Livial tablets provide relief from menopausal symptoms, including osteoporosis. It is a form of hormone replacement therapy (HRT). Livial contains one ingredient, Tibolone, which breaks down in the body into components which emulate the sex hormones oestrogen, progesterone and testosterone. In this way, it is different from most HRT treatments, which directly contain these sex hormones. Another difference is that Livial also increases testosterone levels, which has the effect of limiting some of the negative side effects of HRT. Livial is most similar to continuous combined forms of HRT. This form of HRT does not involve a regular period. For this reason, Livial is suited for women who have gone at least a year without a menstrual bleed.