News | July 7, 2026
Bioidentical hormones during menopause can help women as early as perimenopause, when hot flashes, sleep problems, restlessness, weight gain, or joint pain begin to noticeably affect their daily lives.
At the ROC gyne private gynecological practice in Aschheim near Munich, we first assess how your body is responding to hormonal changes: hormones, metabolism, micronutrients, stress regulation, signs of inflammation, and your life circumstances. Only by considering this complete picture can we develop a hormone therapy that truly suits you. No treatment based on guesswork. No one-size-fits-all dosages. No quick promises—just a transparent, medically sound treatment plan.
If you would like to have your menopausal symptoms evaluated by a doctor, schedule your consultation at ROC gyne in Aschheim today.
Individual Therapy
Not a one-size-fits-all program—tailored to you.
In-Depth Diagnostics
Hormones, metabolism, micronutrients, and more.
Progress Checks
Adjust your treatment if your body shows fluctuations.
Many women come to us saying things like, “I hardly recognize myself anymore.” Their menstrual cycle fluctuates. Their sleep is fragmented. Their skin changes, and their waistline expands despite no change in diet. On top of that, they experience mood swings, difficulty concentrating, vaginal dryness, loss of libido, or heart palpitations.
These symptoms often begin during perimenopause—that is, years before the last menstrual period. First, progesterone levels drop; later, estrogen levels change. Bioidentical hormone therapy addresses this biological shift when the symptoms, risk profile, and test results align.
At the ROC, we don't treat lab results—we treat women facing real-life challenges. For many patients, that's exactly what makes the decisive difference in their daily lives.
Bioidentical hormones have the same molecular structure as the body’s own hormones. Bioidentical hormone therapy during menopause usually involves estradiol and progesterone. The term sounds very natural and gentle—but it is no substitute for a thorough medical examination. Bioidentical hormones also have a powerful effect on the body and must be used under medical supervision.
A common misconception: “Bioidentical” does not automatically mean “plant-based” or “gentle.” Although many of these hormones are derived from plant-based sources such as yam root, their effects in the body are the same as those of the body’s own hormones—with all the associated benefits and risks. This clarity helps avoid unrealistic expectations from the outset.
The most important hormones in bioidentical hormone therapy for menopause and typical symptoms associated with hormonal imbalance:
| Hormone | Typical role | Common Symptoms of Imbalance |
|---|---|---|
| Progesterone | Menstrual cycle regulation, sleep quality, inner peace | Sleep disturbances, irritability, PMS-like symptoms, heavy bleeding |
| Estradiol | Temperature Regulation and Heat Perception, Mucous Membranes, Bones, Blood Vessels | Hot flashes, vaginal dryness, joint pain, difficulty concentrating |
| Testosterone | Libido, drive, muscle metabolism | Loss of libido, reduced resilience, decreased strength |
At ROC gyne, we use these hormonal functions and typical symptoms as a guide for diagnosing, determining the dosage, and adjusting the course of your individualized hormone therapy.
Estradiol and progesterone are used in the form of approved medications—as gels, patches, capsules, or vaginal preparations. The dosage form significantly affects efficacy, tolerability, and risk. This is precisely where clinical experience is essential.
Before we prescribe hormones, we conduct a detailed consultation. We ask about your menstrual cycle, menstrual bleeding, sleep, stress, medications, pre-existing conditions, breast health, risk of thrombosis, weight changes, digestion, and physical activity.
Based on this consultation, we supplement—depending on your initial situation—laboratory test results from the ROC Lab, micronutrient diagnostics, metabolic parameters, and measurements related to stress regulation. The VNS analysis can provide insights into how your autonomic nervous system responds to stress, rest, and sleep.
The result is not just a prescription, but a medical treatment plan with clear follow-up checks. Bioidentical hormones require adjustment because the body fluctuates during perimenopause—which is why we at ROC use modern diagnostic tools such as VNS analysis, metabolic testing, and micronutrient testing to continuously fine-tune your hormone therapy.
This treatment is particularly suitable for women with noticeable symptoms and a clear hormonal pattern. Typical reasons for a consultation:
The goals of bioidentical hormone therapy during menopause go beyond simply reducing hot flashes or improving sleep. In the long term, we aim to stabilize your quality of life, resilience, and sexual health—and, depending on your situation, to also monitor your bone and cardiovascular health.
If you'd like to better understand your symptoms, our guide to menopausal symptoms and treatment options is a good place to start.
Bioidentical hormones are not automatically harmless and—like any hormone therapy—carry potential risks. Key factors for safety include the indication, dosage, route of administration, your medical history, and follow-up monitoring. For women with a uterus, estradiol generally requires an appropriate amount of progestin, often micronized progesterone. Without this protection, the uterine lining may grow excessively.
In cases of increased risk of thrombosis, certain types of cancer, unexplained bleeding, liver disease, or cardiovascular events, we evaluate hormone therapy with particular care—and work together to find safe alternatives.
In some cases, local treatment is more appropriate than systemic therapy. Low-dose estriol preparations for the vagina and vulva act primarily in the treated area and place significantly less strain on the body than systemic hormone therapy using gels, patches, or capsules. Vaginal dryness and pain during sex can thus often be treated in a targeted manner and with very little risk.
Our approach is clear: We use bioidentical hormones selectively when the benefits and risks are medically justifiable.
Bioidentical hormones can cause side effects, especially if the dosage, form of administration, or timing isn’t yet optimally suited to you and your menopausal situation. These side effects include breast tenderness, changes in menstrual bleeding, water retention, headaches, skin changes, or mood swings. Follow-up appointments help adjust the dose and medication—or take timely corrective action if something isn’t working.
Often, the cause lies in a dosage that is not yet appropriate, taking the medication at the wrong time, or in contributing factors such as thyroid issues, insulin resistance, stress, or micronutrient deficiencies.
When it comes to weight gain, it’s worth taking a closer look: Menopause changes body composition, muscle mass, sleep quality, and insulin sensitivity. Bioidentical hormone therapy alone is no substitute for a comprehensive metabolic management plan and may be ineffective without adjustments to diet, exercise, and sleep. However, it can serve as an important foundation to help diet, exercise, and sleep become more effective again.
The desire to buy bioidentical hormones is usually a sign of significant distress and a desire for quick relief from menopausal symptoms. Many women seek quick relief because they felt they were not taken seriously in previous consultations. Nevertheless, hormone preparations should not be used for self-treatment. Dosage, interactions, and contraindications require medical expertise.
Without this guidance, you risk overlooking symptoms—such as thyroid or insulin issues—ignoring contraindications, or triggering new symptoms with an inappropriate dose. A structured consultation with Dr. Sarah Matz at the ROC will alleviate this uncertainty and replace dangerous self-experimentation with a clear treatment plan.
Even individually compounded preparations from pharmacies require clear indications, verifiable quality, and oversight. We prefer approved preparations when they are medically appropriate. This ensures transparency regarding the active ingredient, dosage, and usage.
If you're looking for clarity instead of more self-experimentation and want to feel that your medical concerns are taken seriously, schedule your personal hormone consultation at ROC gyne. You can find directions under " ROC Aschheim near Munich."
ROC Gyne
Private Gynecology Practice
St.-Emmeram-Str. 5 (2nd floor)
85609 Aschheim
praxis@roc-gyne.de
089 462599350