What tests are done before starting menopause treatment?

A hormone panel (FSH, estradiol), thyroid function, metabolic markers and vitamin status form the baseline; breast and gynecological screening are confirmed to be up to date. Testing can be completed within 1-2 days of your Istanbul visit.

How quickly does hormone therapy relieve hot flashes?

Most women notice meaningful improvement within 2-4 weeks, with full effect by around 3 months. Dose adjustments, if needed, are handled in remote follow-up.

Menopause Treatment in Istanbul: Symptoms, Options and a Holistic Plan

Menopause Is Natural — Suffering Through It Is Optional

Menopause typically occurs between ages 45 and 55. While it is a natural transition, symptoms like hot flashes, night sweats, insomnia, mood changes, weight gain and vaginal dryness can seriously affect quality of life — and all of them are treatable.

Treatment Options We Offer

Hormone replacement therapy (HRT):: The most effective treatment for hot flashes and night sweats when started in the right patient at the right time

[Bioidentical hormone therapy](/en/bioidentical-hormone-therapy-in-istanbul):: Personalized dosing with body-identical hormones

Local (vaginal) estrogen:: For dryness and urinary symptoms, with minimal systemic absorption

Non-hormonal options:: For women who cannot or prefer not to use hormones

Lifestyle medicine:: Nutrition, exercise, sleep and stress protocols that address weight gain and metabolic changes at their root

Our Assessment Process

Every plan starts with a detailed history, examination and laboratory panel (hormones, thyroid, metabolic markers, vitamin status). We then build a personalized program balancing symptom relief with long-term protection of bone, heart and brain health. This is not a "one prescription fits all" approach — it is menopause medicine tailored to you.

For International Patients

Many of our menopause patients combine an Istanbul visit with their treatment start: initial online consultation, in-person evaluation and testing within 2-3 days, and remote follow-up afterwards. Our coordination team supports you in English at every step.