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Teck-Hock Toh

As seen in: Nature, Women & Health
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Articles

A perspective on economic barriers and disparities in access to hormone replacement therapy in LMICs (MARIE-WP2b)

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By Gayathri Delanerolle, Snehal Ghosh, Paula Briggs, Peter Phiri, Julie Taylor, Vindya Pathiraja, Tharanga Mudalige, Yassine Bouchareb, Heitor Cavalini, Sharron Hinchliff, Carol Atkinson, Kristina Potočnik, Lucky Saraswat, Fred Tweneboah-Koduah, Helen Kemp, George Uchenna Eleje, Divinefavour Echezona Malachy, Bernard Mbwele, Teck-Hock Toh, Daniela Angerame Yela, Gabriela Rezende, Renan Massao Nakamura, Cristina Laguna Benetti-Pinto, Muhammad Irfan, Rabia Kareem, Jeremy van Vlymen, Ashish Shetty, Ganesh Dangal, Suman Pant, Kathleen Riach, Nirmala Rathnayake, Jian Shi, Om Kurmi, Saval Khanal, Sohier Elneil, Nana Afful-Mintah, Jude Siong Yip-King, Lanka Dasanayake
| Nature Verified
Abstract Women globally spend a significant portion of their lives experiencing perimenopausal and menopausal symptoms, which can severely affect their quality of life. Hormone Replacement Therapy (HRT) has proven effective in alleviating symptoms such as hot flushes, sleep disturbances, and mood disorders. However, disparities in access to HRT exist, especially in low- and middle-income countries (LMICs), where socioeconomic factors and healthcare availability may limit treatment access.
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Ethnic and Contextual Inequities in Menopause Pathways and Treatment Access: A Cross-Sectional Analysis of MARIE WP2a-Malaysia

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By Teck-Hock Toh, Kim-Yen Lee, Leong-Hoe Ngu, Juhaida Jaafar
| preprints.org
Submitted: 21 November 2025 You are already at the latest version Background Menopause is a critical life stage for women’s health, yet it remains under-recognised in Malaysia despite an ageing female population and documented ethnic and regional diversity. Previous studies have reported symptom prevalence and mean age at menopause but lacked an integrated, population-level approach to understanding biological, sociocultural, and health system determinants.
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Bridging the Gap between Evidence and Women’s Menopausal Experience: Aligning Malaysia’s Menopause Guidelines with Cultural, Religious, and Equity Realities (MARIE-Malaysia WP2a)

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By Teck-Hock Toh, Kim-Yen Lee, Leong-Hoe Ngu, Juhaida Jaafar
| preprints.org
Submitted: 20 November 2025 You are already at the latest version Objective: Menopause, a universal yet diverse life stage, profoundly influences women’s physical, emotional, and social wellbeing. In Malaysia’s multi-ethnic context, experiences are shaped by cultural meanings, religious beliefs, healthcare structures, and socioeconomic factors.
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