Menopausal hormone therapy (MHT), previously referred to as hormone replacement therapy (HRT), is a medical treatment used to relieve symptoms of menopause caused by declining levels of the hormones oestrogen and progesterone.

MHT works by introducing hormones to replace natural hormone levels that decline during menopause.

These hormones work like the body's natural hormones by acting on receptors throughout the body to help regulate processes affected by hormonal changes, including temperature control, mood, and vaginal tissue health.

Oestrogen also plays an important role in maintaining bone density by slowing bone resorption, the process in which bone is broken down and minerals are released into the bloodstream.

Menopausal hormone therapy can improve quality of life for many women experiencing menopause by helping manage symptoms caused by declining hormone levels. Potential benefits include:

1. Relief from menopause symptoms, such as hot flushes, night sweats, mood changes, sleep disturbances, and vaginal or urinary symptoms (genitourinary syndrome of menopause), including vaginal dryness, painful intercourse, urinary urgency, and recurrent urinary tract infections.
2. Maintenance of bone density, helping reduce bone loss and lower the risk of osteoporosis-related fractures.
3. Possible cardiovascular benefits when started early in menopause, particularly in women under 60 or within 10 years of menopause, where it may help reduce the risk of coronary heart disease and overall mortality in some individuals.
4. Protection against long-term health risks associated with premature menopause, particularly those linked to prolonged oestrogen deficiency.

There are several types of menopausal hormone therapy, and the most suitable option depends on symptoms, medical history, and whether the patient has undergone a hysterectomy.

Bioidentical Hormone Therapy

Uses hormones that are chemically identical to those naturally produced by the body. These hormones may be used in either oestrogen-only or combined MHT regimens and may be used as part of an individualised treatment plan.

Menopausal hormone therapy may cause some side effects, although not everyone experiences them. Common side effects include:

• Breast tenderness
• Nausea
• Bloating
• Headaches
• Irregular vaginal bleeding

These side effects are generally mild and often settle within the first few months of treatment.

Menopausal hormone therapy is not suitable for everyone. A thorough medical assessment is needed before starting treatment, as certain conditions may make MHT inappropriate. MHT is generally not recommended for women with:

• A history of breast cancer or other hormone-sensitive cancers such as endometrial cancer
• Active or past blood clots, such as deep vein thrombosis (DVT) or pulmonary embolism
• A history of stroke or coronary heart disease
• Undiagnosed vaginal bleeding
• Active liver disease or gallbladder disease

The benefits and risks vary between individuals depending on age and the type, dose, and form of MHT.

Menopausal hormone therapy can be delivered in several ways depending on symptoms, medical history, and treatment goals.

Treatment Option	How It Works	Administration Method
Systemic Menopausal Hormone Therapy	Systemic MHT delivers hormones throughout the body to treat menopause symptoms that affect multiple systems. It is typically used to manage symptoms such as hot flushes, night sweats, and mood changes. Regimens may include transdermal oestrogen gel with oral progesterone, or tibolone, an oral tablet that mimics the effects of oestrogen, progesterone, and testosterone.	Oral tablets Transdermal patches Hormone gels or sprays
Local Vaginal Oestrogen Therapy	Local vaginal oestrogen therapy treats vaginal and urinary symptoms directly at the source. It is commonly used for genitourinary syndrome of menopause, including vaginal dryness, irritation, and painful intercourse.	Vaginal tablets Vaginal creams Vaginal rings

Non-hormonal treatments, such as vaginal moisturisers or lubricants, may also help relieve vaginal dryness and discomfort. However, these options provide temporary symptom relief and do not address the underlying hormonal changes.

At ATA Medical, we provide menopausal hormone therapy, as well as hormone and deficiency testing, with the prices as follows:

Test/Treatment	Price*^
Consultation	From $65.40
Menopausal Hormone Therapy
Systemic MHT (Oral Tablets) – Tibolone	$75.21
Systemic MHT (Oral Tablets) – Progesterone	$43.60
Systemic MHT (Transdermal Oestrogen Gel)	$35.97
Local Vaginal Oestrogen Therapy (Vaginal Tablet)	$70.85
Hormone & Deficiency 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 with 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 Wellness (Full Body Screening)	From $152

*Prices are NETT and inclusive of GST.
^Prices last updated on Apr 29, 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.

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