What online treatments are available for menopause in the EU?

Yes, several evidence-based treatments for menopause are available through licensed EU telehealth platforms. These include hormone replacement therapy (HRT) in various forms, non-hormonal medications such as selective serotonin reuptake inhibitors (SSRIs) and gabapentin, and lifestyle counselling. A licensed EU physician assesses your symptoms and medical history before recommending the most appropriate option.

Hormone replacement therapy (HRT) options

HRT remains the most effective treatment for moderate to severe menopausal symptoms. It works by replacing oestrogen and/or progesterone that decline during menopause, reducing hot flushes, night sweats, vaginal dryness, and mood changes.

Available forms include:

• Tablets (oestrogen and progesterone combinations)
• Transdermal patches (absorbed through skin, bypassing the liver)
• Gels and sprays
• Vaginal creams or pessaries for localised symptoms

Your physician will discuss the benefits and risks based on your age, symptom severity, medical history, and family history. HRT is not suitable for everyone, particularly those with a personal history of certain cancers or blood clots, which is why a proper medical assessment is essential.

Non-hormonal medications

For patients who cannot or prefer not to use HRT, several alternatives are available:

SSRIs and SNRIs (such as sertraline, paroxetine, and venlafaxine) can reduce hot flushes and mood symptoms, though they work more gradually than HRT.

Gabapentin is effective for hot flushes and night sweats and is particularly useful if you also experience anxiety.

Clonidine is a blood pressure medication that can help reduce hot flushes in some women.

These medications require a consultation with a licensed EU physician to determine suitability and monitor effectiveness.

How online menopause treatment works

When you access menopause treatment through a platform like AETHERA Health, the process typically follows these steps:

1. Initial assessment: You complete a detailed questionnaire about your symptoms, medical history, medications, and lifestyle.
2. Physician review: A licensed EU physician reviews your information and may request additional details or arrange a video consultation.
3. Personalised recommendation: The physician discusses treatment options and prescribes the most appropriate therapy if clinically indicated.
4. Prescription and delivery: If prescribed, your medication is dispensed by an EU-licensed pharmacy and delivered to your address.
5. Follow-up support: You receive guidance on symptom tracking and may have follow-up consultations to assess effectiveness and adjust treatment if needed.

The entire process is conducted within EU regulatory frameworks, ensuring that all physicians are licensed and all medications meet European safety standards.

Timeline and costs

Initial consultations typically take 3-7 working days from submission. Some platforms offer expedited options.

Costs vary depending on:

• The consultation fee (usually €50-€150)
• The specific medication prescribed
• Pharmacy dispensing fees
• Delivery charges

Many EU countries have different reimbursement policies for menopause treatments through national health systems. Check whether your country's health insurance covers online consultations and HRT prescriptions. Private telehealth consultations are generally out-of-pocket, though some employers offer health benefits that cover telehealth services.

EU regulatory context

All menopause treatments available through licensed EU telehealth platforms are approved by the European Medicines Agency (EMA) or equivalent national regulatory bodies. Physicians operating in the EU must be registered with their national medical council and follow strict prescribing guidelines.

HRT and other menopause medications are prescription-only in all EU countries, meaning they cannot be obtained without a medical consultation. This protects patient safety by ensuring treatments are tailored to individual health profiles.

If you are relocating to the EU or are an expat living within an EU member state, you can access these services provided you have a valid EU address and your physician can conduct the consultation in English or your local language.

Frequently asked questions

Is HRT safe to use long-term?

HRT safety depends on individual risk factors, type of HRT, and duration of use. Your physician will discuss the benefits and risks specific to your health profile. Current evidence supports HRT for symptom relief in most women, though regular review is recommended.

Can I get a menopause prescription without a video call?

No. EU regulations require a licensed physician to assess you before prescribing any menopause medication. This may be done via questionnaire and physician review, or a video consultation, depending on the platform and your individual case.

How long does it take to feel better on HRT?

Many women notice improvement in hot flushes and night sweats within 2-4 weeks, though full benefit may take 8-12 weeks. Non-hormonal medications often take longer, sometimes 4-8 weeks. Your physician will advise on realistic timelines for your chosen treatment.

Can I switch between treatments if one doesn't work?

Yes. If your initial treatment is not effective or causes side effects, your physician can adjust the dose, change the formulation, or recommend an alternative. Follow-up consultations allow for these adjustments.

Are menopause treatments available in all EU countries?

Menopause treatments are available across the EU, though specific medications, reimbursement policies, and telehealth regulations vary by country. Check your country's healthcare rules before starting treatment through an online platform.

Start your menopause assessment with AETHERA Health: https://aetherahealth.eu/assessment?c=womens-health