Menopause care in Warsaw
Hot flashes, poor sleep, dryness? At a consultation (290 zł) I examine you, weigh the risks and choose treatment — HRT, a non-hormonal option or local therapy. This site is in English, but appointments are not held in English — bring someone who can interpret, or tell me in advance and we will find a way.
What menopause is
Menopause is the natural end of menstruation, on average between the ages of 45 and 55. It is not an illness but a new stage of life, caused by the ovaries producing less oestrogen.
The hormonal change can still bring unpleasant symptoms: hot flushes, sweating, mood swings, poor sleep. There are effective ways to ease all of these and to protect your bones, heart and blood vessels.
The stages of menopause
Perimenopause
The transition: the cycle becomes irregular and the first symptoms appear. It lasts 2–10 years.
Menopause
The final period. The diagnosis is made in retrospect, after 12 months without bleeding.
Postmenopause
The years after menopause. Symptoms gradually ease, but bone and heart health need watching.
Symptoms of menopause
Every woman goes through menopause differently. These are the most common symptoms:
Hot flushes
A sudden wave of heat, flushing of the face and neck
Sweating
Especially at night, disturbing sleep
Insomnia
Trouble falling asleep, waking often
Mood swings
Irritability, anxiety, low mood
Vaginal dryness
Discomfort, pain during sex
Palpitations
A sense that the heart is skipping beats
Headaches
Migraines that worsen during this period
Fatigue
Less energy, tiring easily
Memory problems
Forgetfulness, difficulty concentrating
How menopause is assessed
Consultation and history
We go through your symptoms, the date of your last period, family history, any medication you take and what you want from treatment.
Gynecological exam
Assessing the vaginal lining and the cervix, and looking for atrophic changes.
Pelvic ultrasound
Assessing the uterus, endometrium and ovaries, and checking for anything that would make hormone treatment unsuitable.
Hormone tests
TSH to exclude a thyroid problem; FSH only when needed — under 45 or when the picture is unclear. Over 45, menopause is diagnosed from symptoms and the cycle, not from a blood test.
Further tests
Mammography, bone density scan, lipid profile and glucose — to weigh the risks and choose treatment.
How menopausal symptoms are treated
Hormone replacement therapy (HRT)
The gold standard when symptoms are marked
Replacing the missing oestrogen with tablets, patches or gels. It relieves hot flushes and prevents bone loss.
- The most effective treatment for hot flushes
- Protects against osteoporosis
- Relieves vaginal dryness
- Often improves sleep disturbed by night sweats
Non-hormonal treatment
When HRT is contraindicated
Certain antidepressants (SSRI/SNRI), gabapentin, fezolinetant, and cognitive behavioural therapy. Less effective than HRT, but an option when hormones are not.
- No hormonal risk
- An option after breast cancer (chosen with your oncologist)
- Can be combined with local vaginal treatment
Local treatment
For urogenital symptoms
Vaginal estrogen creams, tablets or suppositories. They act locally and barely enter the bloodstream.
- Relieves vaginal dryness
- Reduces urinary leakage
- Minimal effect on the rest of the body
Lifestyle
The foundation of feeling well
Regular exercise, a good diet, giving up smoking and keeping weight steady are a real part of the treatment.
- Physical activity
- Calcium and vitamin D
- Weight control
- Cutting out alcohol and tobacco
How safe HRT is
Modern hormone replacement therapy is safe for most women when it is prescribed properly. The risks and benefits are weighed for each woman individually. HRT is contraindicated in breast cancer, a history of thrombosis and liver disease, so a full examination comes first.
Where to be seen in Warsaw
Gynecological care in Warsaw — appointments at ul. Głębocka 9/U1, 03-287 — in the Targówek district, at the RS-MED center. The landmark is simple: the same street as the Targówek and Zielony Targówek shopping centres — if you know the way there, you know the way here.
The practice is easy to reach from Białołęka, Targówek, Bródno and Zielona-Grzybowa, and along Trasa Toruńska from Marki, Ząbki and Nieporęt. No referral or insurance is needed: you can book directly, including if you have just arrived in Poland.
- Addressul. Głębocka 9/U1, 03-287 Warszawa, Targówek
- By carexit from Trasa Toruńska, free parking at the shopping centre
- Consulting hoursMon, Thu 8:00–19:00 · Tue, Wed, Fri 8:00–18:00 · Sat 8:00–17:00 · Sun closed
- Languageappointments are not held in English
Anastasiia Sokhach
DoctorPatient reviews on ZnanyLekarz
Doctor, in practice since 2015. Ultrasound, pregnancy care, infertility diagnosis.
Book an appointmentConsultation
Let us talk through your symptoms and find the right treatment:
Related services
When to start HRT
The best time to start hormone replacement therapy is within the first 10 years after menopause and before the age of 60. In that window, for women with symptoms, the benefits usually outweigh the risks.
What consultations and tests cost
Menopause care
Gynecological consultation
Discussing symptoms, planning the tests
Consultation + ultrasound
A full visit with a pelvic ultrasound
Hormone panel
FSH, LH, oestradiol, TSH
Pelvic ultrasound
Assessing the uterus and ovaries
Breast ultrasound
Screening before HRT is prescribed
Follow-up visit
Checking how treatment is working and adjusting it
The cost of HRT medication is not included in the consultation and depends on what is prescribed.
Why women come here
Individual approach
Treatment is chosen around your symptoms, your risks and what you want
Safety
Risks are assessed carefully before anything is prescribed
Plain explanations
What each option does and what it risks, explained plainly
Checking the result
Regular visits to see how treatment is working and adjust it
Common questions about menopause
Book an appointment
Fill in the form and I will contact you within 15 minutes during working hours to confirm a time.