Menopause

Summary

A request was made for data on menopause diagnoses by age and HRT prescription comparisons with NHS averages, but the authority only provided HRT prescription item counts and costs for gels, patches, and tablets for the 2016/2017 and 2017/2018 financial years.

Key Facts

• The Department of Health and Social Care stated that some information was sent but not all was held.
• Data was provided for HRT gels, patches, and tablets for the Isle of Man for financial years 2016/2017 and 2017/2018.
• Information regarding patient diagnoses by age and comparisons to NHS country/region averages was not included in the response.
• No data was provided regarding male menopause diagnoses or prescriptions.
• The response included specific item counts and actual costs for various HRT presentations.

Data Disclosed

• 2016/2017
• 2017/2018
• 3,177.92
• 3182.84
• 20,736.39
• 27,150.55
• 229
• 240
• 38
• 27
• 15
• 18
• 123
• 92
• 66
• 96
• 58
• 60
• 20
• 11
• 4
• 36
• 87
• 32

Original Request

how many female patients are diagnosed as perimenopause, menopause and post menopause by what age? how many female patients are prescribed each relevant option such as HRT pill per dose, patch and gel and how does that compare to the NHS country and region averages? how many male patients are diagnosed with male menopause (testosterone deficiency)? how many male patients are prescribed each relevant option and how does that compare to the NHS country and region averages?

Data Tables (4)

Full Response Text

HRT gels Financial Year Country plus Code BNF Presentation Actual Cost Items 2016/2017 ISLE OF MAN (4) Estradiol_Gel 0.06% 80g (64 Applic) 1,687.53 229 2016/2017 ISLE OF MAN (4) Estradiol_Gel Sach 1mg/1g 532.55 20 2016/2017 ISLE OF MAN (4) Estradiol_Gel Sach 500mcg/0.5g 80.17 15 2016/2017 ISLE OF MAN (4) Oestrogel_Gel 0.06% 80g (64 Applic) 823.44 84 2016/2017 ISLE OF MAN (4) Sandrena_Gel Sach 1mg/1g 54.23 3 3,177.92 2017/2018 ISLE OF MAN (4) Estradiol_Gel 0.06% 80g (64 Applic) 1,661.22 240 2017/2018 ISLE OF MAN (4) Estradiol_Gel Sach 1mg/1g 440.32 16 2017/2018 ISLE OF MAN (4) Estradiol_Gel Sach 500mcg/0.5g 42.46 9 2017/2018 ISLE OF MAN (4) Oestrogel_Gel 0.06% 80g (64 Applic) 761.31 87 2017/2018 ISLE OF MAN (4) Sandrena_Gel Sach 1mg/1g 249.28 12 2017/2018 ISLE OF MAN (4) Sandrena_Gel Sach 500mcg/0.5g 28.25 4 3182.84

