The doctor is excellent, very well prepared...Hormone Replacement Therapy with bioidentical hormones for life!!! I highly recommend her to all women in menopause...
Bioidentical hormones for menopause: regain your wellbeing with a therapy tailored to you
Relieves the symptoms of menopause and thyroid disorders, and ensures active protection against osteoporosis and for the heart and brain, through a personalised, 360-degree medical approach.
book a free consultationFind out whether bioidentical hormone therapy is right for you, with no obligation. Online visits by video call from anywhere in Italy, or in person in Siena.

★ 4.8 on Google · Over 1,000 patients cared for
“I am happy with Dr Lenzi, who is always very kind and professional. She explains the therapy clearly and in a way that is easy to understand. The online appointments go smoothly and the pharmacies she works with provide an impeccable service.”
Menopause is not the end of youth, but the beginning of a new chapter
Every woman spends over a third of her life in postmenopause. This means that taking care of your hormonal balance is not just a choice linked to the temporary management of symptoms, but a true strategy of wellbeing and prevention for the years to come. After all, menopause must not in any way limit your vitality or your freedom.
From synthetic HRT to the collapse of trust: let's clear things up
For decades, conventional hormone replacement therapy (HRT) was prescribed to millions of women to relieve menopausal symptoms. However, in 2002 the publication of a large American clinical study (WHI) deeply shook the trust of patients and doctors, highlighting an increased risk of breast cancer. From that moment on, the prescription of synthetic HRT came to a drastic halt. “Three generations of women were raised with the idea that oestrogen equals cancer,” says Dr Cristina Lenzi.
Today, thanks to more in-depth scientific analyses, we know that those side effects were not caused by the hormones themselves, but by the use of synthetic hormones taken orally, which overload the liver and stimulate the tissues in a negative way. For this very reason, traditional synthetic HRT has a recommended “expiry date” of about 5 years.
The tailor-made revolution of personalised, transdermal BHRT
Fortunately, longevity medicine now offers a safer, more natural and more personalisable alternative. BHRT (bioidentical hormone replacement therapy) uses bioidentical hormones of plant origin, which have a chemical structure exactly identical to that of the hormones your body originally produces, and for this reason can be better tolerated by it.
Unlike standard medicines, each compounded preparation is made to measure by the pharmacist, following the prescription of a doctor who is an expert in BHRT. Bioidentical hormones are recognised as natural by our bodies, so they show no side effects, also thanks to the compounding approach, which allows the therapy to be dosed in a completely personalised way.
Medyca's bioidentical hormone therapy is based on transdermal administration (through creams applied to the skin): in this way, the hormones enter the bloodstream directly, bypassing the liver entirely and so eliminating the increased risk of clots and thrombosis typical of the old oral therapies, which allows you to continue the treatment in the long term to keep your body protected, toned and vital.
The benefits of bioidentical hormones in perimenopause and menopause
Regaining hormonal balance helps to control the symptoms of menopause and to slow down the ageing of all the organs that are sensitive to sex hormones. All this without the risks and side effects of synthetic hormones.
Bioidentical hormone therapy brings benefits to the skin, hair, bones, muscles and genitourinary system. In addition, protection is increased against cardiovascular and neurodegenerative diseases (such as Alzheimer's disease), breast cancer, osteoporosis and thyroid disorders.
Medyca: 360° women's health, guided by clinical excellence
A hormone pathway cannot be standardised: it must be unique, just like you. Medyca is the centre founded by Dr Cristina Lenzi, a specialist in internal medicine and an expert in bioidentical hormone therapies, who trained directly at the prestigious Marion Gluck Clinic in London, an absolute pioneer of this approach worldwide.
For every woman, a 360-degree personalised therapeutic and diagnostic pathway is designed, formulated in collaboration with specialised compounding pharmacists to calibrate the doses to the millimetre on the basis of your blood tests. Don't limit yourself to managing the symptoms: choose a tailor-made treatment aimed at guaranteeing deep long-term protection of heart, bones and brain.
