Frequently Asked Questions
How long does it take to see Dr. Purity?
The wait time to see Dr. Purity is typically 2-3 weeks.
Why am I being seen by a nurse or another doctor before seeing Dr. Purity?
The nurse or doctor will collect basic health information, your list of concerns, and details about your menopause symptoms. This information is entered into our system so that when Dr. Purity sees you, everything is in place, allowing us to focus on addressing your hormonal needs right away.
What is the cost, and is it covered by Medicare?
The cost of your consultation is 280 AUD, which covers two consults. If you qualify for a Medicare rebate, you will receive a rebate of 122.15 AUD.
When will my follow-up appointment be?
The follow-up appointment is scheduled 6 weeks after the initial consultation. The cost for the follow-up is 150 AUD, with a Medicare rebate of 82.90 AUD available if you qualify.
Do I need a referral?
No referral is needed. You can book your appointment directly on our website.
Do I need a blood test?
No blood tests are required upfront. If necessary, Dr. Purity will request them during your consultation.
What can I expect during my consultation with Dr. Purity?
During your consultation, Dr. Purity will discuss your symptoms and provide you with a plan, including a a blood form for testosterone blood test, to be reviewed at your 6-week follow-up.
Am I too young for HRT?
No, you are not too young for HRT. Body-identical estrogen can help stabilize your hormonal fluctuations and effectively manage PMDD symptoms.
Am I too old for HRT?
No, any symptomatic woman, regardless of age, can benefit from HRT.
Does HRT cause breast cancer?
The WHI study, which sparked concerns about breast cancer, had many flaws in its design, analysis, and publication. The estrogen used in the study was conjugated equine estrogen (from pregnant horse urine) and synthetic progesterone, which is known to hyperstimulate breast tissues. We use body-identical estrogen and progesterone, which have a much safer profile. In fact, the WHI study showed no increased risk of breast cancer with the use of conjugated equine estrogen alone; there was actually a decrease. The slight increase in risk was associated with synthetic progestogen, but even that was not statistically significant. For further information, read my blog on WHI study and breast cancer.
When should I stop HRT?
You do not need to stop HRT unless there is a specific medical reason to do so. Hormones are crucial chemical messengers in the body. When levels of estrogen, testosterone, and progesterone drop, it can lead to menopausal symptoms, increased inflammation, and higher risks for high blood pressure, high cholesterol, high blood sugar, and even dementia.
What is body-identical HRT?
Body-identical HRT refers to hormones that have the same molecular structure as those produced by your body during your reproductive years. The estrogen, progesterone, and testosterone used are derived from yam.
How do I get in touch with the clinic? Send us an email at info@purity.health or book online https://www.purity.health/book-online for more information on HRT, help with weight loss or histamine intolerance (MCAS) you can join the relevant group(s) here https://www.purity.health/groups
Help! I’m bleeding on HRT!
It’s quite common to experience some bleeding while on hormone replacement therapy (HRT), especially within the first 3-6 months. This occurs because estrogen stimulates the thickening of the uterine lining, while progesterone works to thin it. It can take time for these hormones to reach a balance or state of "stasis" in the uterine lining.
Bleeding can happen for a variety of reasons, including missing a dose, increasing a dose, starting a new medication, traveling, or even after receiving a vaccine. When bleeding occurs, it’s often due to an unstable uterine lining.
What to Do:
If bleeding starts, stop taking oral progesterone for 3-5 days and restart once the bleeding subsides. Continue your estrogen as usual.
If the bleeding recurs, contact your doctor. They may recommend a transvaginal ultrasound to assess the thickness of your uterine lining and check for any fibroids or polyps.
For more answers to FAQ, please follow this link
By Dr Purity Carr
GP & Menopause Doctor
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