Menopausal hormone therapy (MHT) can be transformative for many women, yet fewer than 40% continue treatment beyond the first year. With new PBS listings for body-identical options, affordability and access are improving, but optimal prescribing still relies on careful initiation, monitoring, and adjustment. In this interview we explore:

• # Key PBS updates for MHT, including cost and 60-day dispensing
• # When and how to initiate therapy, and tailoring the right regimen
• # Getting progesterone scheduling right to protect the endometrium
• # Managing the common challenges of the first three months
• # Supporting women with evidence-based, individualised care

Practical, GP-focused advice to help you navigate prescribing confidently, while ensuring your patients feel heard and supported.