“I went to see the doctor for problems linked to menopause. After a first free consultation in which she clearly explained what bioidentical hormones are, I decided to start the treatment. I have to say that, even though I was a bit sceptical at first, the results were fantastic. I am back to my pre-menopause life. Having met Dr Lenzi, who with her expertise and humanity managed to solve my problems, was a miracle.”
Bioidentical hormones: patient testimonials
Read the testimonials of our patients (over 1,000 in Italy and abroad)
I started my first therapy in May and, thanks to the doctor's professionalism, availability and advice, at the first check-up I openly shared all the changes and sensations linked to the therapy, and now I will proceed with a change in dosage for the coming months. I am very hopeful, as the therapies allow the medicine to be ‘tailor-made’. Thank you
From Brescia with gusto: thanks to Dr Lenzi and the bioidentical world, at fifty-three I feel like a thirty-year-old;)))
I met Dr Lenzi last year, after years of menopause. From the start I felt good on bioidentical hormones; the doctor is attentive and meticulous. I have been reborn in every aspect of my life. Thank you, Dr Lenzi
I was very undecided about starting hormone therapy, then I read up on bioidentical hormones and started this adventure! With a minimal dose, and after only about a month of use, I have noticeably reduced my hot flushes and insomnia. Thank you, doctor!
Bioidentical hormone therapy has been a real turning point for me. I have regained a sense of wellbeing, not only physically but mentally too. I feel more energetic, balanced and in tune with my body. It is a pathway that has profoundly improved my quality of life, and for this I am truly grateful to have undertaken it.
Reviews written in Italian are shown in translation.
Still have doubts about the therapy?
Book a free introductory consultation — also by video call from anywhere in Italy
Book the free consultationWhat does a bioidentical hormone therapy pathway look like? And how much does it cost?
The first consultation is always free and with no obligation: online or in person, you talk about your symptoms, your personal and family medical history and your expectations, to receive a professional assessment.
Free consultation
Discuss your personal situation and clear up any doubts you have, to understand whether bioidentical hormone therapy might be right for you.
Hormone level tests
For the first visit, a hormone level test is enough: a blood test that also includes vitamin D. If they are needed, the doctor will request computerised bone mineral densitometry (MOC) and a gynaecological ultrasound later on.
You can choose where to have the tests done; if you like, we can help you find your way among the public and private options near you.
If you would like to go straight to the first visit without using the free consultation, please contact us to get the exact list of tests to have done.
First medical visit
First visit to start the therapy, in which your tailored BHRT plan is defined (Cost: €200).
Your medical history will be taken in full (360 degrees), your state of endocrine senescence assessed, and your blood test results reviewed, together with any imaging tests already done, in order to prescribe a therapy that restores the correct hormonal balance.
Personalised therapy
Prescription and preparation of your tailor-made therapy at a specialist compounding pharmacy (Cost: about €80–90 per preparation, which at the most common dosage covers about 3–4 months of therapy; any shipping costs not included)
We can forward your prescription to a compounding pharmacy you trust or, depending on where you are in Italy, recommend one in your area.
Medyca receives no commission on the therapies produced by compounding pharmacies. Prices are set according to the national tariff. Here you can find information on the cost of bioidentical hormone therapy.
Follow-up visits
Reassessment of the therapy based on your symptoms, and assessment of specific organic risks, with the aim of finding the optimal dose and monitoring improvement.
A first follow-up visit is scheduled after 3 months; usually a second one is needed in the first year to reach the right dose, then you move on to annual check-ups (Cost: €150).
Between visits you are in direct contact with the doctor looking after you, at no extra cost, to monitor and improve the dosage of the therapy even before the first check-up at three months.
Therapy extension
If a patient is doing well on her current therapy and wants to extend it without needing a follow-up visit to adjust the dose, Medyca will renew the prescription FREE OF CHARGE.
This option is valid for 12 months, after which the blood tests will have to be repeated for safety reasons.
Want to find out more about bioidentical hormones before making a decision?
On our blog you will find detailed articles that explain everything about the benefits of BHRT with bioidentical hormones, and how it improves wellbeing in menopause by acting on the thyroid, bone health and the cardiovascular system.
