HRT works by introducing hormones that act on the same receptors as the body's natural hormones, supporting the regulation of processes affected by hormonal decline such as temperature control, mood, libido, energy, bone turnover, and sexual function.

The hormones used are delivered in different forms depending on your needs and tolerance:

1. Oral tablets travel through the digestive system and liver before entering circulation.
2. Transdermal patches and gels release hormones steadily through the skin.
3. Injections release hormones gradually over several weeks.
4. Local preparations such as vaginal tablets or creams act mainly at the site of application rather than throughout the body.

Because hormones interact with multiple body systems, doses are individualised and reviewed regularly by a doctor, with the aim of using the lowest level that adequately manages symptoms.

The main types of HRT are grouped by the hormones they replace and the individuals they are prescribed for.

Menopausal Hormone Therapy (MHT)

MHT replaces oestrogen, often combined with progestogen for women who still have a uterus. The combined regimen helps reduce the risk of endometrial thickening associated with oestrogen alone. Oestrogen-only therapy is generally reserved for women who have had a hysterectomy, since the protective role of progestogen is no longer required.

Local vaginal oestrogen therapy, such as vaginal tablets or creams, may be used for symptoms such as vaginal dryness or discomfort during intercourse.

Testosterone Replacement Therapy (TRT)

TRT restores testosterone in men with confirmed low levels on a blood test. It is typically delivered by long-acting injection or daily topical gel, depending on patient preference and treatment response. Treatment is paired with regular monitoring of testosterone levels, red blood cell count (haematocrit), and prostate health.

Bioidentical Hormone Therapy

Bioidentical hormones are chemically identical to those produced by the body. They may be prescribed within either MHT or TRT regimens as part of an individualised treatment plan, and remain subject to the same medical assessment, monitoring, and prescribing standards as conventional HRT.

HRT can cause side effects, though many people tolerate treatment well and effects often settle within the first few months. The likelihood and type of side effects vary by hormone, dose, and route of delivery.

Side effects more commonly reported include:

• Breast tenderness or fullness, more common with oestrogen
• Nausea, headaches, or bloating, especially when starting oral preparations
• Mood changes during the early weeks of treatment
• Skin irritation at the application site for patches or gels
• Acne or oily skin with testosterone therapy
• Fluid retention at higher doses

Less common but more serious risks include venous thromboembolism, stroke, and certain hormone-sensitive cancers in MHT, and raised red blood cell count or worsening sleep apnoea in TRT. The likelihood depends on age, hormone type, dose, route, and personal medical history. Regular reviews allow side effects to be monitored and the regimen adjusted if needed.

HRT is generally not recommended for individuals with conditions that may be worsened by hormone supplementation. It is typically avoided in:

• A history of breast cancer, prostate cancer, or other hormone-sensitive cancers
• A history of stroke or coronary heart disease
• Active or past blood clots, including deep vein thrombosis or pulmonary embolism
• Undiagnosed vaginal bleeding, more relevant to MHT
• Untreated severe sleep apnoea or uncontrolled heart failure, more relevant to TRT
• Active liver disease

Even when HRT is suitable, treatment generally starts with the lowest dose that adequately manages symptoms and is reviewed regularly to balance benefits against risks.

HRT typically involves:

Disclaimer: This information is provided as a general guide and does not replace medical advice. The treatment process may vary based on your individual circumstances. Speak with a doctor for personalised guidance.

At ATA Medical, we offer HRT for men and women, where assessed as suitable by our doctors. Our prices are as follows:

Test/Treatment	Price*^
Consultation	From $65.40
Menopausal Hormone Therapy
Systemic MHT (Tibolone, Oral)	$75.21
Systemic MHT (Progesterone, Oral)	$43.60
Systemic MHT (Transdermal Oestrogen Gel)	$35.97
Local Vaginal Oestrogen Therapy (Vaginal Tablet)	$70.85
Testosterone Replacement Therapy
Testosterone Injection	$381.50 / injection
Testosterone Gel	$196.20 / box
Hormone Testing
Estradiol / Oestrogen (E2)	$32.70
Follicle Stimulating Hormone (FSH)	$32.70
Thyroid Function Test (TSH)	$32.70
Vitamin D Deficiency Test	$130.80
DEXA Bone Densitometry	$141.70
Female Acne / Weight Gain Screen** Testosterone, Estradiol, Progesterone, TSH, Cortisol, FSH, LH, Prolactin, DHEAS, SHBG (May be recommended for those suspected of having hormonal acne)	$218
Comprehensive Deficiency / Hair Loss Screen Folate, Vitamin B12, Vitamin D, Iron, Total Iron Binding Capacity, % Iron Saturation, Ferritin, Zinc, Magnesium, Free T4, TSH	$263.78
Women's Wellness (Full Body Screening)	From $152

*Prices are NETT and inclusive of GST.
^Prices last updated on May 26, 2026. While every effort is made to keep pricing information up to date, please contact our team to confirm the latest rates.

**Recommended to be done during days 2–5 of menstrual cycle and between 8:30 AM and 10:00 AM for accuracy.

For your comfort, consultations are available with our male or female doctors. Please let us know your preference when booking your appointment.

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