Menopause Treatment Online
Private telehealth consultations with Australian-registered doctors to assess menopause and perimenopause symptoms and discuss treatment, including menopausal hormone therapy (MHT) and non-hormonal options. Book a Menopause ConsultationThis page explains how DocTel’s menopause telehealth consultations work: what your doctor will ask, which treatments may be discussed, what can and can’t be done by telehealth, and how follow-up works. For general information about menopause stages and symptoms, start with our menopause guide.
MENOPAUSE TELEHEALTH
Online Menopause Treatment: Assessment, Options and Follow-up
A consultation is most useful when symptoms are affecting your life and you want a clear plan. Your doctor’s role is to work out whether symptoms fit the menopause transition, check for other causes, and weigh treatment options against your personal health history. Medicines are only prescribed when they are clinically appropriate and safe for you.
What Happens in an Online Menopause Treatment Consultation
Consultations are private, conducted by secure telehealth, and structured so that decisions are based on your full health picture.
Who Treatment Suits, and What Telehealth Can’t Replace
For most healthy women under 60, or within 10 years of their final period, Australian and international guidance considers MHT safe and effective for troublesome symptoms. The balance of benefit and risk is still individual. MHT may not be suitable if you have a history of breast or uterine cancer, unexplained vaginal bleeding, blood clots, stroke, certain heart conditions or active liver disease, and some risks depend on the type, dose and route used. Your doctor will go through these factors before any prescription is considered.
Much of menopause care, including history-taking, explanation, treatment planning and review, works well by telehealth. Some things still need an in-person visit: a blood pressure check if you don’t have a recent reading, a breast or pelvic examination, cervical screening, mammograms, pelvic ultrasound or bone density scans. Your doctor will tell you if any of these are needed before or alongside treatment, and may recommend that you see your regular GP or a specialist.
If you are still having periods, you may still need contraception, as MHT is not a contraceptive. DocTel’s contraception consultations and broader women’s health telehealth can help.
TREATMENT OPTIONS
Treatment Options Discussed After Clinical Assessment
Menopausal Hormone Therapy (MHT)
Also called HRT. Oestrogen relieves hot flushes, night sweats and vaginal dryness. With systemic MHT, women who still have a uterus usually also need a progestogen to protect the uterine lining; after a hysterectomy, oestrogen alone is usually used. Options include patches, gels, tablets and, for the progestogen, a hormonal IUD. Australian guidance favours TGA-approved products over compounded “bioidentical” hormones, which are not tested or regulated in the same way.
Non-Hormonal Medicines
For people who cannot or prefer not to use MHT. Options with evidence for hot flushes include fezolinetant (a TGA-approved non-hormonal medicine), certain antidepressants, gabapentin and clonidine. Some are used off-label, and each has its own side effects.
Fezolinetant can cause serious liver injury. Liver blood tests are required before treatment and at scheduled intervals during treatment. If you take it and develop yellow skin or eyes, dark urine or other possible liver-injury symptoms, stop it and seek medical advice urgently. See the TGA safety advice.
Local & Self-Management Options
Low-dose vaginal oestrogen, moisturisers and lubricants for vaginal and urinary symptoms. Cognitive behavioural therapy and clinical hypnosis can reduce the impact of hot flushes and improve sleep.
What Helps Your Doctor Give You a Clear Answer
- Your Symptoms
Which symptoms bother you most, how often they happen, and how they affect sleep, work and relationships.
- Your Period History
The date of your last period, how your cycle has changed, and any bleeding between periods, after sex or after periods had stopped.
- Personal & Family History
Any history of breast or uterine cancer, blood clots, stroke, heart disease, migraine with aura or liver disease. These affect which treatments are suitable.
- Medicines & Supplements
Everything you take, including contraception, antidepressants and herbal or over-the-counter products.
- Recent Health Checks
A recent blood pressure reading if you have one, and when you last had cervical screening and a mammogram.
- Your Priorities
What you most want to improve, and any preferences or concerns about hormonal or non-hormonal treatment.
Speak With a Doctor About Menopause Treatment Online
Book a private telehealth consultation with an Australian-registered doctor to assess your symptoms and talk through treatment options that suit your health history.