Menopause is a significant phase in a woman's life marked by the cessation of menstrual periods and a decline in ovarian function. This transition often brings a variety of symptoms which affects more than 95% of women, including vasomotor symptoms (hot flashes and night sweats), mood swings, and urogenital atrophy, which can significantly impact quality of life.^1,2 Tibolone, a synthetic steroid, has emerged as a popular choice for hormone replacement therapy (HRT) due to its unique pharmacological profile and clinical...