Question 1

How long does it take for Livial to start working?

Accepted Answer

Hot flushes and night sweats often improve within 2–4 weeks, with maximum benefit by 3 months. Vaginal dryness may take 6–8 weeks, while bone protection requires continuous use for 2 years or more.

Question 2

Does Livial cause weight gain?

Accepted Answer

Some women report mild weight gain, but clinical trials show no significant difference compared to placebo. Fluid retention can occur but is usually temporary.

Question 3

Can I take Livial if I still have my womb?

Accepted Answer

Yes. Livial is suitable for women with a womb because its progestogenic activity protects the endometrium, unlike oestrogen‑only HRT which requires additional progestogen.

Question 4

What is the risk of breast cancer with Livial?

Accepted Answer

Studies show that tibolone increases the risk of breast cancer, similar to combined HRT. The risk increases with duration of use and returns to baseline after stopping. Discuss personal risk factors with your doctor.

Question 5

How do I switch from another HRT to Livial?

Accepted Answer

If you are on a cyclic HRT, start Livial after your next withdrawal bleed. If on continuous combined HRT, you can switch any day. Always follow your doctor’s instructions for a smooth transition.