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Australian Evidence-Led Care

Hormone Health Library

Clinically reviewed education aligned with Australian guidance and advertising standards. Explore menopause, testosterone deficiency, thyroid health, fatigue, and safe care pathways.

Key takeaways

Evidence highlights

Short, evidence-led statements that guide our educational content.

Menopause is usually a clinical diagnosis

For most people over 45, menopause is diagnosed from symptoms and menstrual history, and hormone blood tests are not routinely required.

Hormone therapy is prescription-only

Menopausal hormone therapy can help hot flushes and night sweats, but suitability and risks must be reviewed with a doctor.

Compounded bioidentical hormones can provide personalisation

Whilst the preference is to use commercial medications. Compounded preparations may help meet individual needs where standard options are unsuitable.

Testosterone deficiency needs repeat testing

Diagnosis requires symptoms plus at least two morning fasting blood tests on separate days, with additional hormone assessment.

Library overview

Explore the topics

Each guide provides practical education and explains how we approach assessment in clinic.

Women’s Health
Clinical overview

Menopause & Perimenopause

Perimenopause is the transition to menopause and often begins with cycle changes, hot flushes, and sleep disruption. Menopause is confirmed after 12 months without a period and is usually diagnosed clinically in people over 45.

Assessment focus

  • Symptom timeline, menstrual history, and impact on daily life.
  • Review of medical history, medications, and risk factors.
  • Targeted tests only when symptoms are atypical or menopause occurs early.

Care discussion

  • Lifestyle strategies for sleep, stress, nutrition, and movement.
  • Non-hormonal options may be considered for symptom relief.
  • Prescription-only therapies are discussed when symptoms significantly affect quality of life.
Treatment Overview
Clinical overview

Menopausal Hormone Therapy (MHT)

MHT (also called hormone therapy) is a prescription-only treatment used to relieve menopausal symptoms such as hot flushes and night sweats. It is not suitable for everyone and requires individualised medical assessment.

Assessment focus

  • Confirm symptom profile, severity, and treatment goals.
  • Discuss benefits, risks, and contraindications with a doctor.
  • Plan follow-up reviews to monitor response and safety.

Care discussion

  • Therapy choice and dose are tailored to the individual.
  • Non-hormonal options are reviewed when hormones are not appropriate.
  • Ongoing monitoring supports safe, evidence-led care.
Safety & Evidence
Clinical overview

Bioidentical Hormones & Compounded Products

Many commercially available menopause therapies use hormones identical to those produced by the body. However, not all preparations fit all patients, and compounded "bioidentical" hormones can provide personalised options when standard products are unsuitable.

Assessment focus

  • Only use experienced prescribers and compounding pharmacies.
  • Ensure you know the difference between your compounded medicines and standard products.
  • Discuss evidence-based options and safety monitoring.

Care discussion

  • Prefer therapies with established quality and safety oversight.
  • Avoid claims that compounded products are safer or more natural.
  • Ensure any hormone therapy is medically supervised.
Men’s Health
Clinical overview

Testosterone Deficiency in Men

Symptoms like low energy, reduced libido, or mood changes can have many causes. Diagnosis requires symptoms plus consistently low testosterone confirmed on at least two morning fasting tests, with supporting hormone checks.

Assessment focus

  • Symptom review alongside medical history and current medications.
  • Morning blood tests repeated to confirm low levels.
  • Assessment for other contributing factors (sleep, metabolic health, stress).

Care discussion

  • Address reversible contributors before considering prescription options.
  • If treatment is appropriate, it is prescription-only and monitored.
  • Regular follow-up supports symptom and safety review.
Whole-Person Assessment
Clinical overview

Testing, Thyroid Health & Persistent Fatigue

Hormone symptoms can overlap with thyroid issues, sleep disruption, stress, nutrition, and other health concerns. A structured assessment helps identify the most likely contributors before targeted testing.

Assessment focus

  • Review sleep, stress load, nutrition, and daily energy patterns.
  • Targeted blood tests guided by symptoms and history.
  • Consider thyroid function as part of a broader review.

Care discussion

  • Lifestyle and recovery planning alongside medical review.
  • Address deficiencies or underlying contributors where identified.
  • Monitor progress over time and adjust the plan as needed.

Our promise

Clinically reviewed

Every guide is reviewed for accuracy and patient safety.

Reviewed by HHHC Clinical Team

Medical Directors

AHPRA RegisteredIntegrative PrescribingReviewed 3 February 2026