Pathway with an endocrinologist specialized in menopause

There is no difference: the Pausetiv endocrinology visit takes place online but is a complete specialist visit. During the appointment the endocrinologist analyzes your medical history, examines the symptoms you are experiencing and evaluates how the hormonal changes of menopause or perimenopause may affect metabolism, energy and overall wellbeing. The main value is being able to access endocrinologists with specific experience on menopause, a specialization that is not always easy to find close to home or available quickly.

During the visit the endocrinologist may prescribe further investigations, hormone tests or recommend a possible therapeutic plan based on symptoms and your clinical situation. You will find any prescriptions and the therapeutic plan directly in your personal area on the Pausetiv platform, where you can view and download them. After taking the necessary tests you can upload the results in the same space so the specialist can review them and indicate the next steps in your pathway.

In some cases the specialist may indicate further investigations to better assess the clinical picture. These may include blood tests and imaging diagnostics (DEXA, mammography, ultrasounds). Each test is prescribed on a case-by-case basis. These tests help the endocrinologist gain a more complete view of the situation and define personalized therapies.

The cost of the Pathway with an endocrinologist specialized in menopause on Pausetiv is €120. Booking is done online and payment is made directly during the booking process. Once the visit is confirmed, you will be able to access your Pausetiv personal area where you will find all the information related to your appointments and pathway.

The endocrinologist offers a specific deep dive on hormones and metabolism, evaluating aspects such as hormonal imbalances, slower metabolism, persistent fatigue or weight gain. The two figures are often complementary: if you already have a trusted gynecologist, the endocrinology visit can give you a further perspective on your hormonal balance and possible therapies. However, the endocrinology visit is particularly recommended for women who have thyroid issues, obesity, overweight or other conditions that fall within the endocrinologist's expertise.

During perimenopause and menopause, important changes occur in several hormones. The main ones are: estrogens (estradiol in particular), which decrease progressively; progesterone, which decreases as ovulation ends; testosterone, which gradually decreases affecting energy, libido and muscle mass. These changes can affect different aspects of the body, such as metabolism, energy, sleep, weight and overall wellbeing.

A hormonal imbalance in menopause can show up with over 40 symptoms. The most common include: hot flashes, weight gain and fat accumulation around the abdomen, sleep disorders, mood changes, low energy or difficulty concentrating, persistent fatigue. A specialized endocrinologist can help assess whether these symptoms are linked to hormonal changes.

Hormone tests are blood tests that measure the levels of certain hormones involved in the menopausal transition. Contrary to common belief, on their own they are not enough to diagnose perimenopause or menopause. In women aged 45 or over, the diagnosis is clinical: it is based on the presence of typical symptoms and, in the case of menopause, on the absence of menstrual cycle for at least 12 consecutive months. Major international scientific societies, including EMAS and IMS, indicate that in this age group hormone tests do not change either the diagnosis or the therapeutic decision but can be used as additional information in the assessment.

Yes. Weight gain in menopause is very common and is often linked to changes in menopause hormones, which can affect metabolism. During the endocrinology visit the specialist can assess whether the weight gain is linked to hormonal imbalances, slower metabolism or other conditions, such as thyroid pathologies. Often, to achieve better results, nutritional support may also be useful.