Hormonal health & hormone replacement
Understand your hormones, identify a genuine deficiency and, when indicated, consider a personalised treatment under medical supervision.
Hormonal medicine, not “anti-aging”
Medical hormone replacement treats a genuine, diagnosed and confirmed disturbance or deficiency. It is not an “anti-aging” treatment nor an “optimisation” aiming beyond physiological levels. The goal is to restore an appropriate balance when there is an indication — not to chase numbers.
Why do hormones matter?
Hormones are involved in energy, sleep, mood, sexual function and libido, muscle mass maintenance, body composition, metabolism, bone health, cognition, thermoregulation, genitourinary health and overall wellbeing.
A hormonal change is not automatically a disease, and hormone therapy should not be proposed on the basis of non-specific symptoms alone. That is why we always start by understanding the symptoms, looking for their cause and deciding whether treatment is genuinely indicated.
We set ourselves apart from “anti-aging” medicine: here, the hormone is never an end in itself.
Diagnose before treating
No hormone treatment without a clinical and biological assessment confirming a real indication.
Neither “anti-aging” nor optimisation
We do not chase numbers or promise rejuvenation: we restore balance when a real deficiency exists.
Grounded in science
We follow the recommendations of the Endocrine Society, IMS, NICE, BMS, The Menopause Society and EAU, with their sources.
Safety and follow-up
Shared medical decision, clinical and biological monitoring, and caution with any risk history.
How does the assessment work at Valorian?
- 01
Detailed medical questionnaire
- 02
Medical consultation
- 03
History and risk factors
- 04
Personalised blood work
- 05
Analysis of the results
- 06
Shared medical decision
- 07
Prescription only when indicated
- 08
Clinical and biological follow-up
Why is a blood test necessary?
Before any hormone treatment, a complete medical assessment with personalised blood work is carried out. The tests requested vary according to sex, age, symptoms, history, current treatments and therapeutic goals. The work-up is tailored to each person rather than applied identically to everyone.
- Hormonal panel
- Metabolic panel
- Liver function
- Cardiovascular health
- Haematological panel
- As appropriate: prostate or thyroid
We do not display exhaustive test lists or reference values: these are part of the internal medical protocol and are personalised during the consultation.
Does this concern me?
A few orientation questions. This tool makes no diagnosis: it only indicates whether a personalised medical evaluation may be useful.
Woman or man?
Myths & Facts
Every menopausal woman must take hormones.False
Hormone therapy is considered according to symptoms, age and the individual profile. It is neither universal nor mandatory.
HRT always causes breast cancer.False (over-simplification)
The risk depends on the type of treatment, its duration and the patient's profile. It is nuanced, not automatic.
Custom-compounded bioidentical hormones are always safer.Not proven
There is no evidence of greater safety compared with regulated, quality-controlled treatments.
Any fatigue in men after 50 is due to low testosterone.False
Fatigue has many possible causes and is not equivalent to testosterone deficiency.
A single low testosterone is enough to diagnose hypogonadism.False
Confirmation on several occasions and interpretation in the clinical context are required.
TRT is an anti-aging treatment.False
It treats a diagnosed deficiency, not aging. It should not be used to “rejuvenate”.
Testosterone can reduce fertility.True
Exogenous testosterone can reduce spermatogenesis and fertility; this must be discussed before treatment.
Medical safety
The information on this page is educational and does not replace a medical consultation. Hormone therapy should only be started after an individual assessment of symptoms, history, risk factors and blood results. This page does not make diagnoses, recommend any hormone or calculate any dose.
Scientific sources & recommendations
- The 2022 Hormone Therapy Position Statement of The Menopause Society — The Menopause Society (Menopause), 2022 · DOI: 10.1097/GME.0000000000002028
- Menopause: identification and management (NG23) — NICE, 2024 (update)
- IMS Recommendations on women's midlife health and menopause — International Menopause Society, 2016 / updated
- Tools for clinicians and menopause guidance — British Menopause Society
- Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline — Endocrine Society (J Clin Endocrinol Metab), 2018 · DOI: 10.1210/jc.2018-00229
- Statement on Testosterone Replacement Therapy — Endocrine Society, 2026
- EAU Guidelines on Sexual and Reproductive Health — Male Hypogonadism — European Association of Urology, 2024
Each key clinical statement is grounded in reference recommendations. Last checked: June 2026.
Scientific review: Doctor Florian A. Vallecillo Cabrera · Metabolic medicine — Last reviewed: 2026-06