What is MHT?
Menopausal hormone therapy (MHT), formerly known as hormone replacement therapy (HRT), replaces the oestrogen that your body stops producing after menopause. It's the most effective treatment available for hot flushes, night sweats, and vaginal symptoms.
MHT can be given as tablets, patches, gels, or vaginal treatments. Women who still have a uterus also need progesterone to protect the lining of the womb. Your GP will help you find the right form and dose for your needs.
Is it safe?
The safety of MHT has been the subject of much discussion since the early 2000s. Current evidence shows that for most healthy women under 60 or within 10 years of menopause, the benefits of MHT outweigh the risks.
The risks depend on the type of MHT, the dose, how it's given, and your personal medical history. For example, oral MHT may slightly increase the risk of blood clots, while transdermal (patch or gel) forms have a lower risk. Your GP will discuss your individual risk profile.
Who is MHT for?
MHT is most commonly prescribed for women with significant menopause symptoms — hot flushes, night sweats, mood changes, and vaginal dryness. It's also used for bone protection in some women who are at high risk of osteoporosis.
MHT may not be suitable for women with a personal history of breast cancer, blood clots, or certain other conditions. Your GP will take a thorough history and help you weigh up the benefits and risks for your individual situation.
Related condition
Menopause & perimenopause →References & sources
- 1.Menopause — Jean Hailes for Women's Health
- 2.Menopause — Better Health Channel
- 3.Hormone replacement therapy — healthdirect
- 4.Post-menopause — healthdirect
- 5.Menopause health info — Australasian Menopause Society
This content is general information and not a substitute for individual medical advice. Please consult a GP for your personal situation.
Ready to speak with a GP?
Book a private telehealth consult with an AHPRA-registered Australian GP.