part of the treatment.

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How long is hormone therapy used during menopause?

How long is hormone therapy used during menopause?

Treatment duration varies from person to person. Some women may benefit from short-term use, while others may benefit from long-term hormone replacement therapy. The duration is determined by a doctor's assessment.

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Where should I go in Istanbul for menopause hormone therapy?

Where should I go in Istanbul for menopause hormone therapy?

Istanbul has centers specializing in menopause and hormone therapies. At Op. Dr. Ebru Ünal's clinic, the treatment process is planned based on individual assessment and follow-up.

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