Tridestra is an unusual cyclical HRT tablet, as it is designed for a bleed to happen only once every 3 months. One white tablet which contains only oestrogen is taken for 70 days. This is followed by 14 blue tablets which contain both oestrogen and a high dose of the synthetic progestogen medroxyprogesterone. Finally, you take 7 days of a yellow tablet which does not contain any hormones, and during this time you will usually bleed. Tridestra is a useful regime of HRT for women who are very sensitive to progestogens so can only tolerate taking them every 3 months, rather than every month. 

Tridestra

Clinorette has now been discontinued. It is an oral tablet which contains oestrogen only in 16 white tablets, followed by 12 pink tablets which contain both oestrogen and synthetic progesterone. The progestogen is norethisterone which has been used for years and is good at controlling bleeding. The tablets are taken every day, with each pack representing a monthly cycle. You should start the first packet in the first 5 days of your period (or any time if your periods are irregular or infrequent). After you have finished taking the pink tablets, you will usually have a bleed in the following week. After staying on Clinorette for 1-2 years, you should be switched to a continuous regime where the progesterone hormone is taken every day, rather than for half the cycle.

Clinorette

Femoston 2mg is an oral tablet which contains oestrogen in 14 red tablets, followed by 14 yellow tablets which contain both oestrogen and synthetic progesterone. The progestogen is dydrogesterone which has the advantage of having no increased breast cancer risk for at least 5 years. The tablets are taken every day, with each pack representing a monthly cycle. You should start the first packet in the first 5 days of your period (or any time if your periods are irregular or infrequent). After you have finished taking the yellow tablets, you will usually have a bleed in the following week. After staying on Femoston 2mg for 1-2 years, you should be switched to a continuous regime where the progesterone hormones is taken every day, rather than for half the cycle.

Femoston 2mg/10mg

Trisequens is a tablet form of HRT that will usually induce a bleed every month. The hormone levels change 3 times within each packet of tablets. First, you take 12 blue tablets which contain oestrogen only. Then 10 white tablets which contain both oestrogen and the progestogen norethisterone (which is a common progestogen). The packets finish with 6 red tablets, which contain just oestrogen, and you will usually expect to have your bleed during the red tablets. The packets are taken back to back without a break. After staying on Trisequens for 1-2 years, you should be switched to a continuous regime where the progesterone hormone is taken every day, rather than for half the cycle.

Trisequens

Elleste Duet is available in 2 doses. It is an oral tablet which contains oestrogen in 16 orange tablets, followed by 12 grey tablets which contain both oestrogen and synthetic progesterone. The progestogen is norethisterone which has been used for years and is good at controlling bleeding. The tablets are taken every day, with each pack representing a monthly cycle. You should start the first packet in the first 5 days of your period (or any time if your periods are irregular or infrequent). After you have finished taking the grey tablets, you will usually have a bleed in the following week. After staying on Elleste Duet for 1-2 years, you should be switched to a continuous regime where the progesterone hormone is taken every day, rather than for half the cycle.

Elleste-Duet 2mg

Femoston 1mg is an oral tablet which contains oestrogen in 14 white tablets, followed by 14 grey tablets which contain both oestrogen and synthetic progesterone. The progestogen is dydrogesterone which has the advantage of being neutral for breast cancer risk for at least 5 years. The tablets are taken every day, with each pack representing a monthly cycle. You should start the first packet in the first 5 days of your period (or any time if your periods are irregular or infrequent). After you have finished taking the grey tablets, you will usually have a bleed in the following week. After staying on Femoston 1mg for 1-2 years, you should be switched to a continuous regime where the progesterone hormone is taken every day, rather than for half the cycle.

Femoston 1mg/10mg

Elleste Duet is an oral tablet which contains oestrogen in 16 white tablets, followed by 12 pale green tablets which contain both oestrogen and synthetic progesterone. The progestogen is norethisterone which has been used for years and is good at controlling bleeding. The tablets are taken every day, with each pack representing a monthly cycle. You should start the first packet in the first 5 days of your period (or any time if your periods are irregular or infrequent). After you have finished taking the pale green tablets, you will usually have a bleed in the following week. After staying on Elleste Duet for 1-2 years, you should be switched to a continuous regime where the progesterone hormone is taken every day, rather than for half the cycle.

