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 is an appropriate clinician to discuss HRT or MHT, other menopause treatments and whether further assessment may help. The consultation can include an individual treatment decision, including whether prescription treatment is appropriate. Sometimes blood tests, records, an examination or follow-up are needed first, and no particular treatment is promised before assessment.
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.
- 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.
Hormonal and non-hormonal treatments are available
A HerDoc GP can assess your symptoms and discuss HRT or MHT, non-hormonal treatments and other menopause care. The consultation can include an individual treatment decision, including whether prescription treatment is appropriate. The GP can also discuss lifestyle or behavioural approaches, particularly if you do not want hormone treatment or it may not fit your health history.
The appointment gives you space to compare the choices, ask about benefits and risks, and agree on what information or next step is needed before an individual decision.
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 make a treatment decision 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 to seek urgent care
Call 000 for severe chest pain, severe breathing difficulty, stroke signs, fainting, severe bleeding, immediate danger or severe and rapidly worsening symptoms.
- Bleeding after 12 months without a period
- Very heavy or frequent bleeding
- A new symptom that needs examination
Related pages
FAQs
Can an online GP prescribe HRT in Australia?
A real-time HerDoc GP consultation can include an individual decision about whether HRT or MHT is appropriate and whether prescribing can be managed through telehealth. It is not an automatic outcome; 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 provide non-hormonal menopause treatments when the doctor decides an option is right for you and can be managed through telehealth. You can also ask about lifestyle or behavioural approaches if you prefer not to use hormones or want to understand the full range of choices.
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?
You can discuss non-hormonal options, lifestyle or behavioural approaches and whether another health professional could help. The GP can explain why a particular option may not fit and what other choices could be considered.
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.