HRT in Melbourne: how to access hormone therapy and what to expect
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Hormone therapy, also called menopausal hormone therapy or MHT, is available across Melbourne through GPs, women’s health clinics and specialists. This page covers the practical side: who can prescribe it, what a first appointment looks like, what it costs, and how to find a provider near you. For the clinical detail on how MHT works, the different types, and the benefits and risks, see our guide to MHT in Australia.
Who prescribes hormone therapy in Melbourne
Most women start with a GP. Many GPs prescribe MHT without a referral, and some have additional training in women’s health and menopause. A women’s health clinic can bring several types of care together in one place. If your situation is more complex, a GP may refer you to a gynaecologist or endocrinologist.
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What to expect at your appointment
A menopause-focused appointment is usually longer than a standard GP visit, often 30 to 60 minutes for a first consultation, and the conversation covers ground you may not have been asked about before.
It starts with your symptoms: when they began, how they have changed, and how they are affecting your sleep, work, mood and daily life. Everything is relevant, from hot flushes and night sweats to brain fog, joint pain, low mood and changes in libido, so it helps to mention all of it. Your medical history matters too, including heart health, any history of clots, and breast health, because these shape which type of hormone therapy is safest for you.
If a physical examination might be needed, you can ask what it involves when you book, and you can always say what you are comfortable with.
You will usually leave with a prescription and clear instructions. Most prescribers start with a moderate dose and adjust from there, and a review is commonly booked for around 8 to 12 weeks later to see how you are going and fine-tune the plan. Many women notice improvements in sleep and hot flushes within a few weeks, while symptoms such as brain fog can take longer. Finding the right combination often takes a little time, so a first option that does not suit can usually be adjusted rather than abandoned.
For the detail on the types of MHT, including patches, gels, tablets and vaginal options and what shapes the choice, see the MHT guide.
Cost and Medicare
A standard GP visit may attract a Medicare rebate, and a dedicated menopause health assessment (MBS item 695) is available through GPs. Many MHT medicines are subsidised under the Pharmaceutical Benefits Scheme, which lowers the out-of-pocket cost. Exact costs depend on the provider and the medicine prescribed. Our treatment guide covers what is currently subsidised.
Is hormone therapy right for you
MHT is the most effective treatment for hot flushes and night sweats, and it also helps with sleep and vaginal symptoms. For some women it can ease low mood that is tied to the menopause transition, although it is not a first-line treatment for major depression, and its role for anxiety specifically is less well established. For many women under 60 or within ten years of their last period, the benefits can outweigh the risks when MHT is appropriately prescribed. Suitability is individual, and a prescriber will weigh it up with you. The MHT guide sets out the benefits and risks in full. For independent, evidence-based information on MHT, the Australasian Menopause Society publishes patient resources.
Find hormone therapy providers in Melbourne
Browse vetted, menopause-informed providers across Melbourne and Victoria, including GPs, women’s health clinics and specialists who support hormone therapy.
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If you would rather start by choosing the right kind of provider, see our guide to finding a menopause specialist in Melbourne.
Common questions
Do I need a referral to start HRT in Melbourne?
Often not. Many GPs prescribe MHT without a referral. You may choose to see a specialist for more complex needs.
How much does HRT cost?
It depends on the provider and the medicine. Many MHT medicines are PBS-subsidised, and your GP visit may attract a Medicare rebate. See the treatment guide for current detail.
How soon does it work?
Many women notice a difference within a few weeks, with fuller benefit over a few months.
Is HRT safe?
For many women under 60 or within ten years of menopause, MHT is considered safe when prescribed and monitored by a doctor. Your provider will review your individual history.