Hormone Therapy and Tibolone

“Tibolone (brand name Livial) is a prescription medicine
that is similar to taking combined HRT (oestrogen and
progestogen). It’s taken as a tablet once a day”.1

Umbrella
What may the Hormone Therapy and Tibolone Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Livial
  • Menopausal Hormone Therapy (MHT)
  • Tibolone
  • Xyvion

Definition

What is Tibolone?

DotS the definition of Tibolone may vary. The Australasian Menopause Society’s (AMS) definition is:

  • “Tibolone acts as a combined oral hormone therapy for treating menopausal symptoms”.2

The (United Kingdom) NHS’s definition is:

“Tibolone (brand name Livial) is a prescription medicine that is similar to taking combined HRT (oestrogen and progestogen). It’s taken as a tablet once a day”.3

Continuous

Is Tibolone continuous?

In HRT: Which HRT? Tibolone the (British) Women’s Health Concern (WHC) explain:

“As with other continuous therapies, is normally prescribed at least 12 months after the last menstrual period, so many women switch to these continuous types after taking a sequential HRT”.4

Vasomotor Symptoms

How effective is Tibolone for vasomotor symptoms such as hot flushes and night sweats?

In Tibolone As Menopausal Hormone Therapy: How Effective Is Tibolone? the AMS elaborate on:

“In randomized trials tibolone 2.5mg has been found to be more effective than placebo and less effective than standard dose combined MHT in controlling vasomotor symptoms”.5

Menopause Symptoms

How effective is Tibolone for menopause symptoms?

In Hormone Replacement Therapy (HRT) Alternatives – Tibolone the NHS note:

Hormone Therapy and Tibolone“It can help relieve symptoms such as hot flushes, low mood and reduced sex drive, although some studies have suggested it may not be as effective as combined HRT”.6

In HRT: Which HRT? Tibolone the (British) Women’s Health Concern (WHC) explain:

“Tibolone has combined oestrogen, progestogen and testosterone effects and relieves menopausal symptoms, prevents bone loss, and may improve interest in sex”.7

Bone Loss

How effective is Tibolone in the prevention of bone loss?

In Tibolone As Menopausal Hormone Therapy: How Effective Is Tibolone? the AMS elaborate on:

  • “Tibolone has been found to be effective in the prevention of bone loss”.8

Endometriosis and Fibroids

Is Tibolone useful in women known to have endometriosis and fibroids?

The WHC note:

“Tibolone has also been shown to be particularly useful in women who are known to have endometriosis and fibroids as it does not appear to stimulate these conditions”.9

Health Care Provider

What if I choose to use Tibolone?

If you choose to use Tibolone it may be in your best interest to also choose to talk to your health care provider about this.

In Hormone Replacement Therapy (HRT) Alternatives – Tibolone the NHS note:

“Risks of tibolone are similar to the risks of HRT, and include an increased risk of breast cancer and strokes. Talk to your GP about the risks and benefits of tibolone if you’re considering taking it”.10

Health Topics A-Z

Where may I find Health Topics related to Hormone Therapy and Tibolone?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

Where may I find Links related to Hormone Therapy and Tibolone?

Your Country may have Links similar to:

Links

This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.

