Get Menopause Medication in Portugal
Menopause HRT Medication Online in 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.
Healthcare and prescription rules in Portugal
Portugal's Serviço Nacional de Saúde was restructured on 1 January 2024, when the five regional health administrations (ARS) were dissolved and replaced by 39 Unidades Locais de Saúde (ULS) — each one combining a hospital with the health centres around it under single management, so referrals and records sit in one organisation rather than two. Anything written about Portuguese healthcare before 2024 describes a structure that no longer exists. The autonomous regions sit outside this: Madeira is run by SESARAM and the Azores by their own regional service. For non-emergency symptoms the national nurse-triage line SNS 24 (808 24 24 24) assesses you by phone and directs you to self-care, a health centre or an emergency department; from 26 February 2026 calling it first became mandatory specifically for obstetrics and gynaecology emergencies, with exceptions where there is a suspected risk to life. EHIC and UK GHIC holders access state care on resident terms.
Antibiotics are classified as prescription-only in Portugal and cannot be bought over the counter. Amoxicillin, azithromycin, flucloxacillin, nitrofurantoin and the rest require a prescription from a licensed doctor, and pharmacies are supervised by INFARMED, the national medicines authority, together with the Ordem dos Farmacêuticos, including inspections and mystery-shopper checks on exactly this rule. Out of hours, a rota pharmacy — the farmácia de serviço — is posted at every closed pharmacy, and 112 is the emergency number.
An online consultation is not emergency care. Anywhere in Portugal, call 112 if symptoms are severe or life-threatening.
Menopause Medication Available Across Portugal
Select your city for localized information, or book now to speak with a doctor from anywhere in Portugal.
About Menopause Medication
Hormone replacement therapy provides estrogen, combined with a progestogen for women who have a womb. Our licensed doctors evaluate your medical history through a video consultation and prescribe only when treatment is clinically suitable. If your situation requires an in-person examination or specialist care first, our doctors refer you for in-person care.
Medications We Prescribe
- Estradiol transdermal gel
- Progesterone micronised oral capsules
- Tibolone oral tablets
- Estradiol transdermal patches
- Combined estradiol and progestogen tablets
- Estriol vaginal cream or pessaries
- Fezolinetant non-hormonal tablets
What We Cannot Prescribe
- Any hormonal or non-hormonal menopause medicine with current or past breast or estrogen-dependent cancer; we refer you for specialist care
- HRT with unexplained vaginal bleeding; we refer you for an in-person examination
- HRT after a blood clot or with a known clotting disorder; we refer you to specialist care
- HRT after a stroke, heart attack, or with angina; we refer you for in-person medical care
- HRT or fezolinetant with active liver disease or abnormal liver tests; we refer you for in-person assessment
- Fezolinetant in pregnancy, with certain medicines that interact with it, or together with HRT other than vaginal estrogen
- Treatment for menopause symptoms under age 40; we refer you to specialist care for full evaluation
- The hormonal coil (levonorgestrel intrauterine system), which requires in-person clinical insertion
- Testosterone for women, as no testosterone product is licensed for women in Spain
- Compounded 'bioidentical' hormones, as menopause societies advise against them; our doctors prescribe licensed medicines only
- Progesterone skin creams or gels, not licensed in Spain for HRT or protecting the womb lining; our doctors do not prescribe them for that
- Any medicine your medical history shows is not suitable or safe for you; we refer you to in-person care
How to Get Menopause Medication in Portugal
Book a video consultation with one of our licensed doctors at a time that suits you
The doctor reviews your symptoms and takes a comprehensive personal and family medical history
The doctor assesses suitability and refers you for an in-person examination if one is needed first
If a medicine is prescribed, you receive a private electronic prescription as a PDF by email
You show the PDF prescription at a pharmacy, where the pharmacist verifies it before dispensing
Attend a follow-up review after about 3 months, and then at least once a year to assess your progress
Menopause Medication in Portugal - FAQs
Can I get menopause medication online in Portugal?
In Portugal, you can book a video consultation 24/7 with one of our licensed doctors. The doctor reviews your symptoms and takes a full personal and family medical history, including your current medicines. A prescription is issued only if the doctor assesses treatment as clinically suitable. Some women are referred for an in-person examination or specialist care first.
