Hormone Replacement Therapy (HRT)
Hormone Replacement Therapy (HRT) in Spain and Portugal from UrgentDoc: a licensed, English-speaking doctor by video, usually within minutes, 24/7. Consultations from €39, with any prescription sent to your pharmacy.
About Menopause Symptoms
Hormone replacement therapy provides estrogen, combined with a progestogen for women who have a womb. Our licensed doctors evaluate your symptoms and health history by video to discuss hormone replacement therapy online. If HRT is clinically suitable, a private electronic prescription is sent as a PDF by email for pharmacies in Spain. If your situation requires an in-person examination or specialist care first, our doctors refer you for in-person care.
Common Symptoms
- Hot flushes and night sweats
- Changes in menstrual periods
- Sleep disturbance and insomnia
- Mood changes and depressive symptoms
- Joint and muscle pain
- Vaginal dryness and discomfort
- Pain or discomfort during sex
- Brain fog and memory complaints
Common Causes
- Natural fall in ovarian estrogen levels
- Fluctuating hormones during perimenopause
- Premature ovarian insufficiency or early menopause
- Menopause symptoms returning after stopping HRT
- Continuing HRT started abroad that requires a Spanish prescription
- Regular three-month or annual review of current treatment
Treatment Options
- Estrogen-only HRT for women who have had a hysterectomy
- Combined HRT providing estrogen and progestogen for women with a womb
- Transdermal estrogen patches
- Transdermal estrogen gel
- Oral estrogen tablets
- Vaginal estrogen cream, pessary, tablet or ring for local symptoms
- Non-hormonal medicine for hot flushes when HRT is not suitable
- Review or renewal of your current HRT prescription
When to Seek Medical Attention
While many cases of menopause symptoms can be treated online, you should seek immediate medical attention if you experience:
- •Any unexplained vaginal bleeding, including bleeding after your periods have stopped for a year (needs an in-person check before any HRT)
- •Heavy bleeding on HRT, bleeding beyond the first 6 months (or 3 months after a change), or after a bleed-free spell (prompt in-person check)
- •A new breast lump or concerning nipple discharge or change (needs a prompt in-person check)
- •Painful swollen leg, sudden chest pain or breathlessness (call 112)
- •Sudden weakness on one side, severe headache or vision loss (call 112)
- •Yellowing of the skin or eyes, or signs of liver problems (stop HRT and see a doctor promptly)
Select Your Location
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Spain
How It Works
Get treated for menopause symptoms in three simple steps
Book Online
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See a Doctor
Connect with an English-speaking doctor who will assess your condition.
Get Treatment
Receive your prescription at your local pharmacy or treatment plan.
Menopause Symptoms Treatment FAQs
Can I get an HRT prescription online?
Our licensed doctors evaluate your menopause symptoms and review your full personal and family medical history by video. If hormone replacement therapy is clinically suitable, a private electronic prescription is sent as a PDF by email to present at a pharmacy in Spain. If your health situation requires an in-person physical examination or specialist care before starting or continuing treatment, our doctors will refer and advise you.
How do I renew an HRT prescription in Spain?
To renew your HRT, have the name, strength and dose of your current medication ready for your video consultation. Our doctors review your symptoms, health history and blood pressure to assess whether continuing treatment remains clinically suitable. Clinical guidance recommends reviewing HRT after about three months when starting or changing a dose, and at least once a year thereafter. If suitable, a private electronic prescription is sent as a PDF by email.
Can I continue HRT prescribed in the UK or US?
Under Spanish law, pharmacies cannot dispense prescriptions from the UK or the US under the EU cross-border rule, so a Spanish prescription is required to continue HRT in Spain. Medicine brand names often differ between countries, and some foreign products have no Spanish equivalent, such as combined patches. Our doctors can review your current treatment and prescribe an appropriate alternative available in Spain when clinically suitable.
Can I get HRT patches in Spain?
Yes, transdermal estrogen patches are marketed in Spain, though brand names and strengths differ from other countries. No combined estrogen-and-progestogen patch is sold in Spain. If you need a renewal or repeat prescription, our doctors can review your treatment and medical history to prescribe an available Spanish formulation when clinically suitable. Prescriptions are issued as a private electronic PDF to present at a pharmacy.
Can I start HRT online for the first time?
You can have an initial online assessment, but no menopause guideline endorses starting HRT through an online consultation alone. In Spain, product information states that doctors must take a full personal and family medical history before starting treatment. Our doctors evaluate this by video consultation and decide whether an in-person physical examination, such as a breast or pelvic check, is required first. Certain conditions always require in-person care.
When is in-person care needed instead of online HRT?
Our doctors refer you for in-person or specialist care instead of prescribing online if you have unexplained vaginal bleeding, menopause symptoms under 40, a past blood clot or clotting disorder, a stroke, heart attack or angina, active liver disease, or current or past breast cancer. You must also seek prompt in-person care for a new breast lump or heavy, unexpected vaginal bleeding. If you experience sudden chest pain, breathlessness, or one-sided weakness, call 112.