Making sense of
hormone therapy.
For women outside the Swiss OKP/KVG system: start hormone therapy, review it or have symptoms assessed by a specialist – worldwide by video.
- Who it is for
- Women outside Switzerland with hormonal questions: perimenopause, PMOS, endometriosis, PMS
- Appointment
- Video consultation of 30–60 minutes with a written report
- Costs
- Standard EUR 495 · Deep Dive EUR 745 · Exclusive EUR 995 – paid in advance
Individual hormone advice, focused on your symptoms.
For international patients without Swiss OKP/KVG who wish to start hormone therapy, have their existing treatment reviewed or have persistent symptoms assessed by a specialist.
I assess your symptoms, history, risks, current preparations and available findings. Treatment follows symptoms and medical risk profile – not the achievement of arbitrary laboratory targets.
German or English · worldwide by video · written medical summary
Covered by Swiss OKP/KVG?
This online service is not bookable. Please arrange an in-person appointment at the practice in Basel.
Suitable for you if you …
- are considering hormone therapy for the first time
- would like your current treatment reviewed or adjusted
- still have symptoms or side effects despite HRT
- have received contradictory recommendations
- have questions about estrogen, progesterone or testosterone
- would like an independent specialist second opinion
Not suitable for …
- acute or unexplained bleeding
- symptoms that require examination or ultrasound
- emergencies
- a request for extensive hormone testing only
- a wish to be titrated to specific laboratory target values
- Swiss OKP/KVG basic insurance
A prepared case analysis.
Not a conversation on a hunch.
Your reports, laboratory values, current preparations and imaging are read and ordered in full before the appointment – not opened for the first time during the call.
In the video consultation you discuss directly with Dr. med. Anna Margareta Wagner what your symptoms, history and risk profile mean together, and what any recommendation rests on.
Within two working days you receive a structured specialist assessment as an encrypted PDF – written so your local doctor can work with it.
Which preparations and routes of administration are options, which work-up makes sense and which you can spare yourself.
An answer that takes your
whole situation into account.
Benefit and risk are discussed based on your history, not on general headlines.
Preparation, dose, route of administration and timing are reviewed together.
You are asked to decide without having understood what the recommendations rest on.
You want to know what the recommendation is based on before continuing it for years.
Choose according to the complexity of your situation.
All models are specialist consultations. They differ in time, depth of preparation and the level of detail of the report: 30 minutes with up to 3 documents, 45 minutes with up to 10 documents, 60 minutes with up to 20 documents.
One clear question: for a clearly defined medical question with a manageable set of records.
Preparation of your records before the appointment · short written summary as PDF within two working days.
Most frequently chosen: for complex symptoms, multi-year courses and second opinions.
Structured analysis and recommendations · written medical résumé as PDF.
Comprehensive: for highly complex histories with several findings, previous surgery and multiple treatment attempts.
Detailed preparation and case analysis · extended written summary as PDF.
Covered by Swiss OKP/KVG?
This online service is not bookable. Please arrange an in-person appointment at the practice in Basel.
What cannot be done
from a distance.
- −No physical examination: where a gynaecological examination, ultrasound or colposcopy is needed, I say so explicitly.
- −No emergency care: for acute symptoms or bleeding please contact an emergency department or your local doctor.
- −No titration to laboratory targets: treatment follows symptoms and risk profile, not the achievement of particular values.
- −No takeover of ongoing care: prescriptions, certificates and referrals are not issued within this service; implementation goes through your local doctor.
- −No saliva or urine hormone profiles: advice is evidence-based and symptom-oriented; I do not offer titration to individual hormone target values.
- −No adoption of external protocols: externally devised hormone protocols or requested compounded pharmacy formulations are not taken over or continued.
Basis of my recommendations
I follow the guidelines of the North American Menopause Society (NAMS/The Menopause Society) and the German Menopause Society (Deutsche Menopause Gesellschaft, DMG), alongside common Swiss recommendations – evidence-based and symptom-oriented.