Elleste-Duet 1mg

Novofem is an oral tablet which contains oestrogen in 16 red tablets, followed by 12 white tablets which contain both oestrogen and synthetic progesterone. The progestogen is norethisterone which has been used for years and is good at controlling bleeding. The tablets are taken every day, with each pack representing a monthly cycle. You should start the first packet in the first 5 days of your period (or any time if your periods are irregular or infrequent). After you have finished taking the white tablets, you will usually have a bleed in the following week. After staying on Novofem for 1-2 years, you should be switched to a continuous regime where the progesterone hormone is taken every day, rather than for half the cycle.

Novofem

Premique is an old fashioned HRT tablet which isn't often prescribed anymore. The oestrogen is called a "conjugated oestrogen" and it is paired with a commonly used progestogen called norethisterone. Conjugated oestrogen is made up of many different types of oestrogen that are isolated from the urine of pregnant horses.... These oestrogens are, unsurprisingly, not identical to those in our body and Premique is now becoming more unusual.

Premique

Indivina is a continous combined tablet containing a well known synthetic progesterone called medroxyprogesterone. This is the same progestogen that is used in the [DepoProvera](https://thelowdown.com/contraceptives/depo-provera) and [SayanaPress](https://thelowdown.com/contraceptives/sayana-press) contraceptive injections. Medroxyprogesterone is often very good at controlling bleeding. Indivina is unique as it comes in different doses of both the oestrogen and progesterone, so can be helpful to titrate your dose.

Indivina 2.5mg/5mg

Elleste Duet Conti contains a medium level of oestrogen alongside norethisterone, which is a well established synthetic progesterone that has been used for years in HRT and contraceptives. Norethisterone is a good progestogen to control bleeding. Elleste Duet Conti is designed to be taken after your periods have stopped for 12 months, or when you have been on a cyclical regime for 1-2 years, or from when you are 54 years old. Each tablet of the packet contains the same dose of both oestrogen and norethisterone. Make sure you take a tablet each day as missed pills may cause breakthrough bleeding.

Elleste-Duet Conti

Kliofem contains a low dose of oestrogen combined with a synthetic progesterone called norethisterone. This is a really well established progesterone that has been used for years. It can be good at controlling breakthrough and irregular bleeding side effects, but comes with a slightly increased blood clot risk. You may experience side effects such as bloating, sore breasts or mood change. This tablet contains the same hormones as [Kliovance](https://thelowdown.com/hrt/kliovance), which is its lower dose sister.

Kliofem

Indivina 1mg/5mg

Indivina 1mg/2.5mg

Bijuve is a newer form of oral HRT which is the only tablet that contains both oestrogen and a body idential progesterone. This is great as it combines both your hormones in one daily tablet while having the benefits of body identical progesterones (neutral breast cancer risk). The only problem with Bijuve is that it is only available in one dose, so you would have to separate the hormones and change to a different regimen to increase or decrease the oestrogen level.

Bijuve

Kliovance contains a low dose of oestrogen combined with a synthetic progesterone called norethisterone. This is a really well established progesterone that has been used for years. It can be good at controlling breakthrough and irregular bleeding side effects, but comes with a slightly increased risk of blood clots and breast cancer compared to other types. You may experience side effects such as bloating, sore breasts or mood change. If you need to increase the dose, [Kliofem](https://thelowdown.com/hrt/kliofem) contains the same hormones in a higher dose.

Kliovance

Femoston-conti is a very low dose continous combined regime. It contains a synthetic progesterone but it has a neutral breast cancer risk for 5 years, so could be a good choice if you are worried about breast cancer risk. The low oestrogen level means it is a good dose to start with if you are worried about flares of conditions such as migraine or endometriosis, which can occur when you start HRT. However, this needs to be balanced against the slightly increased risk of blood clots with tablet HRT which may be significant if you have a family history of blood clots, smoke or have a high BMI.

Femoston-conti 1mg/5mg

Femoston-conti 0.5mg/2.5mg

Nuvelle TS has been discontinued in the UK. If you're looking for an alternative, then check out the list of similar alternatives below!

Nuvelle TS

FemSeven Sequi has been discontinued in the UK. If you're looking for an alternative, then check out the list of similar alternatives below!

