Livial is a safe and clinically proven hormone replacement pill that helps to alleviate the unpleasant symptoms of menopause. These include, for example, hot flushes, impaired sex life, and urinary incontinence. Symptoms originate when women’s body’s female sex hormones, estrogen and progesterone, drop due to the end of menstruation. All women do not get strong symptoms, but for those with a significant drop in the quality of their menopausal symptoms, hormone replacement therapy is recommended.

Livial is suitable for women with symptoms of menopause whose natural menstrual period has ended for at least 12 months ago. Synthetic female hormones released from the tablets replace the diminishing hormones in the body and relieve the symptoms.

What’s on this page?

How does it work?

The active substance in Livial is tibolone. It has healing effects on the body’s tissues, such as the brain, mucous membranes and bones. This drug acts as a substitute for the body’s natural sex hormones, estrogen and progesterone. Tibolone breaks down in the body into three different hormones: estrogen, progesterone and also a small amount of testosterone.

Livial works differently than those hormone replacement therapy medication containing two active substances. Tibolone efficiently replaces them alone and thus helps balance hormonal levels and alleviate physical symptoms.

In hormone therapies, there is a risk of estrogen-induced uterine mucous membrane thickening that can cause cancer. This thickening is prevented by a hormone. Since tibolone also replaces the natural hormone in the body, Livial’s risk is small.

Livial hormone replacement therapy is also helpful for women who suffer from an increased risk of osteoporosis.

Instructions of use

Livial is a tablet medication. One 2,5 mg tablet is taken once a day. It is always advisable to follow the instructions given by the doctor regarding the dose. It is good to try to take the tablet approximately at the same time each day to keep the hormone balance constant.

Livial should only be used after 12 months after the end of natural menstrual periods. If you want help with menopausal symptoms even before this, talk to your doctor about other treatments.

Symptoms of menopause begin to alleviate during the first few weeks of treatment.


Various types of hormone replacement therapy are available for the symptoms of menopause. They are available in oral tablets as well as on skin products such as patches and gels. It is always advisable to talk to a doctor about the appropriate treatment.

Livial-hormonitabletteihin liittyy monia etuja, esimerkiksi kudosten ja limakalvojen paranemisesta seuraava seksielämän parannus sekä kuukausittaisen vuodon puuttuminen.

Livial hormone tablets are associated with many advantages, such as improvement of sex life following the healing of mucous membranes, and a decrease of monthly discharge.

Improvement of sex life

Symptoms of menopause include mucous membrane dryness, which may have a negative effect on sex life. Vaginal dryness and stinging can make intercourse very unpleasant. In addition, a woman can experience general reluctance.

Livial has been scientifically proven to have a positive effect on body tissues such as mucous membranes and their dryness, which can significantly improve sex life. In addition, healing hormone balance may increase libido.

No monthly discharge

Livial-hoito voidaan aloittaa vasta 12 kuukautta sen jälkeen, kun luonnolliset kuukautiset ovat loppuneet. Monille naisille kuukausittaisten vuotojen palautuminen tässä vaiheessa on erittäin epämiellyttävää, jonka vuoksi he haluavat välttää sitä. Livial-hormonikorvaajalla kuukausittaista vuotoa ei tule, kun tabletti otetaan päivittäin jatkuvana kuurina. Jotkin toiset hormonikorvaushoidot pyrkivät imitoimaan kuukautiskierron hormonitasapainoa, joka aiheuttaa kuukausittaiset vuodot.

Livial can only be initiated 12 months after the end of natural menstrual period. For many women, monthly discharge at this stage is very uncomfortable, which is why they want to avoid it. The Livial hormone replacement does not cause a monthly discharge when the tablet is taken daily for a continuous period. Some other hormone replacement therapy medications attempt to imitate the hormonal balance of the menstrual cycle, which causes monthly discharge.

Is there any side effects?

Hormone replacement therapy may have some side effects that vary individually. The most common side effects also usually deteriorate when the body becomes accustomed to hormone balance. It is good to always talk with your doctor about more serious side effects.

Common side effects when using Livial patches are as follows:

  • skin itching and redness in the patch area
  • aching breasts
  • acne
  • mood swings
  • headache
  • insomnia
  • weight gain
  • heavy periods, if the ovulation has not yet come to an end

The rare side effects that require medical attention are:

  • changes in liver function
  • increase in blood pressure
  • migraines or strong headaches

Are there any disadvantages?

Usually, hormone replacement therapy is not recommended to continue for more than 5 years. It is intended for a shift in menopause to counteract the symptoms of reduced hormone reduction. When the body becomes accustomed to reduced hormone status, the symptoms disappear gradually and also the replacement therapy can be stopped. The duration of treatment varies individually according to the strength and duration of the symptoms.

In the long-term hormone replacement therapy, there is a mild increase in the risk of breast cancer and blood clots. Also the risk of ovarian cancer increases somewhat. It is good to discuss the risk factors with your doctor before starting the treatment.

Discontinuing the treatment

Treatment is recommended only for as long as menopausal symptoms interfere with daily life. If the treatment is extended for a longer period, the drug dose is also often reduced to a smaller extent. The symptoms fade slowly with time. Many symptoms will be significantly alleviated in 2 to 5 years.

From time to time, you should try to stop hormone therapy. In a few months, you will be able to find out if the symptoms return. Care should be taken, however, to continue as smoothly as possible. Studies on the best method of discontinuing are so far few, but according to them, whether to stop once or gradually should not be relevant.

Who shouldn’t use Livial?

Livial is not suitable for everyone. Do not use it if:

  • You have a perineal cancer
  • You have or have had breast or ovarian cancer earlier
  • You’ve had blood cloths earlier
  • You have or have recently had a disease caused by a blood cloth, such as a heart attack, stroke or anxiety disorder
  • You have or have had a history of liver disease before
  • You have discharge which reason is not known
  • You have a rare disorder of porphyria
  • You are taking medication for HIV or epilepsy
  • You are allergic to Evorel’s active ingredients

Talk carefully with your doctor if:

  • You are suffering from endometriosis
  • You smoke
  • You are relatively overweight
  • You have diabetes
  • You are elderly
  • You have a high risk for developing blood cloths

Always inform your doctor about your other conditions and the medications you are using before starting Livial.