Why bio-identical hormones?
Since the release of the results of the Women’s Health Initiative (WHI) in 2002 there has been ongoing concern by patients and doctors about the safety of hormone replacement therapy (HRT). Over the last 15 years there has been a dramatic shift by patients wanting to use bio-identical hormones (more recently termed body-identical hormone replacement treatment) and numerous doctors are now prescribing them. Several research studies have provided compelling data that the causative hormone that increases the risk of breast cancer is synthetic progestogen, not the bio-identical micronized progesterone, which has a bio-chemical structure identical to what the body produces naturally.
As such Menopause Health doctors have been prescribing bio-identical progesterone and oestrogen for over 15 years.
Kent Holtorf, MD, The bioidentical Hormone Debate: Are Bioidentical Hormones (Estradiol, Estriol and Progesterone) Safer or More Efficacious than Commonly Used Synthetic Versions in Hormone Replacement therapy? Jan 2009, Vol 121, Issue I, ISSN – 1941-9260
The Women’s Health Initiative Study Group. Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women, Control Clin Trials. 2002;288(3):321-333
What are the Benefits of BHRT
- 1. Not restricted by fixed dosing
- 2. Mode of applications:
- a. Capsule
- b. Cream
- c. Troche
- d. Pessaries
- e. Suppositories
- 3. Bio-chemical structure of hormones is identical to what the body produces naturally
- 4. Treatment can be customised to each patient’s specific needs
- 5. Micronized progesterone considered to not contribute to the risk of breast cancer
Why Telephone Consultations?
“The use of telephone consultation and triage has been driven by the need to provide
cost effective, efficient, timely healthcare information to people in metropolitan, rural and remote areas” (Van den Broek 2003, Peck 2005, Ernesäter et al. 2009). Telstra Health and Medibank Health Solutions are the leading providers of telephone and web-based health care services in Australia with the latter engaging in over 10,000 outbound ‘support service’ calls per week.
Since July 2011, the Commonwealth Government has been actively endorsing telephone consultations. The Medical Board of Australia published in 2012 the guidelines for Technology based patient consultations:
Minimum standards MH Compliance Internet site security Maintenance of storing and forwarding records, including photographs and videotapes Technical security of the technology being used Establishment of security and ownership of the person’s record Securing the person’s consent to obtain, use, disclose and transmit information Computer and information security MH Compliance Availability of information Integrity of information Confidentiality of information Special considerations MH Compliance Storage of any images or recordings Confirmation of the identity of the health professionals involved Secure transmission of patient data to other health care professionals
How will you (GP) be involved?
Once you have referred your patient you will be provided with regular updates as to your patient’s progress. All this information will be transmitted using an encrypted method as required by the current medical standards under the updated privacy law.
Where is the Medication compounded?
Your patient will receive custom formulated and compounded medication using TGA approved ingredients that are manufactured to USP (United States Pharmacopeia) standards. USP standards require that raw materials are tested for purity and are free of contaminants such as heavy metals and microbial organisms. Every raw ingredient used to compound your patient’s bioidentical hormone medication has a certificate of analysis which documents compliance with USP standards.
The Compounding Facility is a NATA (National Association of Testing Authorities) certified and Pharmacy Board of Australia approved, state of the art laboratory. All compounding is prepared by an experienced team of pharmacists and trained technicians.
The compounding facility routinely tests products for potency, mixing efficacy and microbial contamination. Third party analytical testing has confirmed accuracy and consistency of complex bioidentical hormone products, including micro-doses below 1mg.
What are Menopause Health opening hours?
8.30AM – 9.00PM (AEST) Monday to Friday
9.00AM – 1.00PM (AEST) Saturday
What will Menopause Health provide for your patient?
Once you have referred your patient to MH, a staff member will contact her and book her in for a consultation with one of the doctors. MH doctors can provide either a face-to-face consultation or a telephone consultation depending on your patient’s preference.
By choosing to have her consultation with the doctor by telephone it enables the patient to be contacted at any location in Australia. So, distance from the MH clinic does not limit her from accessing the quality services offered.
The doctor’s consultation will cover her medical history and determine the cause of her presenting symptoms. Pathology testing will be arranged and, if required, a mammogram, ultrasound and bone density scan can be organised.
Once your patient has been assessed by the doctor she will be prescribed treatment based on her needs. Treatment options include bio-identical hormone treatments, body-identical hormone treatments, as well as other prescription hormone treatments.
If your patient chooses the bio-identical hormone option, the medication will be compounded by a Pharmacy Board approved compounding facility and couriered to your patient.
Patients are regularly supported and are followed up at least once a month for the duration of their treatment. MH will also send all patients a monthly newsletter with information and developments in women’s health.
What else does Menopause Health offer to your patient?
MH has naturopath and nutritionist services available that will provide complementary advice and guidance to your patient regarding other common issues that occur during menopause (e.g. weight gain).
Does Menopause Health provide face-to-face consultations with one of the doctors?
Yes; we do offer face to face consultations; all you need to do is advise the receptionist when you book in your appointment