Hormone replacement therapy — confidence through menopause
Bioidentical hormones with transdermal estradiol as first choice.
Modern, evidence-based treatment for women in perimenopause and menopause — with individualised follow-up.
Medically reviewed by Johan Hedevåg, MD
Hormone replacement therapy (HRT) replaces the hormones that naturally decline during menopause — primarily estrogen and progesterone, plus testosterone when indicated. At Revi Health we use bioidentical hormones with transdermal estradiol as first choice, as it carries lower thrombosis risk compared to oral forms.
What is treated?
Tap a condition to read more.
Hormone levels change with age
Illustrative curve. During perimenopause, estrogen can swing between peaks above normal cycle values and sharp crashes — symptoms are often worst here. Progesterone falls fastest as ovulations become less frequent. Testosterone declines gradually from the 20s, independent of menopause.
How it works
- 01Health check & symptom assessmentDay 0Premium health check with full hormonal status (estradiol, FSH, LH, progesterone, free testosterone, SHBG), thyroid panel, blood lipids and glucose metabolism, plus validated symptom questionnaires.
- 02Risk/benefit assessment + DEXA when indicatedWithin 2 wksWe review your individual risk and benefit profile — particularly regarding cardiovascular disease, hereditary breast cancer and thrombosis. DEXA scan when osteoporosis is suspected.
- 03Bioidentical HRT initiationMonth 1Transdermal estradiol (gel or patch) as first choice. Combined with micronised progesterone for women with an intact uterus. Low-dose testosterone may be added when indicated.
- 04Follow-up & dose adjustment3 + 6 monthsWe follow up on symptom relief, side effects and blood work to fine-tune the dose. Most women notice clear improvement within 2–4 weeks.
- 05Annual review and optimisation1 / yearAnnual blood tests, clinical evaluation, mammography per screening programmes, and bone density measurement when indicated. Dose and duration of treatment are continuously individualised.
What does the evidence show?
Hot flashes
report a clear reduction in hot flashes and night sweats
Sleep
experience better sleep quality and fewer awakenings
Vaginal health
find relief from vaginal dryness and improved libido
Mood
notice more stable mood and less anxiety
Share of women with significant symptom improvement at 12 weeks on bioidentical HRT. Illustrative figures based on clinical experience.
How HRT compares to other options
Bioidentical HRT
Recommended- Effect on hot flashes
- Strong
- Effect on bone density
- Protective
- Vaginal effect
- Strong
- Risks
- Low (transdermal)
Natural remedies
- Effect on hot flashes
- Limited
- Effect on bone density
- None
- Vaginal effect
- Limited
- Risks
- Low
SSRI
- Effect on hot flashes
- Moderate
- Effect on bone density
- None
- Vaginal effect
- None
- Risks
- Moderate
No treatment
- Effect on hot flashes
- —
- Effect on bone density
- —
- Vaginal effect
- —
- Risks
- —
Bioidentical HRT with transdermal estradiol has the best risk-benefit profile for most women within 10 years of menopause.
What does the research say?
Findings from peer-reviewed publications.
NAMS 2022 position statement: HRT is the most effective treatment for vasomotor symptoms and protects bone density in women under 60 or within 10 years of menopause.
Transdermal estradiol carries a lower venous thromboembolism risk than oral estrogen — meta-analysis of observational and randomised studies.
Micronised progesterone has a more favourable risk-benefit profile for breast and cardiovascular health than synthetic progestins.
When this treatment isn't right
- Untreated breast cancer or hormone-sensitive cancer
- Previous thrombosis without evaluation
- Untreated severe liver disease
- Unexplained vaginal bleeding
- Active cardiovascular disease (requires individual assessment)
Pricing and what's included
HRT always begins with our premium health check. You then continue in the membership that fits how closely you want us to follow you.
Personal care team for whole-body health — TRT/HRT is included as part of pharmacological support when needed.
- Blood work whenever needed
- DEXA scan every 6 months
- Free ultrasound examinations
- Personalised training plan
- Nutrition and supplement guidance
- Pharmaceutical support incl. TRT/HRT
Everything in Bas plus a personal longevity strategist, advanced diagnostics and 30% off treatment programmes.
- Everything in Bas
- Personal longevity strategist
- Full access to facilities
- Advanced diagnostics (MRI, CT, X-ray) when needed
- Cognitive optimisation
- 30% discount on treatment programmes
Unsure whether HRT is right for you?
Book a free video call with one of our physicians — we'll go through your situation and see if the treatment is right for you.
Questions about HRT
Frequently asked questions
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