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Menopause consultation

Lisbon, Porto and Cascais

Treatment summary
  • Full medical assessment
  • Adapted hormone replacement therapies
  • Strategies for lifestyle changes
  • Addressing the psychological changes associated with the menopause
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menopause makeover

What is the menopause?

The menopause is a natural and inevitable phase in a woman’s life, marking the transition from the fertile period to a phase of physical and psychological change, which each woman experiences differently.

The menopause usually occurs between the ages of 40 and 55 and is diagnosed after symptoms and suggestive signs have been presented and confirmed by laboratory tests.

This phase is often preceded by a period known as peri menopause, which can begin several years before the last menstrual cycle. During the peri menopause, hormone levels, especially of estrogen and progesterone, begin to fluctuate, leading to changes in the menstrual cycle and manifesting themselves through a variety of symptoms.

Above all, it is important to understand that the menopause is not a disease, but a phase in a woman’s life with hormonal and metabolic changes.

Menopause symptoms

The symptoms of the menopause vary significantly from woman to woman:

  • Weight gain
  • Hot flushes / vasomotor symptoms
  • Loss of sexual desire
  • Vaginal dryness
  • Joint pain/rigidity
  • Non-restorative sleep
  • Mood swings, anxiety, depression, irritability
menopause makeover

PERSONALIZED TREATMENT

The diversity of experiences makes it imperative to approach the menopause in a personalized way, recognizing and responding to the specific needs of each woman.

After a medical assessment, women are given a complete evaluation, with medical examinations, analyses and imaging tests (bone densitometry, ultrasound, mammography or breast MRI, gynaecological ultrasound) so that an individualized treatment plan can be defined, not forgetting family and personal history of oncological diseases, hormone dependence, thrombophilia, liver disease or migraines.

The personalized approach includes adapted hormone replacement therapies, as well as strategies for lifestyle changes and addressing the psychological changes associated with the menopause, promoting a new balance and healthy aging.

Benefits of treatment

  • Symptom Relief
    Significant reduction in the uncomfortable symptoms of the menopause, such as vasomotor symptoms (hot flushes) and mood swings.
  • Improved Sleep Quality
    Recovery of nights of restful sleep, promoting a feeling of daily rejuvenation.
  • Increased Energy and Vitality
    Decreased complaints of stiffness/joint pain; helps women feel revitalized and ready to face the challenges of everyday life with more energy and enthusiasm.
  • Resolution of libido
    Hormone replacement therapy also aims to restore normal libido, as well as resolving vaginal dryness, even with treatments available to women who have contraindications to estrogen and progesterone therapies (for example, a history of breast cancer).
  • Personalized follow-up
    We offer continuous personalized follow-up in order to adjust the treatment to your needs and guarantee lasting results.

The menopause should therefore be an opportunity for women to redefine their identity and embrace the physical and emotional changes with wisdom and confidence.

At Skin Boutique, we understand the complexity of this phase and we are here to offer support, information and personalized treatments that will allow each woman to live this journey with confidence, vitality and well-being.

menopause makeover

Medical Specialists

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Dr. Carolina Lalanda / Endocrinology

Cédula nr. 46385

Dr. Carolina Lalanda, a specialist in Endocrinologyhas dedicated her career to the study and treatment of endocrine and metabolic imbalances with an emphasis on weight loss. with an emphasis on weight loss.

Your goal in a consultation is to make the woman feel happy and fulfilled after a few months of treatment. You need to accompany the patient closely, you need to get to know her and help her overcome her difficulties, which are always different and individual. It’s a personalized treatment and it’s a continuous investment in confidence and self-esteem.

Dr. Carolina likes to motivate and cultivate healthy lifestyle habits in her patients. Her balance lies in physical activity, she is an avid tennis and kickbox player and her greatest fulfillment comes when she sees when she sees women transformed beyond recognition.

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Dr. Daniela Salazar / Endocrinology

ORDER OF MEDICIANS: certificate no. 60372

Dr. Daniela Salazar, a specialist in Endocrinology, completed her Master’s Degree in Medicine at the Faculty of Medicine of the University of Porto and has been a specialist in Endocrinology at the Hospital de São João since 2022.