What happens after the video consultation in Portugal?
If the doctor prescribes a medicine, you receive a private electronic prescription as a PDF by email, which you show to the pharmacist. The doctor may instead refer you for an in-person examination first. A follow-up review is advised after about 3 months, then at least once a year.
Where can I use the online consultation service in Portugal?
You can access the video consultation from anywhere in Portugal provided you have an internet connection. You do not need to travel to a particular city to speak with our doctors. If your medical history indicates that an in-person examination or specialist care is required, the doctor will refer you accordingly.
Can you buy HRT over the counter in Spain?
No. Every menopause hormone therapy product in Spain requires a medical prescription and cannot be bought over the counter. Under Spanish law, any licensed doctor may prescribe prescription-only medicines. If our doctors determine after a video consultation that treatment is clinically appropriate, they can issue a private electronic prescription. The pharmacist in Spain verifies the prescription before dispensing.
Will a Spanish pharmacy accept a UK or US HRT prescription?
Under Spanish law, the rule allowing prescriptions from other EU countries to be dispensed does not cover prescriptions from the UK or the US, so you need a Spanish prescription. Additionally, medicine brand names often differ between countries, and some foreign products have no Spanish equivalent. For example, no combined estrogen-and-progestogen patch is sold in Spain. You should bring details of your current HRT, and our doctors can discuss an alternative available in Spain.
Can I start HRT online for the first time?
You can have an initial assessment online, but no menopause guideline endorses starting HRT through an online consultation. 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 examination, such as a breast or pelvic check, is required first. Certain health conditions always require in-person or specialist care rather than remote care.
How do HRT renewals work?
To renew your HRT, have the name, strength and dose of your current medication ready for your consultation. Our doctors will review your symptoms, health history and blood pressure to assess whether the treatment remains suitable for you. Clinical guidance advises reviewing HRT after about 3 months when starting or changing a dose, and at least once a year thereafter. If continuing treatment is clinically appropriate, a private electronic prescription is sent to you as a PDF by email to present at a pharmacy.
Do I need blood tests for HRT if I am over 45?
In women aged 45 and over, menopause is usually recognised from symptoms and menstrual changes without routine hormone blood tests. During your video consultation, our doctors review your medical history, blood pressure and weight, and may request blood tests if your history calls for them. However, if the non-hormonal medicine fezolinetant is considered, liver blood tests are required before starting treatment and must be repeated monthly for the first three months.
Is HRT a contraceptive?
No, HRT is not a contraceptive method and cannot be relied on to prevent pregnancy. If you are sexually active and wish to avoid pregnancy, you still need effective contraception. Clinical guidance advises continuing contraception for 2 years after your last natural period if you are under 50, and for 1 year if you are over 50. Most women can stop at age 55. Withdrawal bleeds on HRT, or having no bleeding on HRT, do not count as natural periods, so agree with the doctor when to stop, continuing until 55 if in doubt. If you use hormonal contraception, ask our doctors during your consultation for guidance.
How much does it cost?
The consultation fee is clearly shown on the doctor's offer before you choose an appointment time and pay. This fee covers your video consultation and medical evaluation with one of our licensed doctors. If a prescription is clinically indicated and issued, the cost of the prescribed medicine is completely separate from our consultation fee and is paid directly to the dispensing pharmacy.
When do I need urgent or in-person care?
Bleeding is common in the first 6 months of HRT and within 3 months of a change. You should arrange an in-person medical examination if you experience unexpected bleeding that is heavy, continues beyond those windows, or starts after a bleed-free spell, bleeding after your periods have stopped for a year, or a new breast lump. If you develop possible signs of a blood clot or stroke—such as sudden chest pain, shortness of breath, a painful swollen leg, sudden weakness or numbness on one side of the body, or difficulty speaking—call the emergency services on 112 immediately.
Related Conditions We Treat in Portugal
Get Your Menopause Medication in Portugal Now
Book a video consultation with one of our licensed doctors. Most patients see a doctor within 15 minutes.
Book Consultation24/7 availability • English-speaking doctors • Prescription valid at any pharmacy in Portugal