In midlife, a lot is connected. That is why your medical consultation looks at the whole picture: your symptoms, any findings you already have and the questions you bring. Together we work out whether treatment makes sense and what it could look like for you, whether a single therapy, a combination or a different approach your physician suggests.
If treatment is appropriate, both the plan and the care that follows are shaped around your situation. Every decision is made by a physician, never by an algorithm.
Medical DirectionDr. med. Bettina von SeefriedFMH Gynaecology and Obstetrics, focus on menopause medicine, ZurichWhich area matters for you is something we work out together. You do not have to decide anything before your medical consultation.
Approach
Replacing missing hormones, through the skin, by mouth or locally in the vagina.
Treatment and options
Hormone therapy
Diagnostics, if needed
Hormone profile
Measures the hormones that change during the menopause transition, and your thyroid function.
Approach
Nutrition and strength training, plus GLP-1-based treatment where medically indicated.
Treatment and options
Medical weight management
Diagnostics, if needed
Weight and metabolic profile
Shows how your body processes sugar and fat.
Approach
Strengthening the vaginal flora: local treatment and, for recurrent vaginal infections, lactic acid bacteria alongside it.
Treatment and options
Intimate health
Diagnostics, if needed
Vaginal swab
For recurring symptoms. Your physician discusses where and how it is taken, and what it costs, with you in advance.
Approach
Targeted supplementation of vitamins and minerals if your results show a deficiency.
Treatment and options
Nutrient therapy
Diagnostics, if needed
Extended health profile
Shows, among other things, whether you are low in iron, vitamin D or vitamin B12.
Often it is more than one area. Your physician brings them together into your plan. Whether medication is an option is something she decides after your medical consultation.
Diagnostics only if they clarify something. Blood tests at a laboratory near you or with a test kit at home. Medication and lab tests are billed separately.
Which treatment suits you is decided by your physician in the medical consultation. A prescription never follows automatically.
Every path begins with a medical consultation. Your physician puts what has changed into context and recommends diagnostics only where they genuinely clarify something for your treatment plan.
Beforehand, and in your own time, you complete your medical history questionnaire and upload any existing results to your patient area. Your physician reviews everything before the appointment. In the 30 minutes by video, she explains what your symptoms and any existing findings mean and talks you through the next steps. CHF 250, paid once.
After the consultation you receive your report with treatment plan in writing. In it, your physician sets out which treatment, if any, suits you and whether you need diagnostics. If so, she discusses the scope and the cost with you in advance.
Whether treatment makes sense is something you decide together. In ongoing care, your physician adjusts your plan in follow-up consultations by video. In between, you can see your progress in your patient area, and your care team is there for you in the chat. If your plan includes diagnostics, your physician goes through the results with you in your first follow-up consultation.
Your whole care runs in your personal patient area behind a login: appointments, progress, treatment plan and messages to your medical team.
Sample view from the patient area, with fictitious values. Not a promise of any treatment outcome. Every patient's progress is different.
We usually plan hormone or weight treatment over six months. Local treatment or supplementation often needs fewer check-ups. That is a planning horizon, not a contractual commitment. Your physician recommends how often you are seen, depending on your treatment.
A monthly follow-up with your physician, for phases in which effect, tolerability or dosing need to be guided closely. You can stop at any time, and the current monthly period runs to its end.
A follow-up with your physician every three months, once your treatment is well established. You pay three months in advance. You can cancel at any time, and the quarterly period you have paid for runs to its end.
Your physician already knows your medical history and any existing results before you speak. You use the 30-minute video call to look ahead, and afterwards you receive your report with treatment plan in writing.
The questions that come up most often before the medical consultation. Anything else you clarify directly with your physician.
All questions and answersNot automatically. Your physician recommends a therapy only where it is medically indicated. Some patients benefit from lifestyle measures or from other steps. Your health and your safety come first.
The medical consultation is also the right place to review and optimise an existing hormone therapy. Please note in the questionnaire which preparations you are currently taking.
The medical consultation costs CHF 250 as a one-off fee. If further diagnostics or ongoing treatment are medically appropriate, your physician discusses the recommended scope and the costs involved with you before any further step begins.
gynxtra services are self-pay services. gynxtra does not bill health insurers, and reimbursement through basic insurance is not provided for. Medication your physician prescribes is also paid for by you. The prices for the medical consultation and ongoing care are fixed in advance. Your physician tells you about any further cost before you decide.
If further assessment is appropriate, your physician recommends targeted diagnostics. Current findings you already have are taken into account.
No. Medication, and any additional laboratory services, are billed separately and are not included in the price of physician-led care.