Endocrinology is the specialty dedicated to the study and treatment of hormonal imbalances. Dr. Daniela, passionate since the beginning of her medical training about promoting a healthier and more balanced life, has focused on two very important areas of health: healthy weight loss and the treatment of the menopause.

Excess weight is often a consequence of multiple factors, some of which are hormonal imbalances, thyroid disorders or stress. By identifying these factors, Dr. Daniela Salazar promotes the construction of a new routine, focusing on dietary re-education and the physical and emotional well-being of her patients. In her practice, she offers personalized support, with a treatment plan tailored to each metabolic profile and lifestyle, believing that each person is unique and has specific needs.

More than just weight loss, she focuses on helping the patient to achieve a healthy weight once and for all and to get through the changes associated with the menopause with a better quality of life, improving eating habits, promoting physical activity and with constant concern for the patient’s emotional component.

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SPEDM
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Dra. Isa Caçador Agudo / Medicina Interna

ORDEM DOS MÉDICOS: cédula nº 48148

A Dra. Isa Caçador Agudo é especialista em Medicina Interna e conta com 18 anos de
experiência clínica, 10 anos como Especialista em Medicina Interna em Serviços de Urgência, Internamento, Sala de Reanimação e Consultas de Doença Crónica Complexa, Multimorbilidade e Polifarmácia.
Trabalhou durante anos a tratar doença já instalada: enfarte, insuficiência cardíaca, AVCs, insuficiência renal, diabetes e todas as suas complicações.

Muitas vidas salvas todos os dias nos serviços de urgência, mas os mesmos padrões a repetir-se: as mesmas doenças que podiam ter sido prevenidas.

Essa experiência mudou a forma como pensa a medicina e levou-a a expandir o seu foco para o que pode ser feito antes, quando ainda há tudo para proteger.

Fez formação avançada em Lifestyle Medicine, Harvard Medical School, Institute of Lifestyle Medicine (2026) e formação clínica especializada em Menopausa e Perimenopausa (2025-2026).

Atualmente, realiza consultas de Medicina do Estilo de Vida, Menopausa e Perimenopausa na LMR e Skin Boutique, em português, inglês e espanhol.

É membro da Sociedade Portuguesa de Medicina Interna e Sociedade Portuguesa de Medicina do Estilo de Vida.

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Frequently Asked Questions

Menopause

There are various approaches to relieving the symptoms of the menopause, including hormone therapy, non-hormonal medication, lifestyle changes such as diet and exercise, and complementary therapies.

Hormone therapy can be an effective option for relieving menopausal symptoms, but it should be carefully evaluated in terms of benefits and risks, taking into account the woman’s medical history, age and other health factors. It is important to note that this is hormone replacement therapy with hormone replacement in adequate concentrations and not increased concentrations compared to the pre-menopausal period, aiming for the minimum concentration necessary for symptom relief.

A balanced diet and regular exercise can play a crucial role in managing and controlling menopausal symptoms. These changes in a woman’s lifestyle can help control weight, improve cardiovascular health and reduce menopausal symptoms such as hot flushes, regulate sleep and psychological symptoms of fatigue and demotivation.

The menopause can impact a woman’s sexual health in a number of ways, including vaginal dryness and decreased sexual desire. Questions about local hormone therapies, lubricants and sexual counseling are common to address these conditions.

Yes, menopausal hormonal changes can influence cardiovascular health. Questions about strategies to maintain a healthy heart, such as cardiovascular exercise and dietary changes, are common, especially for women with pre-existing risk factors.

The duration of menopause treatment can vary significantly from one woman to another. Treatment can consist of a short-term approach to relieve acute menopausal symptoms, such as hormone therapy, and/or a long-term strategy to manage persistent symptoms and prevent long-term complications, such as lifestyle changes – a balanced diet, regular exercise and stress management techniques. It is essential that decisions about the duration of treatment are made in consultation with a qualified health professional, taking into account the woman’s general health and her individual goals and expectations.

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