FemSeven Sequi

Evorel Sequi is a box that contains 2 different HRT patches. The box contains [Evorel 50](https://thelowdown.com/hrt/evorel-50) and [Evorel Conti](https://thelowdown.com/hrt/evorel-conti) patches. The patches should be started in the first 5 days of your period, or at any time if you have irregular periods. Evorel 50 patches are worn for the first 2 weeks, followed by Evorel Conti patches for the second 2 weeks before switching back to Evorel 50 without a break. A bleed should start in the week following the Evorel Conti patches. Patches should be worn below the waist and away from breast tissue. Patches can be worn in the shower or bath or for swimming.

Evorel Sequi

Femseven Conti contains both oestrogen and a synthetic progesterone in a balanced ratio to relieve perimenopausal and menopausal symptoms alongside protecting your womb lining. The progestogen is the same one used in combined pills such as [Microgynon](https://thelowdown.com/contraceptives/microgynon-30-75) or [Rigevidon](https://thelowdown.com/contraceptives/rigevidon), and as in the [hormonal coils.](https://thelowdown.com/contraceptives/hormonal-coil-ius) You use the same patch and change it twice weekly. The patches are shaped like an octagon (8 sides!) and are clear. Users like the convenience of having both hormones in one patch. Doses can be increased or decreased after discussing with your healthcare professional by cutting the patches in half along the diagonal of the patch. Patches should be worn below the waist and away from breast tissue. Patches can be worn in the shower or bath or for swimming.

FemSeven Conti

Evorel Conti is a really popular patch which is used after your periods have stopped for 12 months, as it aims to prevent further bleeds. It contains both oestrogen and a synthetic progesterone in a balanced ratio to relieve perimenopausal and menopausal symptoms alongside protecting your womb lining. You use the same patch and change it twice weekly. Users like the convenience of having both hormones in one patch. Doses can be increased or decreased after discussing with your healthcare professional by cutting the patches in half along the diagonal of the patch. Patches should be worn below the waist and away from breast tissue. Patches can be worn in the shower or bath or for swimming.

Evorel Conti

Oestrogen implants are used by a small number of women who have tried other forms of oestrogen that don't control their symptoms. The implant can be particularly useful after surigical menopause. The implant is inserted under the skin using local anaesthetic. They last for around 6-8 months and users have to monitor oestrogen levels with blood tests every 6 months.

Estradiol 50mg implant

Premarin isn't often prescribed anymore. It is an oestrogen only tablet that has been made up of many different types of oestrogen that are derived from the urine of pregnant horses.... For this reason, and the fact it has a higher blood clot risk than other forms of oestrogen, it is not classed as a first line HRT choice.

Premarin 1.25mg

Premarin 0.625mg

Premarin 0.3mg

Bedol is an oestrogen only tablet form of HRT.  It has now been discontinued in the UK. Bedol can be taken alone if you have no womb. If you do have a womb, you need to combine this tablet with a form of progesterone to protect your womb lining from overgrowth. Some women find that they absorb oestrogen better as a tablet than through patches and gels, but the tablets do come with a slightly increased risk of blood clots.

Bedol

Progynova 2mg is an oestrogen only tablet form of HRT. It can be taken alone if you have no womb. If you do have a womb, you need to combine this tablet with a form of progesterone to protect your womb lining from overgrowth. Some women find that they absorb oestrogen better as a tablet than through patches and gels, but the tablets do come with a slightly increased risk of blood clots.

Progynova 2mg

Zumenon 2mg is an oestrogen only tablet form of HRT. It can be taken alone if you have no womb. If you do have a womb, you need to combine this tablet with a form of progesterone to protect your womb lining from overgrowth. Some women find that they absorb oestrogen better as a tablet than through patches and gels, but the tablets do come with a slightly increased risk of blood clots.

Zumenon 2mg

Elleste Solo 2mg is an oestrogen only tablet form of HRT. It can be taken alone if you have no womb. If you do have a womb, you need to combine this tablet with a form of progesterone to protect your womb lining from overgrowth. Some women find that they absorb oestrogen better as a tablet than through patches and gels, but the tablets do come with a slightly increased risk of blood clots.