HRT patches Financial Year Country plus Code BNF Presentation Actual Cost Items 2016/2017 ISLE OF MAN (4) Elleste Solo MX 40_Patch 40mcg/24hrs 416.84 38 2016/2017 ISLE OF MAN (4) Elleste Solo MX 80_Patch 80mcg/24hrs 249.89 26 2016/2017 ISLE OF MAN (4) Estraderm MX 100_Patch 157.55 10 2016/2017 ISLE OF MAN (4) Estraderm MX 25_Patch 367.26 38 2016/2017 ISLE OF MAN (4) Estraderm MX 50_Patch 906.41 74 2016/2017 ISLE OF MAN (4) Estraderm MX 75_Patch 395.91 26 2016/2017 ISLE OF MAN (4) Estradiol/Norethisterone_Patch 50/170mcg 2,391.10 92 2016/2017 ISLE OF MAN (4) Estradiol_Transdermal Patch 50mcg/24hrs 245.08 1 2016/2017 ISLE OF MAN (4) Estradot_Patch 100mcg/24hrs 6.75 1 2016/2017 ISLE OF MAN (4) Estradot_Patch 25mcg/24hrs 77.76 7 2016/2017 ISLE OF MAN (4) Estradot_Patch 37.5mcg/24hrs 5.57 1 2016/2017 ISLE OF MAN (4) Estradot_Patch 50mcg/24hrs 50.26 7 2016/2017 ISLE OF MAN (4) Estradot_Patch 75mcg/24hrs 77.86 4 2016/2017 ISLE OF MAN (4) Evorel 100_Patch 297.70 33 2016/2017 ISLE OF MAN (4) Evorel 25_Patch 635.58 84 2016/2017 ISLE OF MAN (4) Evorel 50_Patch 1,961.50 264 2016/2017 ISLE OF MAN (4) Evorel 75_Patch 581.97 76 2016/2017 ISLE OF MAN (4) Evorel Conti_Patch 6,376.87 226 2016/2017 ISLE OF MAN (4) Evorel Sequi_Patch 2,806.78 109 2016/2017 ISLE OF MAN (4) FemSeven 100_Patch 100mcg/24hrs 26.99 2 2016/2017 ISLE OF MAN (4) FemSeven 50_Patch 50mcg/24hrs 424.51 29 2016/2017 ISLE OF MAN (4) FemSeven 75_Patch 75mcg/24hrs 45.29 3 2016/2017 ISLE OF MAN (4) FemSeven Conti_Patch 1,870.63 55 2016/2017 ISLE OF MAN (4) FemSeven Sequi_Patch 191.73 6 2016/2017 ISLE OF MAN (4) Progynova TS_Patch 100mcg/24hrs 57.56 3 2016/2017 ISLE OF MAN (4) Progynova TS_Patch 50mcg/24hrs 111.05 7 20,736.39 2017/2018 ISLE OF MAN (4) Elleste Solo MX 40_Patch 40mcg/24hrs 294.25 27 2017/2018 ISLE OF MAN (4) Elleste Solo MX 80_Patch 80mcg/24hrs 227.72 22 2017/2018 ISLE OF MAN (4) Estraderm MX 100_Patch 132.85 8 2017/2018 ISLE OF MAN (4) Estraderm MX 25_Patch 424.09 33 2017/2018 ISLE OF MAN (4) Estraderm MX 50_Patch 1,001.14 79 2017/2018 ISLE OF MAN (4) Estraderm MX 75_Patch 285.69 19 2017/2018 ISLE OF MAN (4) Estradiol/Norethisterone_Patch 50/170mcg 2,952.62 111 2017/2018 ISLE OF MAN (4) Estradiol_Transdermal Patch 50mcg/24hrs 534.21 4 2017/2018 ISLE OF MAN (4) Estradiol_Transdermal Patch 75mcg/24hrs 370.95 37 2017/2018 ISLE OF MAN (4) Estradot_Patch 25mcg/24hrs 66.66 5 2017/2018 ISLE OF MAN (4) Estradot_Patch 37.5mcg/24hrs 38.99 4 2017/2018 ISLE OF MAN (4) Estradot_Patch 50mcg/24hrs 44.66 4 2017/2018 ISLE OF MAN (4) Evorel 100_Patch 433.85 55 2017/2018 ISLE OF MAN (4) Evorel 25_Patch 771.75 131 2017/2018 ISLE OF MAN (4) Evorel 50_Patch 2,455.11 316 2017/2018 ISLE OF MAN (4) Evorel 75_Patch 428.15 58 2017/2018 ISLE OF MAN (4) Evorel Conti_Patch 7,947.20 288 2017/2018 ISLE OF MAN (4) Evorel Sequi_Patch 4,030.68 158 2017/2018 ISLE OF MAN (4) FemSeven 100_Patch 100mcg/24hrs 54.05 2 2017/2018 ISLE OF MAN (4) FemSeven 50_Patch 50mcg/24hrs 435.66 32 2017/2018 ISLE OF MAN (4) FemSeven 75_Patch 75mcg/24hrs 110.06 8 2017/2018 ISLE OF MAN (4) FemSeven Conti_Patch 3,057.68 81 2017/2018 ISLE OF MAN (4) FemSeven Sequi_Patch 929.92 24 2017/2018 ISLE OF MAN (4) Progynova TS_Patch 50mcg/24hrs 122.61 7 27,150.55