On our social media (Instagram & Facebook) you can find the same content as short educational videos about bioidentical hormones, what their benefits are and how the therapy works.
Also, on Google you can read some public testimonials from our current patients, who talk about how bioidentical hormone therapy has improved their quality of life.
find out more on our blogFrequently asked questions
1. What are bioidentical hormones?
Bioidentical hormones are hormones with the same structure as those naturally produced by the human body. In BHRT they are used to restore hormonal balance through personalised treatments prepared on a doctor's prescription.
2. What is the difference between bioidentical hormone therapy and traditional hormone replacement therapy (HRT)?
Medyca's BHRT uses bioidentical hormones in personalised compounded preparations based on each person's needs, whereas traditional hormone therapy generally uses standardised formulations. The pathway is built after a complete medical assessment and an analysis of symptoms.
3. Which menopause symptoms can improve with BHRT?
The therapy can be used to address symptoms frequently associated with menopause, such as hot flushes, sleep disturbances, mood changes, low energy, cognitive problems and changes in bone and cardiovascular health.
4. How does a pathway with bioidentical hormones begin?
The pathway begins with a free introductory consultation during which symptoms, medical history and any necessary tests are assessed together with Dr Lenzi. A personalised treatment plan is then drawn up.
5. Is the first consultation free?
Yes. The first introductory consultation is always free and with no obligation. Its purpose is to understand, together with Dr Lenzi, whether bioidentical hormone therapy may be appropriate for your situation and personal medical history.
6. Can I have bioidentical hormone therapy online as well?
Yes. Medyca offers consultations by video call for patients throughout Italy and abroad, as well as in-person visits at the practice in Siena. Once the tests have been prescribed, you will be able to have them done at any clinic of your choice. After the therapy has been prescribed, the bioidentical preparation will be delivered directly to your home.
7. How long does it take to see the results of BHRT?
The response varies from person to person. Some patients see results within a few weeks, but in cases of more significant hormonal imbalance it may take up to 2–3 months to see the improvement you want. What matters is to complete the course of therapy and to share the results with the doctor, so that the hormone dose can be fine-tuned over time.
8. How long do I need to stay on bioidentical hormone therapy?
The duration is not the same for everyone. The therapy is personalised, and the decision to continue or end the treatment is taken together with your doctor, based on the results achieved and your individual goals. Unlike with traditional HRT, there is no maximum limit on taking compounded bioidentical hormones.
9. Why are bioidentical hormones administered by the transdermal route?
Transdermal formulations, or transmucosal ones, bypass the stomach and the liver, avoiding the increase in clotting factors and thereby reducing the risk of thrombosis. This makes them safer than oral therapies, and for this reason they are preferred by Dr Lenzi. That said, there are many bioidentical hormones that are not taken by the transdermal route.
10. Are bioidentical hormones natural remedies for menopause?
Bioidentical hormones are not “natural remedies” in the everyday sense of herbs or supplements. They are hormones with the same structure as human ones: they derive from plant sources, but are processed in a laboratory and prepared on a doctor's prescription (often in compounded formulations), and they are not herbal medicines.
11. Does hormone therapy increase the risk of breast cancer?
In randomised studies, oestrogen-only therapy was found to be associated with a reduction in the incidence of breast cancer; for combined therapy with natural micronised progesterone, the available data show no increase in risk. In November 2025 the US FDA began removing the general warning on cardiovascular risk, breast cancer and dementia from the patient information leaflets of hormone therapies. If cancer features in your personal or family history, talk about it in the free consultation.
12. Up to what age can you start hormone therapy?
According to international recommendations, the greatest benefit is obtained when therapy is started within about 10 years of menopause or before the age of 60. But the benefits remain afterwards too. All women can benefit from bioidentical hormone therapy, even if it is started more than 10 years after menopause: whether and when to start is something you decide together with your doctor, based on your personal profile.
Want to find out whether bioidentical hormone therapy is right for you?
The first consultation is free and with no obligation.
Book the free consultation




