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 Hertoghe 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 Hertoghe 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?
Hormone therapy is not mandatory for every woman during menopause. However, if symptoms such as hot flashes, sleep disturbances, reduced sexual desire, or bone loss are present, hormone therapy can significantly improve quality of life.
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Does hormone therapy cause weight gain during menopause?
No. When properly planned, hormone therapy does not cause weight gain and may help support metabolic balance. Weight gain during menopause is often related to hormone deficiency rather than hormone treatment itself.
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Which hormones decrease during menopause?
During menopause, estrogen and progesterone levels most commonly decline. In some women, decreased testosterone levels may also contribute to reduced energy and sexual desire.
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Does hormone therapy relieve hot flashes?
Yes. Hormone therapy is one of the most effective approaches for reducing hot flashes and night sweats during menopause.
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What is bioidentical hormone therapy?
Bioidentical hormones are structurally identical to the hormones naturally produced by the body. This allows hormone replacement therapy to be applied in a more balanced and generally better-tolerated manner.
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Does menopause hormone therapy increase the risk of breast cancer?
In personalized hormone therapies that are regularly monitored, no increased risk has been shown. Routine breast examinations are an essential part of safe hormone therapy follow-up.
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How long is hormone therapy used during menopause?
The duration of hormone therapy varies from person to person. Some women benefit from short-term use, while others may require longer-term hormonal support. The duration is determined through medical evaluation.
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Where should one apply for menopause hormone therapy in Istanbul?
In Istanbul, there are specialized centers focused on menopause and hormone therapy. Within this field, treatment at Op. Dr. Ebru Ünal’s clinic is planned based on individualized evaluation and regular medical follow-up.
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