HRT tablets Financial Year Country plus Code BNF Presentation Actual Cost Items 2016/2017 ISLE OF MAN (4) Angeliq_Tab 1mg/2mg 464.90 15 2016/2017 ISLE OF MAN (4) Cyclo-Progynova_C/Pk Tab 2mg 213.54 18 2016/2017 ISLE OF MAN (4) Elleste Duet Conti_Tab 2,035.84 123 2016/2017 ISLE OF MAN (4) Elleste Duet_Tab 1mg 849.48 92 2016/2017 ISLE OF MAN (4) Elleste Duet_Tab 2mg 635.77 66 2016/2017 ISLE OF MAN (4) Elleste Solo_Tab 1mg 423.42 96 2016/2017 ISLE OF MAN (4) Elleste Solo_Tab 2mg 257.04 58 2016/2017 ISLE OF MAN (4) Estradiol Val/Medroxyprogest_Tab 1/2.5mg 1,186.12 60 2016/2017 ISLE OF MAN (4) Estradiol Val/Medroxyprogest_Tab 1mg/5mg 362.40 20 2016/2017 ISLE OF MAN (4) Estradiol Val/Medroxyprogest_Tab 2mg/5mg 324.19 11 2016/2017 ISLE OF MAN (4) Estradiol/Drospirenone_Tab 1mg/2mg 139.70 4 2016/2017 ISLE OF MAN (4) Estradiol/Dydrogesterone_Tab 1mg/5mg 832.16 36 2016/2017 ISLE OF MAN (4) Estradiol/Norethist Acet_Tab 1mg/0.5mg 1,569.88 87 2016/2017 ISLE OF MAN (4) Estradiol/Norethist Acet_Tab 2mg/1mg 501.60 32 2016/2017 ISLE OF MAN (4) Estradiol_Tab 1mg 1,236.93 307 2016/2017 ISLE OF MAN (4) Estradiol_Tab 2mg 772.75 175 2016/2017 ISLE OF MAN (4) Estradiol_Val Tab 1mg 246.06 41 2016/2017 ISLE OF MAN (4) Estradiol_Val Tab 2mg 505.25 88 2016/2017 ISLE OF MAN (4) Ethinylestr_Tab 10mcg 5,187.02 15 2016/2017 ISLE OF MAN (4) Ethinylestr_Tab 50mcg 1,481.49 4 2016/2017 ISLE OF MAN (4) Femoston 1/10mg_Tab 2,929.54 176 2016/2017 ISLE OF MAN (4) Femoston 2/10mg_Tab 1,094.94 72 2016/2017 ISLE OF MAN (4) Femoston-conti_Tab 0.5mg/2.5mg 1,524.38 60 2016/2017 ISLE OF MAN (4) Femoston-conti_Tab 1mg/5mg 4,352.44 194 2016/2017 ISLE OF MAN (4) Indivina_Tab 1mg/2.5mg 459.86 31 2016/2017 ISLE OF MAN (4) Indivina_Tab 1mg/5mg 152.55 6 2016/2017 ISLE OF MAN (4) Indivina_Tab 2mg/5mg 559.67 24 2016/2017 ISLE OF MAN (4) Kliofem_Tab 851.73 107 2016/2017 ISLE OF MAN (4) Kliovance_Tab 403.83 30 2016/2017 ISLE OF MAN (4) Livial_Tab 2.5mg 3,362.71 136 2016/2017 ISLE OF MAN (4) Novofem_C/Pk Tab 31.83 3 2016/2017 ISLE OF MAN (4) Nuvelle Continuous_Tab 246.37 14 2016/2017 ISLE OF MAN (4) Premarin_Tab 1.25mg 63.76 21 2016/2017 ISLE OF MAN (4) Premarin_Tab 300mcg 165.32 29 2016/2017 ISLE OF MAN (4) Premarin_Tab 625mcg 204.86 70 2016/2017 ISLE OF MAN (4) Premique_Low D Tab 0.3mg/1.5mg 296.90 46 2016/2017 ISLE OF MAN (4) Progynova_Tab 1mg 288.10 60 2016/2017 ISLE OF MAN (4) Progynova_Tab 2mg 633.04 91 2016/2017 ISLE OF MAN (4) Tibolone_Tab 2.5mg 18,624.02 819 2016/2017 ISLE OF MAN (4) Tridestra_Tab 380.04 16 2016/2017 ISLE OF MAN (4) Trisequens_C/Pk Tab 72.22 7 2016/2017 ISLE OF MAN (4) Zumenon_Tab 1mg 699.81 