Hormone Replacement Therapy (HRT) in Madrid
Speak with an English-speaking doctor online in Madrid to review or renew HRT in Spain. Our licensed doctors discuss treatment options and prescribe when clinically suitable.
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 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
Symptoms to Watch For
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)
For emergencies, call 112 or go to the nearest hospital in Madrid.
Hormone Replacement Therapy (HRT) Options in Madrid
Our doctors can provide comprehensive treatment including diagnosis, prescriptions, and follow-up care
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
How to Get Hormone Replacement Therapy (HRT) in Madrid
Get treated in 3 simple steps—start your consultation in minutes
Describe Your Symptoms
Tell us about your menopause symptoms symptoms and medical history
Video Consultation
Connect with a licensed, English-speaking doctor via video call
Get Your Prescription
Receive your prescription digitally—pick it up at any pharmacy in Madrid
Healthcare in Madrid: what visitors and residents should know
How local care works in Madrid and across Community of Madrid, Spain — and where an online doctor fits alongside it.
Madrid's public healthcare is run by SERMAS, the Servicio Madrileño de Salud, the health service of the Community of Madrid. Spanish is the only official language, so there is no bilingual layer to navigate, but English provision in public facilities is limited outside the largest teaching hospitals. State healthcare is run at regional level, so the rules you meet depend on where you are rather than on Spain as a whole. EU, EEA and Swiss visitors holding an EHIC (or a UK GHIC) can use public primary care and emergency departments on the same terms as residents, though you will normally be asked for the card plus photo ID at reception. Outside surgery hours, pharmacies operate a rota — the farmacia de guardia — and the duty pharmacy is posted in the window of every closed chemist. As Spain's capital and its main international air hub, Madrid concentrates two very different needs: a large resident population of embassy staff, international students and corporate transferees who need continuity of care, and a constant flow of transiting travellers who need something resolved before a connecting flight. The city is inland at around 650 metres on the Meseta, which gives it a genuinely continental climate — summer highs well above those of the coastal resorts, with no sea breeze, and cold dry winters. Heat-related illness in July and August is a real presentation here, not a coastal cliché.
- Spain's business and cultural capital
- Major international hub
- Large expat and student population
Areas we cover around Madrid and Community of Madrid
An online consultation is not a substitute for emergency care. If you are in Madrid and your symptoms are severe or life-threatening, call 112 or go to the nearest emergency department.
Menopause Symptoms Treatment FAQs
Common questions about menopause symptoms treatment in Madrid
Can I get an HRT prescription online in Madrid?
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 in Madrid?
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 in Madrid?
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.
Licensed Doctors
All doctors are licensed to practice medicine in Spain
English-Speaking
No language barriers when discussing your health
Valid Prescriptions
Prescriptions valid at any pharmacy in Madrid
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Hormone Replacement Therapy (HRT) also available in other Spain cities