Hormonal wellness is one of the most important —and most overlooked— pillars of women's health. Hormones regulate the menstrual cycle, fertility, libido, mood, sleep, weight, skin quality and even bone and cardiovascular health. That's why integrative gynaecology in Palamós and Girona must accompany women through every life stage.
At Clínica Eupnea, located on Palamós seafront, we offer a global approach to women's health combining gynaecology, endocrinology, nutrition and emotional well-being. We are a reference for patients across the Baix Empordà, Alt Empordà, Gironès, La Selva and the entire province of Girona.
In this article
Key takeaways
- Hormones influence cycle, fertility, weight, sleep, skin and bone health
- Hormonal imbalance can appear at any age: PCOS, thyroid, perimenopause
- Screening includes a complete hormone panel, transvaginal ultrasound and bone density
- Personalised treatment: hormonal, non-hormonal, nutritional and lifestyle
- Service in Catalan, Spanish, English, French and Russian across Palamós and Girona
The female hormonal cycle: why it matters
The menstrual cycle is the most visible reflection of hormonal balance. Each month the hypothalamic-pituitary-ovarian axis orchestrates the rise and fall of hormones such as oestrogens, progesterone, FSH and LH. When everything is working, the cycle lasts 21 to 35 days, with regular menstruation, no debilitating pain and no severe premenstrual symptoms.
Yet many women live for years with irregular cycles, intense menstrual pain (dysmenorrhoea), premenstrual syndrome, hormonal acne, fatigue, hair loss or weight changes without realising they may have a treatable hormonal imbalance. Our gynaecology service in Palamós names and addresses these symptoms.
Hormonal health at every life stage
Adolescence and youth (12-25)
Menarche marks the start of a new era. Conditions such as polycystic ovary syndrome (PCOS), early endometriosis or cycle disorders can be detected early. Gynaecological check-ups and contraception advice are key.
Reproductive age (25-40)
This is the stage of reproductive control, family planning and, often, pregnancy. Basic fertility studies, hormonal monitoring of ovulation and ovarian reserve assessment (AMH) enable informed decisions. It is also the age with most diagnoses of endometriosis and fibroids.
Perimenopause (40-50)
Perimenopause can begin up to 10 years before menopause. The first symptoms —shorter or irregular cycles, occasional hot flushes, insomnia, irritability, abdominal weight gain— often go unnoticed or are confused with stress. Early hormonal assessment allows you to anticipate them.
Menopause and postmenopause (50 onwards)
Menopause is established 12 months after the last period, on average at 51. Hormonal changes impact quality of life, but also bone health (osteoporosis), cardiovascular health and intimate health (vaginal atrophy, dryness). Both hormonal and non-hormonal treatments must be assessed individually.
Perimenopause is not a disease, but it deserves attention
One in two women experiences significant perimenopausal symptoms that affect their professional and personal lives. Today there are safe and effective treatments —from hormone therapy to phytotherapy— that should be assessed with an expert gynaecologist.
Warning signs of a hormonal imbalance
You don't need to live with symptoms that affect your quality of life. Consult your gynaecologist if you experience:
- Very irregular cycles or absence of menstruation
- Heavy or intermenstrual bleeding
- Disabling menstrual pain
- Severe premenstrual syndrome
- Adult acne, hirsutism or hair loss
- Unexplained weight gain or resistance to losing weight
- Chronic fatigue, insomnia or brain fog
- Decreased libido or vaginal dryness
- Difficulty conceiving
Diagnosis: blood tests and scans in Palamós
At Clínica Eupnea we offer a comprehensive hormonal study tailored to each case:
- Complete hormone panel: FSH, LH, oestradiol, progesterone, prolactin, testosterone, DHEA-S, SHBG
- Thyroid function: TSH, T3, free T4 and anti-thyroid antibodies
- Ovarian reserve: anti-Müllerian hormone (AMH) and antral follicle count
- Transvaginal ultrasound: visualisation of uterus, endometrium and ovaries
- Bone densitometry: in perimenopause and postmenopause
- Metabolic study: insulin, glucose and lipid panel for insulin resistance
Integrative treatment at Clínica Eupnea
Our approach to female hormonal wellness goes beyond prescriptions. We combine:
- Medical treatments: hormone replacement therapy (HRT), personalised contraception, ovulation induction
- Hormone pellets: bioidentical subcutaneous implants
- Therapeutic nutrition: anti-inflammatory and glycaemic-control diets for PCOS, perimenopause and thyroid
- Lifestyle: strength training to protect bones, stress management and sleep hygiene
- Intimate and pelvic floor health: vaginal rejuvenation, physiotherapy and atrophy treatments
Gynaecological care across the province of Girona
Clínica Eupnea is a gynaecology reference on the Costa Brava. We see women from:
- Baix Empordà: Palamós, Palafrugell, la Bisbal d'Empordà, Calonge, Sant Feliu de Guíxols, Begur, Torroella de Montgrí
- Alt Empordà: Figueres, Roses, l'Escala, Castelló d'Empúries
- Gironès: Girona city, Salt, Sarrià de Ter
- La Selva & Pla de l'Estany: Lloret de Mar, Blanes, Banyoles
We attend in Catalan, Spanish, English, French and Russian, offering a service adapted both to local residents and international patients spending the summer on the Costa Brava.
Frequently asked questions
There's no fixed age. It is recommended whenever symptoms appear (irregular cycles, fatigue, weight changes, difficulty conceiving) and, as a screening, from 40 onwards to detect perimenopause.
Yes, in well-selected patients under medical supervision. International guidelines (NAMS, IMS) endorse its use for vasomotor symptoms and osteoporosis prevention in women under 60 or within 10 years of menopause.
They are subcutaneous implants of bioidentical hormones (oestrogens, testosterone) that release a steady dose for 3-6 months. At Clínica Eupnea we assess each case individually.
Yes. PCOS can be treated with a combination of nutrition, exercise, supplementation (inositol), hormonal treatment or medication for insulin resistance, depending on each woman's profile.
Want to restore your hormonal wellness?
Book an appointment with our integrative gynaecology team in Palamós.
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