125 2016/2017 ISLE OF MAN (4) Zumenon_Tab 2mg 337.44 51 56,960.92 2017/2018 ISLE OF MAN (4) Angeliq_Tab 1mg/2mg 364.63 11 2017/2018 ISLE OF MAN (4) Cyclo-Progynova_C/Pk Tab 2mg 254.24 29 2017/2018 ISLE OF MAN (4) Elleste Duet Conti_Tab 2,444.82 147 2017/2018 ISLE OF MAN (4) Elleste Duet_Tab 1mg 1,237.82 147 2017/2018 ISLE OF MAN (4) Elleste Duet_Tab 2mg 900.73 90 2017/2018 ISLE OF MAN (4) Elleste Solo_Tab 1mg 230.45 51 2017/2018 ISLE OF MAN (4) Elleste Solo_Tab 2mg 263.17 56 2017/2018 ISLE OF MAN (4) Estradiol Val/Medroxyprogest_Tab 1/2.5mg 1,279.09 66 2017/2018 ISLE OF MAN (4) Estradiol Val/Medroxyprogest_Tab 1mg/5mg 318.10 18 2017/2018 ISLE OF MAN (4) Estradiol Val/Medroxyprogest_Tab 2mg/5mg 495.91 20 2017/2018 ISLE OF MAN (4) Estradiol/Drospirenone_Tab 1mg/2mg 798.49 24 2017/2018 ISLE OF MAN (4) Estradiol/Dydrogesterone_Tab 1mg/5mg 367.92 15 2017/2018 ISLE OF MAN (4) Estradiol/Norethist Acet_Tab 1mg/0.5mg 1,509.28 83 2017/2018 ISLE OF MAN (4) Estradiol/Norethist Acet_Tab 2mg/1mg 1,366.71 77 2017/2018 ISLE OF MAN (4) Estradiol_Tab 1mg 1,861.36 446 2017/2018 ISLE OF MAN (4) Estradiol_Tab 2mg 847.12 200 2017/2018 ISLE OF MAN (4) Estradiol_Val Tab 1mg 542.80 103 2017/2018 ISLE OF MAN (4) Estradiol_Val Tab 2mg 1,183.18 193 2017/2018 ISLE OF MAN (4) Ethinylestr_Tab 50mcg 2,963.22 8 2017/2018 ISLE OF MAN (4) Femoston 1/10mg_Tab 3,595.19 220 2017/2018 ISLE OF MAN (4) Femoston 2/10mg_Tab 1,480.52 100 2017/2018 ISLE OF MAN (4) Femoston-conti_Tab 0.5mg/2.5mg 1,995.20 82 2017/2018 ISLE OF MAN (4) Femoston-conti_Tab 1mg/5mg 6,080.03 266 2017/2018 ISLE OF MAN (4) Indivina_Tab 1mg/2.5mg 669.47 40 2017/2018 ISLE OF MAN (4) Indivina_Tab 1mg/5mg 171.82 7 2017/2018 ISLE OF MAN (4) Indivina_Tab 2mg/5mg 414.17 24 2017/2018 ISLE OF MAN (4) Kliofem_Tab 590.20 72 2017/2018 ISLE OF MAN (4) Kliovance_Tab 497.77 39 2017/2018 ISLE OF MAN (4) Livial_Tab 2.5mg 3,843.46 151 2017/2018 ISLE OF MAN (4) Novofem_C/Pk Tab 31.84 3 2017/2018 ISLE OF MAN (4) Nuvelle Continuous_Tab 387.39 19 2017/2018 ISLE OF MAN (4) Premarin_Tab 1.25mg 71.54 23 2017/2018 ISLE OF MAN (4) Premarin_Tab 300mcg 131.58 23 2017/2018 ISLE OF MAN (4) Premarin_Tab 625mcg 243.66 75 2017/2018 ISLE OF MAN (4) Premique_Low D Tab 0.3mg/1.5mg 584.44 78 2017/2018 ISLE OF MAN (4) Progynova_Tab 1mg 115.11 31 2017/2018 ISLE OF MAN (4) Progynova_Tab 2mg 95.33 16 2017/2018 ISLE OF MAN (4) Tibolone_Tab 2.5mg 18,648.76 826 2017/2018 ISLE OF MAN (4) Tridestra_Tab 190.05 6 2017/2018 ISLE OF MAN (4) Trisequens_C/Pk Tab 103.20 10 2017/2018 ISLE OF MAN (4) Zumenon_Tab 1mg 107.86 20 2017/2018 ISLE OF MAN (4) Zumenon_Tab 2mg 25.58 4 59,303.24

