Heart and blood vessels
After the menopause your risk of cardiovascular disease rises. It is worth knowing your blood pressure, cholesterol and blood sugar.
Does this sound familiar?
Most women notice the menopause starting somewhere between 45 and 55, sometimes earlier. Your hormones start to fluctuate, and you feel that in more places than hot flushes alone. Tap what you recognise.
Your body
Sleep and energy
Mind and mood
Intimacy
Your cycle
Not everything is the menopause. An underactive thyroid, iron deficiency, stress or a sleep problem can cause similar symptoms. That is why the doctor looks at the whole picture, not just your hormones.
How it works
You start with an online intake that takes a few minutes. Then you speak with a doctor, who takes the time to look at what suits you.
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01An intake about you
You tell us which symptoms bother you most, how your cycle has changed and how your health is.
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02A plan that suits you
Based on your answers, you see which treatment we recommend. Prefer a different form? Simply tick it yourself.
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03A conversation with the doctor
A BIG-registered doctor calls or video-calls you. Together you weigh up the pros and cons. Sometimes other tests are needed first.
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04Delivered to your home
Once the doctor approves the treatment, our pharmacy sends it to your home. You can always turn to our care team with questions.
The intake is no guarantee of treatment. If the doctor does not consider a treatment appropriate, you will receive a full refund.
Beyond your symptoms
Your health after the menopause
When your hormones change, more changes than you notice. A good moment to look beyond the symptoms you have now.
Bones
Your bone density drops faster in these years. Weight-bearing exercise helps, as does enough calcium and vitamin D.
Sleep and mood
Poor sleep makes everything harder. The doctor looks with you at what disturbs your nights and what can help.
Intimate health
Vaginal dryness or pain is common and does not always go away by itself. Feel free to bring it up.
Blood tests
A hormone test? Usually not needed.
If you are 45 or older with symptoms that fit the menopause, the doctor diagnoses it based on your symptoms and your cycle. Your hormones fluctuate so much now that a single measurement says little. Want to know how your heart, blood sugar or thyroid are doing? If the doctor finds it useful, this can be done with the BlueTest.
Health Passport
Your menopause
Sleepyour own rating per week
Hot flusheshow often, per week
- Talk with the doctorcompleted
- Reviewtogether with the doctor
What it costs
- Upfront
- you see what you pay. You only pay for the treatment the doctor reviews.
- 100%
- back if the doctor does not consider the treatment appropriate.
- 4 weeks
- per period. You can stop via your account.
How do I know if it is the menopause?
It often starts with an irregular cycle, hot flushes or poorer sleep, usually between 45 and 55. Once you have not had a period for a year, that is called the menopause. The years before, the perimenopause, can already bring quite a few symptoms. If you are unsure, the doctor will look at it with you.
Do I need a blood test?
Usually not to diagnose the menopause. From 45, the doctor looks at your symptoms and your cycle; a hormone test says little in this phase. If you are under 40, further tests are important. If you want to know how your heart, blood sugar or thyroid are doing, the BlueTest can be useful.
Can I get help without hormones?
Not everyone wants to or is able to use hormones. If you are still unsure, say so in the intake. The doctor goes through the pros and cons with you and also discusses what you can do without hormones, for example around sleep, exercise and alcohol.
Is hormone therapy suitable for everyone?
No. After thrombosis, a heart attack or stroke, with breast cancer or another hormone-sensitive tumour, active liver disease or unexplained bleeding, it is not suitable, or something else has to happen first. Your age and how long you have been in the menopause also count. If you still have a uterus, there is always a medicine to protect the lining of the womb as well.
Which risks and check-ups are involved?
That depends on your situation and the form you use. The doctor discusses the pros and cons with you and later checks with you whether the treatment still suits you. If you get unexpected bleeding or a painful, swollen leg, become short of breath or feel a lump in your breast, contact a doctor straight away.
I am under 40. Can I still come to you?
Symptoms before 40 can point to an early menopause. That calls for further tests, often with a specialist. Feel free to do the intake; the doctor will then discuss the best route with you.
What do I pay?
When you apply, you pay for the treatment the doctor reviews. You see the amount before you check out. If the doctor does not consider the treatment appropriate, you get it back in full. A treatment runs in periods of four weeks and you can stop via your account.
Important safety information
Hormone therapy is prescription-only. You only receive it if a BIG-registered doctor (Dutch medical register) assesses, after your medical intake, that it is safe and suitable for you. A treatment is therefore never guaranteed.
Hormone therapy is not suitable after (a history of) breast cancer or another hormone-sensitive tumour, thrombosis, a heart attack or stroke, with active liver disease or with unexplained vaginal bleeding. Always state your medical history and all medication you use in the intake, and read the patient information leaflet before use. More information is available at apotheek.nl (in Dutch).
If you get a painful, swollen leg, sudden shortness of breath or chest pain, call 112 immediately. For side effects or doubts, contact our medical team.
Curious what suits you?
Start the intake whenever it suits you. A doctor will then contact you and together you look at what fits.
Menopause symptoms?Talk them through with a doctor
Start