  1. Active Ingredient: Tibolone [Tibolone (Sandoz), Xyvion and Livial]
  2. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  3. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  4. Bioidentical Hormones Explained – A British Menopause Society Video
  5. Bioidentical Hormones: Are They Safer?
  6. Brand Name Tibolone (Sandoz)
  7. Combined Menopausal Hormone Therapy (MHT)
  8. Complementary Medicine Options for Menopausal Symptoms
  9. Complementary and Alternative Therapies Explained – A British Menopause Society Video
  10. Consumer Health: Menopause, Hormone Replacement Therapy and Heart Health
  11. Deciding About Hormone Therapy Use
  12. EMAS Menopause Essentials
  13. EMAS Replay: Risk Assessment for MHT – When, To Whom, Which, and How Long? [Multiply Languages]
  14. EMAS Replay: Role of Progestogens In MHT [ Multiply Languages]
  15. Fast Facts: HRT and Breast Cancer Risk
  16. Find A Menopause Practitioner [United States and Other]
  17. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
  18. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  19. Global Consensus Position Statement on the Use of Testosterone Therapy for Women
  20. HRT
  21. HRT and Alternatives
  22. HRT and Breast Cancer: Overall Risks and Benefits Explained – A British Menopause Society Video
  23. HRT and the Risk of Breast Cancer Explained – A British Menopause Society Video
  24. HRT: Benefits and Risks
  25. HRT: Types, Doses and Regimens
  26. HRT: Which HRT? Tibolone
  27. Hormone Help Desk: ET, EPT, and More
  28. Hormone Replacement Therapy
  29. Hormone Replacement Therapy (HRT)
  30. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  31. Hormone Replacement Therapy (HRT): Alternatives – Tibolone
  32. Hormone Replacement Therapy (HRT): Risks
  33. Hormone Replacement Therapy (HRT): Types
  34. Hormone Therapy In Postmenopausal Women: Primary Prevention of Chronic Conditions
  35. Hormone Therapy for Menopause
  36. Hormone Therapy: Is It Right for You?
  37. Hot Flashes: Manage Without Medication?
  38. Index To Drug-Specific Information [United States]
  39. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause
  40. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?]
  41. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Signs and Symptoms [+ Video: Talking Menopause With Your GP]
  42. Lifestyle and Behavioural Modifications for Menopausal Symptoms
  43. Livial Tablets
  44. MHT Still Maligned & Misunderstood: Expert
  45. Managing Menopausal Symptoms—Hormone Replacement Therapy Is Not the Only Option!
  46. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video]
  47. Mayo Clinic Minute: How Lifestyle Changes May Help Manage Menopause Symptoms
  48. Menopausal Hormone Therapy
  49. Menopause
  50. Menopause
  51. Menopause
  52. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  53. Menopause Hormone Therapy: Who Shouldn’t Take It?
  54. Menopause Management: Hormone Replacement Therapy (HRT) – Tibolone or Livial
  55. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider
    Hormone Therapy and Tibolone
  56. Menopause Preparedness Toolkit Video Series: Common Conditions Associated With Menopause and Midlife
  57. Menopause Preparedness Toolkit Video Series: Treating Vasomotor Symptoms of Menopause
  58. Menopause Preparedness Toolkit: A Woman’s Empowerment Guide
  59. Menopause Treatment
  60. Menopause Treatments: What Works, What Doesn’t
  61. Menopause: Diagnosis & Treatment
  62. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  63. Menopause: Medicines To Help You
  64. Menopause: Menopause – Hormone Treatments
  65. Menopause: Symptoms & Causes
  66. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  67. National Center for Complementary and Integrative Health: Know the Science: How Medications and Supplements Can Interact
  68. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  69. Natural Remedies To Help Manage Perimenopause Symptoms
  70. Non-Estrogen Treatments for Menopausal Symptoms
  71. Oestrogen Only Menopausal Hormone Therapy
  72. Osteoporosis Explained – A British Menopause Society Video
  73. Risks and Benefits of MHT
  74. Short-Term and Long-Term Effects of Tibolone In Postmenopausal Women
  75. Supporting Women Through Menopause – Fact Sheet
  76. Testosterone Explained – A British Menopause Society Video
  77. Testosterone Therapy In Women: Does It Boost Sex Drive?
  78. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement
  79. Tibolone As Adjunctive Treatment In Perimenopausal Depression
  80. Tibolone As Menopausal Hormone Therapy
  81. Urogenital Atrophy Explained – A British Menopause Society Video
  82. Vaginal Dryness
  83. Venous Thrombosis/Thromboembolism Risk and Menopausal Treatments
  84. Video Series-2020: What You Need To Know About Bioidentical Hormone Therapy
  85. Video Series-2021: Common Issues Surrounding Sexuality and Menopause
  86. Video Series-2021: How Menopause Symptoms Can Affect Your Quality of Life
  87. Video Series-2021: Treatment Options for Vaginal Dryness and Urinary Issues
  88. Video Series-2021: What Women Need To Know About Hormone Therapies
  89. Video Series-2022: Discussing Sexual Health Concerns With Your Health Care Professional
  90. Video Series-2022: Hormone Therapy: Understanding the Risks and Benefits
  91. Video Series-2022: Perimenopause, Signs, Symptoms, and Solutions
  92. Video Series-2022: Understanding Screening Guidelines for Breast Cancer and the Importance of Identifying Risk Factors
  93. Videos and Podcasts: Interviews and Podcasts – Interviews: Is Testosterone the Answer To Low Libido?
  94. Videos and Podcasts: Interviews and Podcasts – Interviews: The Menopause Blues
  95. Videos and Podcasts: World Menopause Day 2021 – Interviews: Bone Health
  96. Videos and Podcasts: World Menopause Day 2021 – Interviews: Bone Health What Why and How
  97. Vulvovaginal Symptoms After Menopause
  98. Webinars: Previous – Lessons From the Global Consensus on Testosterone for Women
  99. Webinars: Previous – Osteoporosis for Midlife Women and Beyond
  100. What Are the Benefits and Risks of HRT?

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Hormone Replacement Therapy (HRT): Alternatives – Tibolone. Page Last Reviewed: 09 September 2019. NHS https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/alternatives/#tibolone Accessed: 01 October 2022
  2. Tibolone As Menopausal Hormone Therapy: Key Points. Content Updated December 2018. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/793-tibolone-for-post-menopausal-women Accessed: 01 October 2022
  3. Hormone Replacement Therapy (HRT): Alternatives – Tibolone. Page Last Reviewed: 09 September 2019. NHS https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/alternatives/#tibolone Accessed: 01 October 2022
  4. HRT: Which HRT? Tibolone. Reviewed: November 2021. British Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/hrt/ Accessed: 01 October 2022
  5. Tibolone As Menopausal Hormone Therapy: How Effective is Tibolone? Content Updated December 2018. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/793-tibolone-for-post-menopausal-women Accessed: 01 October 2022
  6. Hormone Replacement Therapy (HRT): Alternatives – Tibolone. Page Last Reviewed: 09 September 2019. NHS https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/alternatives/#tibolone Accessed: 01 October 2022
  7. HRT: Which HRT? Tibolone. Reviewed: November 2021. British Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/hrt/ Accessed: 01 October 2022
  8. Tibolone As Menopausal Hormone Therapy: How Effective is Tibolone? Content Updated December 2018. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/793-tibolone-for-post-menopausal-women Accessed: 01 October 2022
  9. HRT: Which HRT? Tibolone. Reviewed: November 2021. British Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/hrt/ Accessed: 01 October 2022
  10. Hormone Replacement Therapy (HRT): Alternatives – Tibolone. Page Last Reviewed: 09 September 2019. NHS https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/alternatives/#tibolone Accessed: 01 October 2022
Topic Last Updated: 01 October 2022 – Topic Last Reviewed: 01 October 2022

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