Hormone therapy works well when it’s done properly. That means the right diagnosis first, then the right hormone, at the right dose, reviewed regularly. Trusta Medical Center provides Hormone Replacement Therapy in Dubai through DHA-licensed specialists from our Downtown Dubai clinic. We prescribe regulated, body-identical hormones rather than compounded mixtures based on saliva tests.
For women, treatment usually centres on perimenopause and menopause, so hot flushes, broken sleep, brain fog and low mood are common concerns. For men, treatment starts with confirming low testosterone through two morning blood tests.
Your consultation covers your symptoms, your history and your risk profile. We explain what could help alongside what would not be suitable. Delivery method gets discussed properly too, since it can change the risk profile rather than just convenience.
Reviews happen at three months and annually after that to check your response and keep treatment up to date. Book your hormone consultation with Trusta Medical Center today.
Most people put these down to stress, work, or getting older. Sometimes that’s right. Often there’s something hormonal underneath that nobody has looked at properly.
Recognising several of these is reason enough for an assessment.
Hormone care also connects to the rest of our aesthetic gynecology and women’s longevity health services, so bone health, intimate wellness and long-term prevention sit inside one plan rather than three separate appointments.
Perimenopause can run for a decade before periods stop altogether. Oestrogen, progesterone and testosterone all shift across that time, and almost every system in the body feels it.
Treatment here is built around what your symptoms and history actually show. That may mean oestrogen through a patch, gel or spray, progesterone alongside it where you still have a uterus, and in some cases a carefully dosed addition of testosterone for energy and libido. Local oestrogen for vaginal dryness is a separate treatment again, and one many women use safely on its own.
The delivery method changes the risk profile, not just the convenience, which is why our gynaecologist discusses it properly rather than defaulting to tablets. Women already under the care of our menopause specialist in Dubai move between the two services without repeating a single conversation.
Testosterone slides gradually from around 30, roughly one to two percent a year. Nothing dramatic happens on any single day, which is exactly why men reach their mid-forties wondering where the last decade went.
Flat energy. Lost drive. A softer physique despite the same training, and mood sitting somewhere between blunted and irritable. These get treated as personality or stress, and sometimes they are. Sometimes they’re hormonal, and a blood test settles it.
For men, testing genuinely does come first. Two morning samples on separate days, taken before 11am, because levels are highest early and one reading isn’t enough to prescribe on. We also check the things that suppress testosterone in the first place, including sleep apnoea, thyroid function and iron levels, since treating those sometimes removes the need for therapy altogether.
This gets muddled constantly, and the distinction is worth knowing before you pay for anything.
| Body-identical hormones | Compounded bioidentical hormones |
|---|---|
| Regulated pharmaceutical products with the same molecular structure as the hormones made naturally by the body. | Hormones mixed individually by a compounding pharmacy for a specific prescription. |
| Micronised progesterone and oestradiol patches and gels fall into this group. | Often promoted as personalised hormone treatment and may involve saliva testing. |
| They are licensed and quality-controlled. We prescribe them in the majority of cases. | They are not regulated in the same way as licensed medicines, so the strength and consistency can be less certain. |
| Their quality, dose, and safety standards are monitored through pharmaceutical regulation. | Major menopause societies generally do not recommend compounded bioidentical hormones when approved options are available. |
Most women arrive with this question, so we deal with it before anything else. Any increase in breast cancer risk from HRT is small for women starting around the time of menopause, and it shifts with the hormone, the dose, and how long you stay on it. Oestrogen-only treatment carries little or no measurable increase. Against that sit bone protection, symptom relief and the sleep you have not had in two years.
Most of the fear traces to one trial from 2002, which mainly followed older women on an older hormone combination, plus headlines that never carried the detail. Our gynaecologist goes through your own history rather than a headline, family history included, and gives you a straight answer instead of a blanket yes or no. Some women are not candidates, and she says so.
There’s a reason we’d rather see you at 47 than at 62.
Starting hormone therapy close to menopause, generally within the first ten years or before the age of 60, gives a more favourable balance of benefit and risk than starting much later. Bone protection works best when it begins before significant loss has happened, and symptoms tend to respond better early on.
Starting later isn’t impossible, and plenty of women do. It simply means a more careful conversation about which hormones, which delivery method, and which dose. Either way, our specialist gives you the real picture for your age and your history.
We hear this constantly, usually from women in their forties who have already been somewhere else and left with nothing.
Here’s the problem with relying on one result. During perimenopause, hormone levels swing wildly from week to week and sometimes from day to day, so a blood test catches a single moment. A normal reading in a woman of 45 with textbook symptoms proves very little, which is why current menopause guidance says to diagnose perimenopause in women over 45 on symptoms rather than bloodwork.
So we listen first. Blood tests still matter, particularly for younger women, for men, and for ruling out thyroid problems and anaemia that mimic the same symptoms. But nobody here dismisses you because one number came back inside the range.
The first consultation is a proper conversation, not a fifteen-minute slot with a checklist. Your specialist wants your symptoms, your history, your family history, and what you actually want back.
Blood tests get arranged where they’ll change the decision. You then come back to go through the results together and agree a plan, including non-hormonal options where those suit you better.
From there, we review at around three months because the first dose is rarely the final one. Bodies respond differently, and adjusting is normal rather than a sign something went wrong. Annual reviews keep everything current after that.
Cost depends on your consultation, which blood tests you need, and the hormones themselves, which are priced individually and differ by delivery method.
Insurance cover for hormone therapy varies more than it does for most treatments. Some UAE policies cover the consultation and testing but not the prescription. Send us your details before booking and our coordinators will tell you exactly where you stand.
If you’ve spent a year or two being told this is just your age, that’s long enough. Hormonal symptoms respond well to treatment, and the earlier that starts, the more straightforward it tends to be.
Reach out to Trusta Medical Center in Downtown Dubai and book your consultation. Bring any previous blood results and prescriptions with you. Our specialists will tell you what’s going on, what would help, and what wouldn’t.


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