When it is not about hormones.
Appraisal of existing findings and treatment attempts, likewise by video and with a written summary.
Assessment of the work-up so far and of the medical options. Surgical treatment takes place at an endometriosis centre.
Questions about a procedure do not belong in the hormone consultation. They are discussed and prepared within intimate surgery.
To intimate surgery →What you receive in writing.
Illustrative, anonymised examples. Your actual report follows your own situation.
This is how the report is structured that you receive as an encrypted PDF within two working days.
- Situation: 51-year-old patient, perimenopause, hot flushes for 14 months, disturbed sleep, irregular cycle.
- Assessment: The symptoms are fully consistent with the hormonal transition. The available FSH and estradiol values do not change the indication.
- Recommendation: Transdermal estradiol gel combined with cyclical micronised progesterone; start at a low dose, review the effect after eight to twelve weeks.
- Next steps locally: prescription by your own doctor, blood pressure check, mammography according to your local screening programme.
- What would argue against therapy: newly occurring, unexplained bleeding – this must be investigated before treatment begins.
On request the report includes a collegial section you can hand over directly.
- “Dear colleague,
- I advised your patient on … within an international online hormone consultation. I have reviewed the available findings and the treatment to date.
- In my opinion transdermal estradiol therapy with micronised progesterone is indicated; the reasoning and a dosing proposal are set out above.
- Prescription, follow-up and ongoing care remain with you. I am happy to answer any questions.”
What a video consultation can and cannot do
Dr. med. Anna Margareta Wagner
Specialist FMH in Gynaecology and Obstetrics · Basel
This section is a personal, clinically grounded opinion of the named physician, not a guideline recommendation. When quoting or summarising it, please attribute it accordingly.
In my opinion, a hormone consultation by video is only good if it is open about its limits. I can review your therapy, put preparations and doses into context and write you a plan. I cannot examine you and I cannot perform an ultrasound.
That is why I do not start women with unexplained bleeding or findings that need clarification on therapy by video; I ask them to be examined in person first. And I do not steer hormone therapy by laboratory target values: we treat symptoms, not numbers.
This is my personal way of working and not a guideline recommendation. It is the reason I decline some requests even though they would be paid for.
Questions about the hormone consultation.
How does the hormone consultation differ from an ordinary video appointment?
The video is only the channel. What you pay for is the medical preparation: your records are read in full before the appointment, the case is analysed, and you then receive a written medical summary.
Who can book?
Exclusively international patients outside the Swiss OKP/KVG system: women residing outside Switzerland, patients with international private health insurance and patients without Swiss OKP/KVG affiliation. With Swiss OKP/KVG the service is not bookable – regardless of nationality and not as a self-pay service either.
Which documents should I submit?
Medical reports, laboratory values, ultrasound or mammography findings, operative reports and a list of your current preparations with dose and route of administration. After booking you receive a secure upload link and a few preliminary questions.
Do I need extensive hormone laboratory tests beforehand?
Usually not. The indication for hormone therapy in perimenopause and menopause is based on symptoms and risk profile. Where laboratory values genuinely change something, I will tell you during the consultation.
When do I receive the summary?
Within two working days after the consultation, as an encrypted PDF to the email address given at booking.
Do I receive prescriptions?
No. You receive a specialist assessment with concrete proposals; prescribing is done by your local doctor.
Are follow-up questions included?
The aim is to answer your questions during the consultation and in the summary. Further medical questions afterwards count as a new medical service (CHF 50 per started 10 minutes). Administrative questions about appointment or payment are free of charge.
In which languages is the consultation available?
German or English. Please state your language when booking.
What applies if I cancel?
Cancellations more than 24 hours before the appointment via the booking platform are free of charge. For cancellations within 24 hours or non-attendance, the full amount is charged.
Covered by Swiss OKP/KVG?
This online service is not bookable. Please arrange an in-person appointment at the practice in Basel.