Menopause treatment questions
Menopause treatment questions for an online GP
Talk with a HerDoc GP about HRT or menopausal hormone therapy (MHT), non-hormonal treatments and other ways of managing menopause symptoms.
Can I talk to a HerDoc GP about HRT or MHT?
Yes. A HerDoc GP can discuss HRT or MHT with you, assess your symptoms and health history, and help you compare treatment options. When prescription treatment is appropriate and can be managed safely through telehealth, the GP can prescribe it. Blood tests, records, an examination or follow-up may be needed first.
HRT and MHT describe the same broad treatment
HRT means hormone replacement therapy. MHT means menopausal hormone therapy, which is the term commonly used in Australian menopause guidance. Both terms refer to hormone treatment used to manage menopause symptoms, although the exact treatment and its benefits and risks vary from person to person.
You do not need to know which form of treatment you want before the appointment. You can ask a specific HRT or MHT question, or talk through the symptoms affecting you and ask the GP to explain the options.
Begin with the symptoms you want help with
Treatment decisions begin with what you are experiencing. HRT or MHT may be considered for symptoms such as hot flushes, night sweats, sleep changes, mood changes or vaginal symptoms, but the GP will consider the whole picture rather than one symptom in isolation.
Have a few details handy about:
- which symptoms affect you most
- when they began and how often they occur
- your period and bleeding pattern
- current medicines, supplements and allergies
- previous treatment and how it affected you
- what you hope treatment may change
Your history shapes the benefit-risk discussion
The possible benefits and risks of MHT differ with the type of treatment, your age and timing, whether you have had a hysterectomy, and your personal and family medical history. The GP may ask about breast or uterine cancer, blood clots, stroke, heart health, migraines, bone health and any unexplained bleeding.
Potential benefits can include relief of hot flushes, night sweats and related sleep problems, as well as support for bone health. Possible risks include blood-clot, stroke and breast-health considerations. Your GP can explain how these issues apply to you without reducing the decision to one universal age rule.
Compare hormonal and non-hormonal options
HerDoc GPs provide HRT or MHT treatment, including prescribing when appropriate after assessing your symptoms and health history. You can ask about starting treatment, review an existing treatment or compare other options.
For hot flushes and night sweats, non-hormonal options include medicines, menopause-focused cognitive behavioural therapy (CBT) and clinical hypnosis. These are options to discuss if you prefer not to use hormones or hormone treatment may not fit your health history. The alternatives depend on the symptom you want help with.
Menopause-focused CBT can help reduce the distress and disruption caused by hot flushes and night sweats. Clinical hypnosis uses focused attention, imagery and suggestion in a structured programme; research has found benefits for hot flushes, but results vary. Ask about the practitioner’s training, what the programme involves and the evidence supporting that approach.
Your GP can help you compare options. If a structured therapy is recommended, ask who will deliver it and how to access it. Useful questions include:
- Australian Government: menopause treatment options
- North American Menopause Society: 2023 non-hormonal treatments for hot flushes and night sweats (abstract)
- Research: clinical hypnosis trial for hot flushes
- what improvement to look for: fewer flushes, better sleep or less disruption
- how the option fits your health history and current medicines
- what appointments or home practice are involved and any separate costs
- when to review progress and what to do if it is not helping
Tests and follow-up depend on the situation
Blood tests are not required before every menopause treatment decision. A GP may ask for blood tests if symptoms begin younger, the diagnosis is uncertain, another cause needs to be explored or a result would affect the next step.
The GP may be able to recommend or prescribe treatment during the first consultation. Sometimes records, an examination, blood tests or another conversation are needed before deciding. The doctor may also suggest continuing care or follow-up based on the treatment, your symptoms and how you are going.
When an examination or prompt medical review matters
Arrange medical assessment for bleeding after 12 months without a period, very heavy or frequent bleeding, or another symptom that needs examination before a treatment decision. Call 000 for severe chest pain, severe breathing difficulty, stroke signs, fainting, severe bleeding, immediate danger or severe and rapidly worsening symptoms. If you are already using a treatment and develop a new concerning symptom, seek medical advice rather than waiting for a routine treatment discussion.