Elleste Solo 2mg

Progynova 1mg is an oestrogen only tablet form of HRT. It can be taken alone if you have no womb. If you do have a womb, you need to combine this tablet with a form of progesterone to protect your womb lining from overgrowth. Some women find that they absorb oestrogen better as a tablet than through patches and gels, but the tablets do come with a slightly increased risk of blood clots.

Progynova 1mg

Zumenon 1mg is an oestrogen only tablet form of HRT. It can be taken alone if you have no womb. If you do have a womb, you need to combine this tablet with a form of progesterone to protect your womb lining from overgrowth. Some women find that they absorb oestrogen better as a tablet than through patches and gels, but the tablets do come with a slightly increased risk of blood clots.

Zumenon 1mg

Elleste Solo 1mg is an oestrogen only tablet form of HRT. It can be taken alone if you have no womb. If you do have a womb, you need to combine this tablet with a form of progesterone to protect your womb lining from overgrowth. Some women find that they absorb oestrogen better as a tablet than through patches and gels, but the tablets do come with a slightly increased risk of blood clots.

Elleste Solo 1mg

Sandrena is a smooth gel which is rubbed onto your thigh and should be left to dry for several minutes. It comes in small packets of gel that are ripped open and the gel is squeezed out. It can be a great option for women who haven't absorbed the oestrogen well from other products. Sandrena also has the advantage of being easy to titrate the dose up and down when advised by your healthcare professional. Sandrena needs to be used with a progesterone if you have a uterus.

Sandrena 0.5mg

Sandrena 1mg

Lenzetto is a clear and colourless solution which is sprayed onto your inner arm. The pump bottle is small and easily popped into a handbag. It can be a great option for women who haven't absorbed the oestrogen well from other products. Lenzetto also has the advantage of being easy to titrate the dose up and down when advised by your healthcare professional. Lenzetto needs to be used with a progesterone if you have a uterus.

Lenzetto

Oestrogel is a really popular form of HRT. It is a clear and colourless gel which is rubbed into your inner thigh or outer arm. 1 pump should be applied to each body area, for example, use each thigh and each arm for 4 pumps. It takes about 5 minutes to dry before you put your clothes on. Oestrogel needs to be used with a progesterone if you have a uterus. It has the advantage of being easy to titrate the dose up and down when advised by your healthcare professional.

Oestrogel 0.06%

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Progynova patches are oval shaped and transparent.

Progynova TS 100

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. FemSeven patches are shaped like an octagon (8 sides!) and are transparent.

FemSeven 100

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Estraderm patches are square and clear.

Estraderm MX 100

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Estradot 100 patches are clear so suitable for all skin tones and are smaller than other oestrogen patches available.

Estradot 100

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Evorel 25 patches are clear so suit all skin tones.

Evorel 100

Estraderm MX 75

FemSeven 75

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Estradot 75 patches are clear so suitable for all skin tones and are smaller than other oestrogen patches available.

Estradot 75

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Evorel 75 patches are clear so suit all skin tones.

Evorel 75

Progynova TS 50

FemSeven 50

Estraderm MX 50

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Estradot 50 patches are clear so suitable for all skin tones and are smaller than other oestrogen patches available.

Estradot 50

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Evorel 50 patches are clear so suit all skin tones.

Evorel 50

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Estradot 37.5 patches are clear so suitable for all skin tones and are the smallest patches available.

Estradot 37.5

Estraderm MX 25

Oestrogen patches are a great way to deliver oestrogen through the skin, which is safer than taking an oral tablet as there is no increased risk of blood clots. Patches comes in several strengths meaning it's easy to titrate the dose up and down. Patches are worn on fatty, hair free skin below the waist like the bum or thighs. They're convenient if you're forgetful as only need to be changed twice a week, but remember to put them on a different bit of skin each time. Estradot 25 patches are clear so suitable for all skin tones and are the smallest patches available.

Estradot 25

Evorel 25

Estring is a long term way to deliver vaginal oestrogen. It is a thin silicone ring, which is 5.5cm in size that is inserted into the vagina every 3 months. The Estring releases slightly lower amounts of oestrogen every 24 hours compared to pessaries, but it's great that it's a "fit and forget" treatment and you can even have sex with it in. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. 

