Some women do not respond well to pills, creams, and patches for various reasons. Injectable compounded estradiol cypionate is a great low-maintenance option.
Patients typically inject 1-5mg of estradiol cypionate every 3-4 weeks. Subcutaneous estradiol cypionate injections can have serious complications so all injections are via intramuscular injection. HormoneMD also offers progesterone injections to be injected once daily for 6-8 days before your anticipated first day of menstruation.
Some women prefer injectable testosterone. Injectable testosterone is the most effective application method for raising testosterone levels. You can opt to have injectable testosterone alongside any other application method.
Oral medications are designed as an alternative to creams and gels.
Buccal and sublingual medications are absorbed via the lymphatic system, bypassing the liver and avoiding potential liver issues. Given the ease of administration, patient compliance is typically increased. Dosage control is a nonfactor.
Buccal medications have significant side effects including bleeding gums, mouth sores, toothaches, and headaches. Its poor bioavailability and absorption are less efficient for raising hormone levels.
Pills and capsules offer similar benefits but are passed through the liver. For women with poor liver function, pills and capsules can cause damage due to the first-pass metabolism in your liver. However, for most women, pills and capsules are an excellent option.
HormoneMD offers compounded bioidentical estradiol and progesterone pills in most strengths. Women seeking continuous therapy can take both estradiol and progesterone pills every day. Women seeking biorhythmic therapy should take a stronger dose of progesterone for the last 12 days of their menstrual cycle.
Patients commonly choose topical creams due to their easy application. For women, creams can be a great option. Creams have almost 5 times greater penetration ability than gels; meaning less medication is needed to relieve menopause symptoms. Creams also moisturize your skin, whereas alcohol-based gels dry it out.
It can be difficult to control the dosage of creams. Absorption through the skin can be inefficient due to food consumption, sweat glands, and other factors. HormoneMD offers Topi-Click dispensers that accurately dispense dosage to mitigate these factors. While absorption rates vary, hormone variations naturally mimic young beautiful healthy women making creams a safe and effective application method.
HormoneMD offers compounded bioidentical estradiol and progesterone creams in all strengths. Creams can be compounded together for continuous replacement therapy or they can be separate creams for biorhythmic hormone therapy.
Vaginal supplementation is another compounded bioidentical treatment that is a great delivery method for women who prefer it or need it. Dosage is easy to control, side effects are rare, and medications are applied before bed typically twice per week.
If youāre considering creams or pills, be sure to talk to your doctor about possible contraindications, especially if you have a history of estrogen-sensitive cancer, liver disease, undiagnosed vaginal bleeding, coronary heart disease, a history of blood clots, or stroke. Vaginal supplements work well and have high patient compliance.
For women with severe vaginal dryness symptoms, vaginal suppositories are a great treatment method to directly raise vaginal estradiol levels and alleviate symptoms quickly.
HormoneMD offers compounded bioidentical estradiol suppositories in most strengths. Typically, suppositories are inserted every day for 2 weeks, then 2-3x per week thereafter.
Transdermal patches are a great option for women who want low-maintenance therapy. Patients change patches twice per week to obtain the correct dosage.
Progesterone patches are not currently offered by HormoneMD. As such, some women opt for estradiol patches coupled with progesterone pills (both continuous or biorhythmic therapy are available).
Sweating, exercising, and other strenuous activities can cause the patch to fall off and transmit the medication to someone or something else.
Our free assessment quantifies your symptoms to see if hormone therapy is right for you. We're here to help you feel the way you want to feel.