Related pages
FAQs
Can an online GP prescribe HRT in Australia?
Yes. A HerDoc GP can prescribe HRT or MHT when it is appropriate for you and can be managed safely through telehealth. The GP will assess your symptoms, health history, medicines and risk factors; blood tests, records, an examination or follow-up may be needed first.
Are HRT and MHT the same thing?
Yes. HRT means hormone replacement therapy, while MHT means menopausal hormone therapy. Australian menopause guidance commonly uses MHT, but many patients know the treatment as HRT.
Can I discuss HRT if I am in perimenopause?
Yes. You can discuss HRT or MHT questions during perimenopause, including symptoms, period changes, contraception needs and what you hope to improve. The GP will consider your stage of life and broader health before discussing an individual treatment decision.
What menopause symptoms may HRT help with?
HRT or MHT may be considered for symptoms such as hot flushes, night sweats, sleep disruption, mood changes or vaginal symptoms. Whether it fits your situation depends on which symptoms affect you, your health history and the balance of possible benefits and risks.
What will the GP ask before deciding whether to prescribe HRT?
The GP may ask about symptoms, period and bleeding history, current medicines, allergies, previous treatment and your personal and family medical history. They may also ask about breast or uterine cancer, blood clots, stroke, heart health, migraines, bone health and your treatment preferences.
Can I discuss my current medicines and possible interactions?
Yes. Have your medicines and supplements handy, including anything recently started or stopped. The GP can consider whether a medicine may affect your symptoms or needs to be considered when discussing treatment options.
Do I need blood tests before starting menopause treatment?
Not always. Many menopause treatment discussions begin with symptoms, age, period pattern and medical history rather than routine hormone tests. A GP may recommend testing when another cause is possible or when a result would affect the next step.
Can the GP explain the possible benefits and risks?
Yes. The GP can discuss possible symptom relief and bone-health benefits alongside blood-clot, stroke, breast-health and other considerations. The balance varies with the type and timing of treatment and your individual health history.
Can a HerDoc GP provide non-hormonal treatment options?
Yes. HerDoc GPs can recommend or prescribe non-hormonal treatment when appropriate after assessment and when it can be managed through telehealth. They can also discuss approaches such as menopause-focused CBT or clinical hypnosis. Ask who would deliver a structured therapy and how to access it.
Can menopause treatment be decided during the first consultation?
Sometimes. The GP may be able to recommend or prescribe treatment after assessing you during the first consultation. They may instead ask for blood tests, records, an examination or follow-up, or recommend a different option.
Can menopause treatment take more than one consultation to discuss?
Yes. More than one conversation may be useful when you have several symptoms or questions, records need to be reviewed, or an examination or test would add information. Ask the GP what needs to happen before the next decision.
What follow-up may be needed after a treatment decision?
Follow-up depends on the treatment, your health history, symptoms and the plan you make with the doctor. The doctor may suggest continuing care or another consultation to review how you are going. Each HerDoc consultation has its own fee.
What if HRT is not right for me?
The alternatives depend on the symptom you want help with. For hot flushes and night sweats, options include non-hormonal medicines, menopause-focused CBT and clinical hypnosis. Your GP can help you compare these against your health history and preferences; other symptoms may need a different approach.
When do menopause symptoms need a face-to-face examination?
Face-to-face assessment may be needed for postmenopausal bleeding, very heavy or frequent bleeding, a breast or pelvic concern, or another symptom that cannot be adequately assessed online. The GP can explain what needs to be examined and how promptly.
What does a menopause treatment-question consultation cost?
A short HerDoc consultation costs $49 AUD and a long consultation costs $95 AUD. A new menopause patient will usually benefit from a long appointment, particularly when there are several symptoms, treatment options or health-history questions to cover. Each later HerDoc appointment has its own fee.