Estring

Gina is the only vaginal oestrogen pessary that is available for postmenopausal women over the age of 50 to buy from pharmacies without a prescription. It is used every night at first, for 2 to 4 weeks, then the dose reduces slowly to twice weekly. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. 

Gina

Vagirux is a vaginal pessary that contains oestrogen which is only used locally inside the vagina. Each pack comes with an environmentally friendly re-useable applicator. It is used every night at first, for 2 to 4 weeks, then the dose reduces slowly to twice weekly. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. 

Vagirux

Vagifem is a vaginal pessary that contains oestrogen which is only used locally inside the vagina. Each dose comes with a disposable applicator to help with insertion. It is used every night at first, for 2 to 4 weeks, then the dose reduces slowly to twice weekly. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. 

Vagifem

Imvaggis is a low dose vaginal pessary that contains oestrogen which is only used locally inside the vagina. It comes with an applicator to help with insertion. It is used every night at first, for 3 weeks, then the dose reduces slowly to twice weekly. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. Imvaggis pessaries can damage condoms, so please use alternative contraception.

Imvaggis

Estriol pessaries contain oestrogen which is inserted into the vagina as a tablet. It is used every night at first, for 2 to 4 weeks, then the dose reduces slowly to twice weekly. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. 

Estriol 500 microgram pessary

Blissel is a vaginal gel that contains oestrogen which is only used locally and can be used both internally inside the vagina and outside on the vulva. It comes with an applicator to help with insertion. It is used every night at first, for 2 to 4 weeks, then the dose reduces slowly to twice weekly. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. 

Blissel

Estriol 0.01% cream contains oestrogen which is only used locally and can be used both internally inside the vagina and outside on the vulva. It comes with an applicator to help with insertion. It is used every night at first, for 2 to 4 weeks, then the dose reduces slowly to twice weekly. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. 

Estriol 0.01%

Gynest has been discontinued in the UK. If you're looking for an alternative, then check out the list of similar alternatives below!

Gynest

Ovestin or Estriol 0.1% cream contains oestrogen which is only used locally and can be used both internally inside the vagina and outside on the vulva. It comes with an applicator to help with insertion. It is used every night at first, for 2 to 4 weeks, then the dose reduces slowly to twice weekly. Vaginal oestrogen is very safe, with studies showing it is only absorbed into the body for a very short time at the start of use, in fact, an entire year's supply of vaginal oestrogen is equivalent to just 1 oral oestrogen HRT tablet. The leaflet contained in the packet of vaginal oestrogen is the same leaflet used in oral and patch oestrogen and does not fully apply to vaginal use. Large studies have shown there is no increased risk of cancer when using vaginal oestrogen. Women who have had breast cancer may also use vaginal oestrogen, but only after a discussion with their oncology specialist. 

Ovestin/Estriol 0.1%

Testosterone is licensed for severely low libido in postmenopausal women, however, it may be prescribed off licence for low mood and fatigue. Testosterone blood levels need to be monitored every 3 months, and sometimes the dose is altered to get the right level. When the dose level is correct for you, you will need annual blood tests. It is important that the blood test is taken before you apply the testosterone as this may affect the result.

Testosterone 100mg implant

androfeme

Testogel 40.5mg/2.5g sachet

Testosterone is licensed for severely low libido in postmenopausal women, however, it may be prescribed off licence for low mood and fatigue. Testosterone blood levels need to be monitored every 3 months, and sometimes the dose is altered to get the right level. When the dose level is correct for you, you will need annual blood tests. It is important that the blood test is taken before you apply the testosterone as this may affect the result.
Testogel pump is not recommended to be used as female testosterone replacement, as there is a large amount of testosterone in each pump. However, occasionally women may be prescribed this as part of HRT if there are drug shortages and other forms of testosterone are not available.

Testogel 16.2mg/1g gel pump

Testim has been discontinued in the UK. If you're looking for an alternative, then check out the list of similar alternatives below! Testosterone is licensed for severely low libido in postmenopausal women, however, it may be prescribed off licence for low mood and fatigue. Testosterone blood levels need to be monitored every 3 months, and sometimes the dose is altered to get the right level. When the dose level is correct for you, you will need annual blood tests. It is important that the blood test is taken before you apply the testosterone as this may affect the result.

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