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Livial
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Livial is a hormone replacement therapy (HRT) containing the active ingredient tibolone that is used to manage menopause symptoms and prevent osteoporosis in women who have not had a natural period for at least 12 months.
- Contains Tibolone for effective menopause symptom relief
- Helps prevent bone thinning (osteoporosis) in postmenopausal women
- Convenient once daily tablet without the need for monthly bleeds
- Available via discreet UK delivery following a registered clinician review
More information
"Livial is a unique form of hormone replacement therapy typically prescribed to postmenopausal women to alleviate symptoms such as hot flushes and night sweats while also providing vital protection against osteoporosis. Unlike traditional combined HRT, it uses a single synthetic ingredient that mimics oestrogen, progesterone and testosterone to restore hormonal balance without a monthly bleed." - Rachael Clarke MRCPharm MFRPSI FRSPH (GPHC Number: 2061366)
You can buy Livial online through Mail my Meds by completing a simple and confidential online consultation which is reviewed by a registered prescriber. Once your consultation is approved, your medication is shipped directly from our pharmacy (GPHC Number: 9011560) via a discreet home delivery service to ensure your privacy is maintained throughout the process.
The cost of your Livial prescription will depend on the quantity required for your treatment plan as determined during your consultation. We aim to provide competitive pricing for both private and NHS prescription fulfillment with no hidden fees for the clinical review of your order.
We offer a range of flexible delivery options to ensure you receive your menopause treatment at a time that suits you. All orders are sent in plain, unbranded packaging to maintain confidentiality and most approved orders are dispatched for rapid delivery across the UK.
Livial is a prescription medication categorised as hormone replacement therapy (HRT) that is primarily used to treat the symptoms associated with the menopause and to prevent the development of fragile bones. It is specifically designed for postmenopausal women who have been without a natural period for at least one year and require help managing the physical and emotional changes caused by declining hormone levels.
The sole active ingredient in Livial is tibolone, a synthetic steroid that the body breaks down into three different compounds. These metabolites act similarly to the naturally occurring sex hormones oestrogen, progesterone and testosterone to help stabilise the body's internal environment during the postmenopausal stage.
Many women report positive experiences with Livial, often noting that it effectively reduces vasomotor symptoms like hot flushes when other forms of HRT have been unsuitable. Some users specifically value the medication for its reported benefits on libido and mood, though individual responses can vary depending on personal health history and the time since menopause began.
It is essential to read the Patient Information Leaflet (PIL) provided with your medication before you start your treatment. This document contains comprehensive details regarding the composition of the tablets, potential interactions and updated safety information that is vital for your health and wellbeing.
Livial works by mimicking the activity of female sex hormones to restore balance to the body as natural production slows down after the menopause. Because tibolone has oestrogenic, progestogenic and androgenic properties, it provides a comprehensive approach to symptom relief and bone density support without requiring additional progestogen tablets to protect the womb lining.
You should take one tablet of Livial every day at approximately the same time to maintain a consistent level of the medication in your system. The tablets should be swallowed whole with a drink of water and can be taken with or without food according to your preference.
The standard dosage for Livial is a single 2.5mg tablet taken daily. You should follow the specific instructions provided by your prescriber and ensure you do not take a break between packs as this treatment is designed for continuous use to provide steady symptom management.
Like all medicines, Livial can cause side effects, although not everyone will experience them during their treatment. Common side effects may include:
- Vaginal spotting or bleeding (especially in the first few months)
- Abdominal or pelvic pain
- Breast tenderness or discomfort
- Unusual hair growth or skin changes
- Weight changes
Livial is not suitable for everyone and should not be used by women who are pregnant, breastfeeding or have a history of certain health conditions. You must inform your prescriber if you have ever had breast cancer, womb cancer, blood clots, liver disease or unexplained vaginal bleeding as these factors may influence the suitability of this HRT for you.
Livial differs from many other HRT options because it is a single-drug treatment that provides the benefits of combined oestrogen and progesterone therapy. The table below highlights some key differences between Livial and standard HRT types:
| Feature | Livial (Tibolone) | Combined HRT | Oestrogen-only HRT |
|---|---|---|---|
| Hormone Type | Synthetic (mimics 3 hormones) | Oestrogen and Progestogen | Oestrogen only |
| Monthly Bleed | No (Bleed-free) | Can be sequential or continuous | No |
| Testosterone Effect | Yes | Rarely | No |
| Womb Protection | Built-in | Provided by progestogen | Requires surgery (Hysterectomy) |
Can I take Livial if I still have my periods?
Livial is only suitable for women who have had their last natural period at least 12 months ago to reduce the risk of irregular bleeding.
How long does it take for Livial to start working?
While some women notice an improvement within a few weeks, it can take up to three months of consistent use to feel the full benefits of the treatment.
Will Livial help with my sex drive?
Because Livial has mild androgenic (testosterone-like) effects, some women find it helpful for improving libido compared to other types of hormone replacement therapy.
The information provided on this page is for general informational purposes only and should not replace seeking advice from a medical professional for personalised care. Always consult with a doctor or qualified healthcare provider before starting any new medication to ensure it is appropriate for your specific health needs.
Our content is regularly reviewed by our team of medical experts to ensure it remains up to date and accurate. We are dedicated to providing reliable health information that supports our patients in making informed decisions about their treatment options.
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