| Service | 🇺🇦 Ukraine | 🇨🇿 Czech Republic | 🇹🇷 Turkey |
|---|---|---|---|
| Gynaecologist consultation and choice of treatment | from USD 20 | from USD 200 | from USD 400 |
Prices in the “Ukraine” column come from MediUkraine’s partner clinics. The Czech Republic and Turkey columns show the lower bounds of prices published by clinics there (for Turkey, also the Turkish Dental Association’s recommended 2026 tariff), collected in August 2026 and converted to US dollars at the rate on the day of collection. A dash means we could not find a comparable published price. In any country, the final cost is set by the clinic after an examination.
During perimenopause the ovaries gradually produce less oestrogen, and it is this deficiency that triggers hot flushes, night sweats, insomnia, dryness of the mucous membranes and mood swings. Treatment either makes up for this deficiency or acts on the mechanisms behind the symptoms when hormones are contraindicated. That is why the doctor first assesses your hormone levels and general health, rules out contraindications and only then chooses the medicines and doses. A gynaecologist and an endocrinologist manage your care together, following international protocols.
Treatment is planned as a programme rather than a single prescription: consultation, diagnostics, choice of medicines and follow-up. It is carried out on an outpatient basis, and no separate recovery period is needed. Alongside medication, the doctor gives advice on daily routine, diet and physical activity, which support hormonal balance and reduce the risk of complications. The first reassessment usually takes place a few weeks later, once your body has adapted to the medicines.
Travel. Ukrainian airspace is closed, so there are no commercial flights. Uzhhorod lies right on the border with Slovakia and close to Hungary, so patients usually arrive overland from one of these two countries, by car, bus or train.
Visas. Citizens of the EU, the United Kingdom and the United States do not need a visa for short stays in Ukraine. Rules depend on your citizenship, so check your own before booking.
Safety, plainly. Ukraine is at war. Air raid alerts occur across the country, including in Uzhhorod, and an appointment can be interrupted by one. Several governments advise against travel to Ukraine, and while that advice stands, ordinary travel and medical insurance is often void — confirm your cover with your insurer before you commit to anything.
Language. MediUkraine handles correspondence, scheduling, the written treatment plan and the quote in English. The clinic's team communicates with international patients in English.
Payment. You pay the clinic directly. Our coordination service is free of charge for you.
More on travel, safety and insurance: Safety and travel.
The plan is tailored to how your menopause is progressing. Hormone replacement therapy (HRT) remains the main method for women with marked vasomotor symptoms (hot flushes and night sweats), osteoporosis or urogenital symptoms. Oestrogen, progestogen and combinations of the two are prescribed taking into account your medical history, age and any contraindications. Through MediUkraine you can book a consultation with doctors who specialise in menopausal hormone therapy.
Non-hormonal treatment is the choice for patients with contraindications to HRT or who prefer an alternative. It includes selective serotonin reuptake inhibitors (SSRIs) and gabapentinoids to reduce hot flushes, as well as selective oestrogen receptor modulators (SERMs) for specific indications such as bone protection. Local (vaginal) oestrogen is used for vulvovaginal atrophy regardless of systemic treatment.
A multidisciplinary approach combines medication with lifestyle changes: diet, regular physical activity, psychotherapy and treatment of other conditions. The specialists choose a strategy based on the severity of your symptoms and your needs.
Care does not end once a plan is prescribed: you receive advice on lifestyle, diet and symptom management and remain under a doctor's supervision. In the first weeks your body gets used to the medicines, then your condition stabilises and you feel noticeably better. Following the prescribed plan and doses has a direct effect on the final result.
Follow-up consists of scheduled check-ups, laboratory tests and an assessment of how your condition is changing. The doctor reviews how your body responds to the medicines, adjusts the dose or the plan itself if needed, and advises on maintaining hormonal balance. Treatment does not usually restrict everyday life: you can keep up your normal activities.
Tell your doctor about any new symptoms without waiting for a scheduled visit. The next step after the first course is a repeat check of hormone levels and a decision on whether to continue the plan unchanged or adjust it.
