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April 26, 2026Australian and New Zealand Journal of Obstetrics and Gynaecology2 citationsOpen Access

Trends in Government‐Subsidised Menopausal Hormone Therapy Dispensing in Australia Between 2014 and 2023

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HRHindun Wilda RisniLWLi WeiMHMartha Hickey

Key Points

  • This research aims to clarify trends in the dispensing of menopausal hormone therapy (MHT) in Australia from 2014 to 2023.
  • Analyzed a 10% random sample of Pharmaceutical Benefits Scheme (PBS) data from 2014 to 2023
  • Assessed MHT dispensing prevalence among women aged 45–64
  • Examined changes in use across different MHT types including transdermal, IUD, vaginal, and oral.
  • Overall prevalence of MHT dispensing remained stable (0.42% annual change, 95% CI −0.50 to 1.35)
  • Transdermal MHT use increased by 5.89% (95% CI 3.88–7.91)
  • Vaginal MHT decreased by 1.47% (95% CI −2.30 to −0.63) while oral MHT remained stable (0.66%, 95% CI −0.04 to 1.36).

Abstract

ABSTRACT Menopausal hormone therapy (MHT) is a mainstay treatment for menopausal symptoms. While international studies report rising MHT use, trends in Australia remain unclear. Using a 10% random sample of Pharmaceutical Benefits Scheme (PBS) data from 2014 to 2023, we analysed the prevalence of MHT dispensing among women aged 45–64. Overall prevalence of MHT dispensing remained stable (relative annual change: 0.42%, 95% CI −0.50 to 1.35). Use of transdermal and intrauterine device (IUD) MHT increased (5.89%, 95% CI 3.88–7.91 and 10.22%, 95% CI 9.48–10.95, respectively), and vaginal MHT decreased (−1.47%, 95% CI −2.30 to −0.63), while oral MHT appeared stable (0.66%, 95% CI −0.04 to 1.36). This study offers a clearer understanding of how MHT use in Australia has changed over the last decade.

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Cite This Study

Risni et al. (2026) studied this question.

synapsesocial.com/papers/69edabdf4a46254e215b3c3chttps://doi.org/10.1111/ajo.70135
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