Chief Executive: Malcolm Couch Freedom of Information Team DHSC, Crookall House Demesne Road Douglas IM1 3QA

(01624) 642621 dhsc@foi.gov.im Website: www.gov.im/dhsc

Our ref: 686267 21st January 2019

Dear ###

We write further to your request which was received on the 28th December 2018
which states:

Question 1: “How many female patients are diagnosed as perimenopause, menopause and post menopause by what age? Question 2: How many female patients are prescribed each relevant option such as HRT pill per dose, patch and gel and how does that compare to the NHS country and region averages? Question 3: How many male patients are diagnosed with male menopause (testosterone deficiency)? Question 4: How many male patients are prescribed each relevant option and how does that compare to the NHS country and region averages? “.

While our aim is to provide information whenever possible, in this instance the public authority does not hold or cannot, after taking reasonable steps to do so, find some of the information that you have requested.

Question 1: How many female patients are diagnosed as perimenopause, menopause and post menopause by what age? While our aim is to provide information whenever possible, in this instance the public authority does not hold or cannot, after taking reasonable steps to do so, find the information that you have requested (Section 11 (3)(a) of the Act). This diagnostic information is held by the GP practices. Question 2: How many female patients are prescribed each relevant option such as HRT pill per dose, patch and gel and how does that compare to the NHS country and region averages? While our aim is to provide information whenever possible, in this instance the public authority does not hold or cannot, after taking reasonable steps to do so, find the information that you have requested (Section 11 (3)(a) of the Act). This prescription information is held by the GP practices However we have attached costs of HRT treatments (patches, gels & tablets) for the last two financial years. We do not hold the figures for the number of individuals being treated. Question 3: How many male patients are diagnosed with male menopause (testosterone deficiency)? While our aim is to provide information whenever possible, in this instance the public authority does not hold or cannot, after taking reasonable steps to do so, find the information that you have requested (Section 11 (3)(a) of the Act). This diagnostic information is held by the GP practices. Question 4: How many male patients are prescribed each relevant option and how does that compare to the NHS country and region averages? While our aim is to provide information whenever possible, in this instance the public authority does not hold or cannot, after taking reasonable steps to do so, find the information that you have requested (Section 11 (3)(a) of the Act). This prescription information is held by the GP practices

I have enclosed copies of the information that is held.

Please quote the reference number 686267 in any future communications.

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I will now close your request as of this date.

Yours sincerely