What are the different delivery methods for hormone therapy?

Dr. Mehmet Oz, MD
Cardiology (Cardiovascular Disease)
Hormone therapy comes in a variety of delivery methods, including pills, patches, gels, and vaginal creams.

In the cycle method (where you still get a monthly period), you take estrogen continuously for three weeks a month and add progestin for 12 days of the month. (Newer preparations are available that cycle every three months or even every two years, so you have less-frequent periods.)

With continuous dosing, you take both hormones daily, often in one combined pill. Irregular bleeding is common when starting this—and indicates not quite enough hormone.

Women who prefer not to take pills can apply patches to their thighs or abdomen or use an estrogen gel or cream; some patches contain estrogen and progestin, but many patches, as well as the gels and creams, are estrogen-only, and you will need additional progesterone pills to protect the uterus. Compounded bioidenticals are usually delivered in a cream. Some data show that gels and creams are safer and give benefits, but the research isn't solid enough to insist on this approach to our family members.

Whatever the delivery method, it's best to try something that lives for a short time in your body, so that if you have negative side effects, you can stop or lessen your dose. One benefit of using a compounded product is that you can really control the dosing by starting low and moving up. Shots and implants, by contrast, aren't great to start with because once they're in your system, they can't be taken out until the cycle has ended.
You: Staying Young: The Owner's Manual for Extending Your Warranty

More About this Book

You: Staying Young: The Owner's Manual for Extending Your Warranty

International bestselling authors of YOU: The Owner's Manual and YOU: On a Diet give you all the tools and know-how to stay young and defy the ageing process. Drawing lively parallels between your...

Continue Learning about Endocrine System

Endocrine System

Your endocrine system works with your nervous system to control important bodily functions. The endocrine systems responsibilities include regulating growth, sexual development and function, metabolism and mood. The endocrine syst...

em also helps give your body the energy it needs to function properly. Endocrine glands secrete hormones into the bloodstream. Hormones are considered chemical messengers, coordinating your body by transferring information from one set of cells to another. Your endocrine system health can be affected by hormone imbalances resulting from impaired glands. A hormone imbalance can cause problems with bodily growth, sexual development, metabolism and other bodily functions. Endocrine system diseases or conditions include diabetes, growth disorders and osteoporosis.

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.