Menopause and Perimenopause 

Menopause and Perimenopause Program in Valencia

Menopause is not just the end of menstruation, nor is it limited to hot flashes; it is a hormonal transition that affects your energy, mood, sleep, weight, and—in the long term—your bone and heart health. With the right approach, you can live well. At Medicality, we support you with a comprehensive, personalized program.

Perimenopause: it starts sooner than you think

Many symptoms appear years before your final period and are often not linked to menopause. This is perimenopause: irregular periods, insomnia, mood swings, brain fog, anxiety, or weight changes in women who are still menstruating.

Symptoms we treat

• Hot flashes and night sweats
• Insomnia and poor sleep quality
• Mood swings, irritability, and anxiety
• Brain fog and concentration issues
• Changes in weight and body composition
• Low libido and dryness
• Joint pain
• Fatigue

Our integrative approach

We do not simply treat isolated symptoms. We approach menopause as a stage that affects the entire body:

• Hormonal balance. We assess whether hormone therapy is indicated and safe for you—always based on lab results and tailored to your needs—and explore alternatives if you prefer not to use it or if it is not suitable.
• Bone health. The drop in estrogen accelerates bone mass loss. Preventing osteoporosis during this stage protects your future independence.
• Cardiovascular and metabolic health. Cardiovascular risk and metabolic changes increase after menopause. This is a critical window for prevention.
• Well-being, sleep, and mood. Because quality of life during this transition matters just as much as clinical markers.

This preventive approach—going beyond mere symptom relief—is what links menopause to longevity medicine: it is an opportunity to safeguard your health for the decades to come.

What does our Menopause Program include?

• Individual medical assessment. A detailed review of your medical history: menstrual cycles, symptoms, medication, medical background, risk factors, sleep, bone health, physical activity, sexual health, body composition, and emotional well-being.
• Metabolic evaluation and biomarkers. Precision blood analysis, body composition, and blood pressure monitoring.
  Hormonal assessment. When clinically indicated, we can evaluate thyroid function, sex hormones, and other relevant parameters.
• Strength and body composition. Menopause is a crucial time to focus on muscle mass, strength, body fat, and mobility.
• Sleep and recovery. We analyze sleep quality and potential factors interfering with recovery. If signs of a sleep disorder are present, a specialized assessment may be required.
• Sexual health. We discuss libido, vaginal dryness, pain during intercourse, and other related issues openly and confidentially.
• Personalized plan. Depending on your symptoms and needs, the plan may include lifestyle changes, strength training, sleep recommendations, metabolic health strategies, and hormonal treatment when indicated.

Therapy options and Hormone Replacement Therapy in Menopause

There is no single treatment for menopause.

Bioidentical hormone therapy can be a safe and effective option for certain menopausal symptoms and may offer additional benefits for some women. However, it is not suitable for everyone. The decision should be made after an individual assessment of the benefits and risks.

Local treatments. Local treatment options may be available for women with genitourinary symptoms, depending on the specific situation.

Non-hormonal treatments. Various pharmacological and non-pharmacological strategies exist to address specific symptoms.

Lifestyle. A proper diet, regular physical activity, strength training, adequate sleep, reduced alcohol consumption, and avoiding tobacco are key pillars of health during and after menopause.

Menopause and Longevity

Menopause is also a particularly interesting time for longevity medicine.

Not because menopause is a disease to be “fought,” but because it represents a significant life change for women and offers an opportunity to assess their health. It can be a good time to evaluate:

• Blood pressure
• Cardiovascular profile
• Metabolic health
• Body composition
• Muscle strength
• Bone health
• Sleep quality
• Hormonal status
• Lifestyle habits

Frequently Asked Questions (FAQs)

I’m still having periods but am noticing symptoms; is this normal?
Yes: it is likely perimenopause, the phase leading up to menopause that can begin years before your final period. It is a good time to consult a professional.

Does hormone therapy cause weight gain or is it dangerous?
Those are two of the most common myths. When properly prescribed and monitored, hormone therapy is safe for many women and does not cause weight gain on its own. Each case is evaluated individually.

What if I don’t want hormone therapy?
There are alternatives—such as lifestyle changes and addressing sleep, mood, and bone and metabolic health—that also alleviate symptoms and protect your health.