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Also known as: Livial
A synthetic steroid with oestrogenic, progestogenic, and weak androgenic activity. Used as a continuous combined HRT option in postmenopausal women. Typically causes no withdrawal bleed and may also benefit libido.
This page contains self-reported experiences from the Narrated community — not clinical data. Outcomes are subjective. Always consult your doctor or specialist before starting, stopping, or changing any approach.
Total Reports
14
Median Score (Wk 8)
7/10
Would Continue
57%
Avg Duration
13 wk
Most Common Goal
libido
Most Reported Side Effect
Vaginal discharge (29%)
Based on self-reported community data. Scores use a 1–10 scale.
Regulatory status does not mean an approach is safe or unsafe. Laws vary by country — check your local regulations.
Women who reported on Tibolone mentioned using it for the following goals. This does not mean it is intended for or achieves any of these outcomes.
Aggregated patterns from 14 self-reported experiences with Tibolone.
57% of women said they would continue this protocol
6.1/10 average self-reported outcome score at week 8
Most commonly reported effects: Vaginal discharge, Bloating, Weight gain, Headache
Outcome Score Distribution (Week 8)
14 of 14 reports included a week 8 score
Would Continue Protocol
14 of 14 reports included this response
Reported Goals
Commonly Reported Effects
Percentage of reports mentioning each effect
Based on 14 self-reported experiences. This is community data, not clinical evidence. Individual outcomes vary. Discuss any intervention with your healthcare provider.
14 reports from women who tried Tibolone
After reading about other women's experiences with Tibolone, I decided to try it for my vaginal dryness and discomfort. my mood stabilised within the first month. I was sleeping through the night by 12 weeks. I'd recommend discussing it with your GP.
After 8 weeks on Tibolone, I'd say it made a modest difference to my hot flashes and night sweats. Hard to tell if it was this or other lifestyle changes. Worth trying but manage your expectations.
Tibolone wasn't for me. After 12 weeks of trying, my sleep problems and fatigue were much the same. Moved on to something else.
My menopause specialist suggested Tibolone for my vaginal dryness affecting intimacy. It took about 4 weeks to notice anything, but by week 12 the improvement was really noticeable. I'm glad I tried it.
I was sceptical about Tibolone but desperate with my vaginal dryness affecting intimacy. the worst of the symptoms eased. By week 6, I was sleeping through the night. Still taking it and plan to continue.
Research context compiled from published sources
Tibolone is metabolised into three active compounds with differing receptor activity: two oestrogenic metabolites (relieve vasomotor symptoms and protect bone) and one progestogenic/androgenic metabolite (protects endometrium and may improve libido). Does not significantly stimulate breast tissue in the same way as standard HRT.
Well Studied
Extensive human research over many years, including randomized controlled trials.
Well Characterized
Decades of long-term safety data available from human use.
Dose ranges from published research. Individual dosing should be determined with your healthcare provider based on your specific circumstances.
Factual research context from published sources — not a safety assessment or recommendation. Research classifications may change as new data emerges.
Other approaches tracked on Narrated.
Data last updated: March 27, 2026