Specialists in Hormone Replacement Therapy (HRT) in Barcelona

What is hormone replacement therapy (HRT) and why is it essential in your long-term health?

Menopause and perimenopause represent some of the most significant biological shifts in a woman’s life. At Turó Park Clinics, we use Hormone Replacement Therapy (HRT) to restore your quality of life while proactively protecting your long-term health, ensuring you feel your best for years to come.

HRT involves replenishing the hormones, eostrogen, progesterone, and occasionally testosterone, that the ovaries naturally stop producing. However, the impact of these "chemical messengers" goes far beyond simply stopping hot flashes or improving sleep. Hormones regulate nearly every system in the body, a prolonged decline in eostrogen can significantly affect everything from bone density and cardiovascular health to metabolism and cognitive clarity.

Our mission is to help you regain your hormonal balance through a fully personalised treatment plan. Rather than offering generic solutions, our English-speaking specialists analyse your unique hormonal profile to restore your vitality and safeguard your heart and bone health. Initiating HRT at the onset of symptoms is a powerful preventative step, allowing you to maintain the active and demanding lifestyle you enjoy.

How do you know if you need hormone replacement therapy?

Identifying the right moment to start HRT is fundamental for protecting your future health. While every woman experiences this transition uniquely, there are clear biological signals that your hormonal balance is shifting and that you could benefit from HRT.

Common symptoms of perimenopause and menopause are usually the primary indicators that your body may require hormone replenishment. These include:

Disrupted Sleep and Low Vitality: Experiencing insomnia, night sweats, or a persistent sense of fatigue that doesn't improve with rest.
Emotional Well-being & "Brain Fog": Feeling unusual irritability, anxiety episodes, or a lack of mental clarity and difficulty concentrating.
Intimate and Sexual Health: Vaginal dryness, discomfort during intercourse, or a noticeable decrease in libido that affects your quality of life.
Metabolic and Physical Changes: Noticing a loss of skin elasticity or an increase in abdominal fat, even while maintaining your usual diet and exercise routine.
Bone Density Loss: While bone loss is "silent" and painless, it is one of the most critical internal changes. HRT serves as an essential preventative treatment against osteoporosis.

Your tailored treatment: personalised plans and options

The choice of your treatment depends entirely on your medical history and personal health goals. At Turó Park Clinics, we do not believe in generic solutions. We analyse your specific situation to decide together which option will help you regain your vitality.

→ Types of hormonal treatments

Combined Therapy (Estrogen + Progesterone) : Estrogen is the primary hormone used to alleviate your symptoms, while progesterone plays a vital role in protecting the endometrial lining.
Testosterone Optimisation : Often overlooked, testosterone plays a crucial role in female well-being. At appropriate low doses, it is highly effective for treating Hypoactive Sexual Desire Disorder (HSDD), enhancing mental clarity, boosting energy levels, and helping maintain lean muscle mass.

→ Administration methods: how to receive your treatment

Transdermal and Topical Therapies (Gels and Patches) : This is one of our most recommended options due to its high safety profile. By applying estrogen to the skin, the hormone enters the bloodstream directly, bypassing the liver and significantly reducing cardiovascular or clotting risks.
Oral Tablets : Oral HRT remains an effective and convenient option for many women. It is a straightforward solution that is highly successful in managing moderate to severe menopausal symptoms.
Local and Targeted Treatments : If your symptoms are primarily related to intimate dryness or discomfort, you may opt for localised vaginal creams with minimal systemic absorption. Another option is the hormonal IUD, which provides localised uterine protection when combined with systemic eostrogen.

→ Treatment cycles: continuous vs. sequential plans

Sequential (Cyclical) Plan : We typically recommend this if you are still experiencing irregular periods (perimenopause). You take estrogen daily and add progesterone for about two weeks a month, which results in a monthly "withdrawal" bleed similar to a period.
Continuous Combined Plan : If it has been over a year since your last period, this is usually the preferred method. You take both hormones daily without interruption. This is the most convenient method as it eliminates monthly bleeding entirely.

Regenerative gynaecology

If your main concern is dryness or discomfort in the intimate area, CO₂ laser treatment is an excellent solution. It helps restore tissue health naturally, without the need for medication, by stimulating your body’s own collagen production.

Improving habits

Bioidentical hormones

¿Why choose Dr Celia Marcos at Turó Park Clinics?

Hormonal and gynaecological health requires an expert approach that combines scientific rigour with genuine empathy. Dr Celia Marcos specialises in providing personalised, up-to-date solutions.

Specialist in Menopause and Hormonal Health: A leading figure in personalised treatments with an international perspective, gained through her experience in Spain, Belgium and Switzerland. She holds the prestigious "Board Certification in Hormone Therapy".
Recognised Medical Excellence: She holds a Doctor of Medicine degree, awarded with distinction. She is an active member of leading medical societies (AEEM and SEGO), ensuring that her treatments are based on the latest scientific advances.
Expert Training: A graduate of the University of Valencia, she specialised in Gynaecology and Obstetrics and holds master’s degrees in Pelvic Floor Surgery and Endoscopy from France; she is also an expert in the use of medical lasers for intimate health.

Frequently Asked Questions from Our Patients

Will HRT make me gain weight?

On the contrary. It is actually the lack of estrogen that typically causes fat to accumulate around the abdomen. A well-adjusted therapy helps your metabolism function better and assists you in maintaining your body composition.

Is long-term treatment safe?

Yes, provided there is always medical supervision. For the majority of women, the benefits for heart and bone health far outweigh the risks. During our annual check-ups, we ensure that your plan remains the right fit for you.

When will I start to notice the benefits?

Most of our patients feel an improvement in mood and sleep within the first 2 to 4 weeks. Internal benefits, such as bone protection, consolidate as the treatment progresses.