Who This Service Is For
This consultation is appropriate for women who:
- Need contraception advice, review, or continuation
- Have hormonal health concerns — PCOS, thyroid conditions, perimenopause, or menopause
- Are experiencing symptoms with a possible hormonal or metabolic basis — fatigue, mood changes, weight gain, skin changes, hair loss
- Need assessment of menstrual irregularities, heavy periods, or painful periods
- Have sexual health concerns — reduced libido, vaginal dryness, or pain during intercourse
- Are pregnant or planning pregnancy and need preconception advice
- Need urinary tract infection assessment and management
- Have received results from a Spanish gynaecologist that they want reviewed and explained clearly
- Are expats or international residents who need women's healthcare in English or Portuguese
- Do not have a registered Spanish GP or gynaecologist
Women's Healthcare in Spain — Access and What This Service Provides
In Spain, women can access gynaecology directly in the private sector without a GP referral. In the public system, women's health care is managed through the GP and the SNS gynaecologist — with waiting times that can be significant for non-urgent consultations.
For women without an assigned GP, for international residents who prefer to consult in English or Portuguese, or for anyone who needs women's healthcare today without waiting weeks, Global Health provides GP-level women's health assessments — covering hormonal health, contraception, menopause, and general women's health — complementing rather than replacing specialist gynaecological care. When specialist gynaecological assessment is needed, your doctor coordinates the referral the same day.
What Your Consultation Includes
Full clinical assessment
Your doctor reviews your symptoms in detail, menstrual and reproductive history, current medications, hormonal indicators, relevant medical history, and lifestyle factors — building a complete clinical picture.
Hormonal and metabolic assessment
Women's health symptoms frequently have hormonal or metabolic roots that standard acute consultations do not investigate. Your doctor assesses hormonal contributors — thyroid function, insulin resistance, PCOS, and perimenopause — where clinically relevant.
Clinical management plan
Based on the assessment, your doctor advises on the most appropriate next steps — which may include lifestyle and nutritional recommendations, clinical recommendations at the doctor's professional discretion, referral for blood tests or specialist assessment, or ongoing management at GP level.
Clinical documentation — at the doctor's professional discretion
When clinically indicated, your doctor issues appropriate clinical documentation valid at any pharmacy in Spain.
Note: Controlled substances cannot be issued electronically under Spanish law.
Referral and investigation coordination
When gynaecological referral, blood tests, or other investigations are clinically indicated, your doctor issues the relevant documentation the same day.
Conditions Commonly Assessed
Contraception and reproductive health
- Contraception assessment and review — combined pill, mini-pill, patch, ring, injectable, and non-hormonal options
- Side effects related to contraception and management
- Preconception advice and planning
- Fertility concerns — initial assessment and referral where indicated
Hormonal health
- Polycystic ovary syndrome (PCOS) — assessment, management support, and monitoring
- Endometriosis — symptom management and referral coordination
- Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD)
- Irregular, heavy, or painful periods
- Hormonal imbalance affecting mood, weight, energy, and skin
- Thyroid conditions — particularly relevant for women's hormonal health
Menopause and perimenopause
- Perimenopause assessment and symptom management
- Menopause — hot flushes, sleep disturbance, mood changes, cognitive symptoms
- Hormone replacement therapy (HRT) — assessment, initiation, and ongoing review at the doctor's professional discretion
- Post-menopause health and long-term wellbeing
Sexual health
- Reduced libido and hormonal contributors
- Vaginal dryness and discomfort — assessment and management
- Pain during intercourse — clinical assessment and referral where indicated
General women's health
- Urinary tract infections and recurrent UTIs
- Breast health concerns and referral where indicated
- Cervical screening queries and referral coordination
- Skin and hair changes with hormonal basis — acne, hair loss, hirsutism
- Mental health in women — anxiety, depression, and postnatal mood concerns
- Weight management with hormonal or metabolic basis
Termination of Pregnancy — Important Note
Voluntary termination of pregnancy (IVE — Interrupción Voluntaria del Embarazo) in Spain is regulated by Organic Law 2/2010 on sexual and reproductive health and voluntary termination of pregnancy. IVE requires in-person attendance at an authorised medical centre and cannot be arranged through a telemedicine consultation. This service does not provide or arrange termination of pregnancy.
If you need information on services available in Spain or guidance on accessing appropriate care, your doctor can provide orientation and referral information during the consultation.
Why Hormonal Health Is Frequently Missed
Many symptoms that women attribute to stress or age — fatigue, mood changes, weight gain, skin and hair changes — have specific hormonal or metabolic causes that standard acute consultations do not investigate. PCOS affects approximately one in ten women and is frequently undiagnosed. Perimenopause symptoms are routinely attributed to anxiety. Hormonal causes of fatigue, weight, and mood are systematically underassessed in standard primary care.
A consultation focused specifically on women's health — with time, hormonal literacy, and a doctor who assesses symptoms in the complete context of women's health — is clinically more effective than a generic GP appointment. This is what this service offers.
