HRT can be an absolute minefield. It is so confusing, there are loads of different types, brand names, ways to take them and doses. There is definitely no one size fits all and your needs will likely change over time.

If you are considering HRT talk to your healthcare professional about the best options for you. The information on this page is not meant to replace professional advice.

It is important to understand which hormones are used and why. Any treatment needs to be tailored for your needs, based on your medical and family history, and whilst one regime might suit someone it doesn’t not mean it will be right for you.  You may need to change the HRT you use over time.

The hormones; oestrogen; many symptoms of perimenopause are associated with the reduction of oestrogen levels. If only oestrogen was taken, it could stimulate the womb lining to thicken which is unhealthy. To prevent this, progesterone is taken alongside (unless the womb has been removed). There has been lots of talk about testosterone; it’s important to note that currently testosterone is not licensed for women but can be prescribed in very specific circumstances by a specialist.

Tablets are often prescribed in the first instance. But the decision on the type of HRT you have prescribed based on medical history, family history and preference. Some brand names you may have heard of are Elleste Solo and Duet and Utrogestan.

Patches, gels, and sprays (transdermal) treatments are a preferred option is you have a history of certain medical conditions.  The increased popularity of some types of HRT has led to supply issues for some products and should be noted.  Evorel Conti, Sequi, Oestrogel, Lenzetto spray and Sandrena Gel are just a few of the popular brand names.

The Mirena Coil is a small T-shaped plastic device that’s put into your womb by a specialist doctor or nurse.  The Mirena releases progesterone directly into your womb and lasts three to five years.

Although not widely available or very often used, oestrogen implants are inserted under the skin and gradually release oestrogen, they last for several months.  

Vaginal oestrogen is available as a cream, pessary, or ring placed inside the vagina and can be helpful to relieve the symptoms of vaginal dryness but would not be considered a suitable option for other symptoms for example hot flushes.  Vagifem pessaries, Estring, Imvagiss, Ovestin and Blissel are common brand names.

The discussion on the site is for information purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute, therefore. Always seek the advice of a qualified healthcare provider concerning any questions you may have regarding any information obtained from this this site and any medical condition you believe may be relevant to you or to someone else.

Never disregard professional medical advice or delay in seeking it because of something you have read on this site.

Always consult with your healthcare professional before embarking on a new treatment or stopping a treatment.

Content obtained from this website is not exhaustive and does not cover all conditions or their treatment.