Your nights
Sleep closes over you properly again, instead of letting you go at three in the morning.
Everything we give you begins with something we measured, never something we assumed.
One pump a day of a bio-identical hormone cream, mixed to your own blood results rather than picked off a shelf. Most women notice their sleep first, inside a fortnight.
One morning, one draw. We measure 28 markers, so nothing is guessed at.
45 minutes. Every number explained in plain words, and a written plan you keep.
Mixed to your results, adjusted at three months. One pump a day, thirty seconds.
Bio-identical means the hormones are molecule for molecule the same as the ones your body used to make. Not similar to them. The same as them.
It rarely arrives all at once. It arrives as small things, each one easy to dismiss on its own. Together they are unmistakable.
Asleep by eleven, wide awake in the dark, heart going for no reason.
Heat that rises out of nowhere. In a meeting, at dinner, at two in the morning.
Names, words, the reason you walked into the room.
A shorter fuse and a flatter baseline, neither of which feels like you.
Thinner, drier and slower to recover than it was two years ago.
Same food, same training, a different body.
Both quietly gone, and nobody thinks to ask about either.
Not tired exactly. Just none of the old drive.
These are not character flaws. They are numbers, and numbers can be measured.
Everything we give you begins with something we measured, never something we assumed.
Honest timelines, not marketing ones. If something is not moving on schedule we go back to your numbers. We will never ask you to wait and hope.
Sleep closes over you properly again, instead of letting you go at three in the morning.
The swings that never matched the situation soften. Not elated. Recognisable to yourself.
The lost word, the paragraph read twice. Much of this was never about your mind.
Dryness and soreness are among the first things to answer, and the last thing women mention.
Wanting things again, rather than agreeing to them.
The morning stiffness that arrived quietly along with everything else.
A third of its collagen goes in the five years after menopause. Slow to show, and real.
Muscle that stays where you put it. Alongside the work you do, never instead of it.
A full growth cycle takes this long. Judge it then, and not before.
The quietest benefit of all, and the one you keep.
One pump a day. Three months to a tube.
Written for one woman, and mixed for her alone.
Which belong in your tube, and how much of each, comes from your results. Yours will not be a round number, and it will not match your friend's.
The one your body misses most, and the one behind most of what you have been feeling. Your nights, your skin, your bones and your comfort all follow this number. Typically 0.1 to 0.3 per cent
The principal estrogenA gentler estrogen that stays close to where you put it. It is here for the delicate tissue that suffers quietly, and it lets us treat that without reaching for a heavier dose. Typically 1 to 2 per cent
For comfortThe calm one. It balances the estrogen and settles the nervous system, and it is the reason women write to tell us they have slept through the night for the first time in years. Typically 5 to 10 per cent
For your nightsFor wanting things again. Women make it too, and lose it too. At a small fraction of a man's dose it returns drive, stamina and the will to begin things. Typically 0.5 to 1 per cent
Only if your results ask for itCarried in a liposomal gel. One pump each morning, to the inner forearm or the inner thigh, on clean dry skin. Thirty seconds, and it is done.
We talk, for half an hour, in person or by video. What you are living with, what you have already tried, and what you actually want back. At the end we tell you honestly whether we think this will help you.
FreeOne blood draw, at the clinic or at your villa. Early, before you eat, and timed to your cycle if you still have one. Drawn on the wrong morning, these numbers mean nothing at all.
Results in three to five daysThree quarters of an hour with the doctor, going through what came back and what it means for you. You leave with it written down, and it is yours to keep whether or not you go any further with us.
Your plan, in writingThe doctor writes your formula to your own numbers. It is then mixed for you, one tube at a time. Two women with the same complaints rarely need the same thing, which is the whole point.
Three months to a tubeWe draw blood again at three months and adjust. The first formula is an educated beginning and almost always moves. After that we look at you once or twice a year, for as long as you stay.
Month three, then yearlyYour hormones, of course. But also your thyroid, because being tired, gaining weight and losing hair is its story as much as menopause's, and treating the wrong one wastes a year of your life. And your general health, so that when we look again in three months there is something honest to compare against.
You do not need to learn any of it. The doctor will take you through it line by line. But nothing here is hidden from you, so it is all written out below if you would like to see it.
Progesterone through the skin does not reliably protect the lining of the uterus. So if you have a uterus, the cream is never the whole plan. You also take oral micronised progesterone or use a hormonal coil, and the lining is checked by ultrasound.
Anyone selling you a cream as complete protection is selling you a risk. We would rather lose the sale than leave that out.
It is not a weight-loss treatment. It will not undo sleep that is being broken by wine, and it will not fix a thyroid nobody has looked at, which is exactly why we look. It does not stand in for lifting something heavy twice a week or eating enough protein, and nothing in a tube ever has.
If your results say your hormones are not the problem, we will tell you so and you will not be sold a cream. It happens, and it is a good morning's work.
Everything is included in the price you see. No packages, no upsells, and never a year in advance.
| Step | From |
|---|---|
| The first conversationHalf an hour. What you are living with, and an honest answer about whether testing is worth your money. | No chargeThirty minutes |
| Reading your bloodEverything listed above, the consultation that goes through it with you, and your plan in writing. | Rp 6,900,000About EUR 390 |
| Your formulaWritten to your own results and mixed for you. Three months to a tube, which comes to about Rp 50,000 a day. | Rp 4,500,000About EUR 255 |
| Looking againBlood drawn a second time, the consultation, and the adjustment to your formula that almost every woman needs. | Rp 3,200,000About EUR 180 |
A first year, taken in full, comes to somewhere near Rp 24,000,000. About EUR 1,360, spread across the year as you go.
It is hormone therapy, using bio-identical hormones in a compounded cream instead of a fixed factory dose. The difference is that your dose is set from your own results, and revised as they change.
For some women the standard patch or tablet genuinely is the better answer, and if that is you, we will say so rather than sell you something more expensive.
No. The cream is a prescription written to your blood work. Without the panel and the consultation there is nothing to write.
No. The years leading up to it are often the hardest, and the years women are most often told that nothing is wrong, because one test on the wrong morning can look perfectly ordinary. It is precisely why we time your draw to your cycle.
You are remembering the 2002 findings, which used older hormones, swallowed rather than absorbed, in women who were on average well past menopause. What we have learned since is more particular: beginning within roughly ten years of menopause, and taking estrogen through the skin instead of the stomach, changes the picture considerably.
It is not without risk, and we will not pretend otherwise. That is what the screening, the safety bloods and the yearly look are there for.
At the small percentages used here, dosed against your own levels and rechecked at review, it is well tolerated. It is also the ingredient most often behind the return of energy and desire.
As long as it earns its place. There is no longer a date at which everyone is told to stop. Many women stay for years, some stop and restart. The reviews exist so the decision is always made against current numbers rather than habit.
For the blood draw and the first consultation, yes. Once you are established, reviews can often be done remotely with bloods drawn where you live. Tell us where you are when we first speak and we will be honest about whether it works from there.
Then we tell you that, and we do not prescribe. You still leave with a full read of your numbers and a plan for what is actually going on, whether that turns out to be your thyroid, your iron, your vitamin D, your insulin or simply your sleep.
Bring your symptoms and your questions. Half an hour later you will know whether this is worth doing, before you have spent anything.