The basis of treatment is hormone replacement therapy (HRT): oestrogen and progestogen as tablets, patches, gels or micronised preparations. The choice of regimen depends on whether you still have a uterus, how well you tolerate the medicines and whether you have other conditions. The doctor personalises the dose according to your menstrual history, age and hormone levels.
Alternatives include herbal products based on soy isoflavones and black cohosh; selective oestrogen receptor modulators (SERMs) are used only for specific indications. If hormonal medicines are not tolerated, SSRI antidepressants are prescribed: they reduce hot flushes and night sweats. Psychological support and cognitive behavioural therapy also play a noticeable role.
Regular tests are carried out during the course: FSH, oestradiol and TSH levels, a mammogram and a pelvic ultrasound scan. Through MediUkraine you can book a gynaecologist consultation at the partner clinic in Uzhhorod, where the doctor chooses your treatment plan and advises which tests you need and where to have them.
Treatment of menopausal symptoms in Ukraine costs significantly less than in Western Europe and the USA. Consultations, hormone replacement therapy and medicines for menopausal symptoms are usually more affordable because of differences in how the pharmaceutical market is regulated and in specialists' pay.
MediUkraine organises the process for international patients: booking an appointment at the partner clinic and support at consultations. The clinic's team communicates with international patients in English. The first step at the partner clinic is a gynaecologist consultation and choice of treatment, from USD 20; the doctor decides on the scope of tests and their cost after the examination.
Ukrainian clinics offer individual programmes, from herbal treatment and cognitive behavioural therapy to hormone replacement therapy and newer medicines. This range of care combined with a lower price makes Ukraine a notable destination for women seeking treatment for menopausal symptoms abroad.
Like any treatment, menopausal therapy has possible risks, which the doctor weighs against the benefits before prescribing it. Treatment is managed by gynaecologists and endocrinologists, and laboratory and imaging monitoring make it possible to assess your hormone status accurately and reduce possible risks. In most cases treatment is carried out on an outpatient basis, in comfortable conditions and without major restrictions on everyday life.
You receive full medical support, from the first consultation and choice of an individual treatment plan to regular monitoring. Scheduled check-ups are needed precisely so that the dose can be adjusted in time and hormonal balance, on which your quality of life depends, can be maintained. Safety is ensured by monitoring test results and attending check-ups on schedule, not by the prescription itself.
📍 Uzhhorod, Ukraine
A multidisciplinary hospital in Uzhhorod, part of a network of medical facilities in western Ukraine: an outpatient clinic, a surgical centre covering 15 specialties and a 30-bed inpatient unit. Its 52 doctors include professors and PhDs; many operations are done as day surgery, with discharge after 1–2 days.
It is a set of medical measures that reduce the symptoms of menopause: hot flushes, sleep problems, mood swings and the effects of hormonal imbalance. The plan may be hormonal, non-hormonal or combined.
The first step is a gynaecologist consultation and choice of treatment at the partner clinic, from USD 20. The cost of further treatment depends on the scope of diagnostics and the type of treatment, so the doctor gives the cost estimate after the examination.
Citizens of many countries do not need a visa, or can obtain one through a simplified procedure. The exact rules depend on your country of citizenship, so please check them before you travel.
Treatment is recommended for women with menopausal symptoms or hormonal disorders. The doctor makes the final decision after a consultation and tests.
Hormone therapy, non-hormonal medicines, lifestyle changes and other methods of symptom relief are used, depending on your individual needs.
The length varies: from several months to a long-term course under a doctor's supervision. No separate recovery period is needed.
Menopause is a natural physiological process, not a disease, so the aim is not a cure but symptom management. Modern medicine has enough methods to relieve most symptoms: with a comprehensive approach, many women are free of hot flushes, sweating, sleep problems and emotional instability within a few months.
The result depends on how intense the symptoms are, your individual features and how closely you follow the doctor's advice. Hormone replacement therapy, phyto-oestrogen products, psychological therapies and lifestyle changes often work well together. After 1–2 years most women return to their usual quality of life without marked menopausal symptoms. MediUkraine will arrange a consultation with a gynaecologist at the partner clinic, who will draw up an individual plan and advise where and how to monitor its effectiveness while your body adapts.
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