What are the different forms of HRT?
If you’ve started exploring menopause support, you’ve likely come across the term HRT - Hormone Replacement Therapy.
But what many people don’t realise is that HRT isn’t one single treatment. It comes in several different forms, and finding the right one is about choosing what works best for your body, your symptoms and your lifestyle.
Here’s what you need to know.
What is HRT?
HRT replaces hormone oestrogen and often progesterone and if required testosterone, that naturally decline during perimenopause and menopause.
HRT is the most effective treatment for many menopause symptoms, including brain fog, low mood, anxiety, muscle joint aches and pains and hot flushes and night sweats.
The main types of HRT
1. Oestrogen-only HRT
This is usually prescribed for people who have had a hysterectomy (if not for endometriosis). It replaces oestrogen without the need for progesterone.
2. Combined HRT (oestrogen + progesterone)
For those with a uterus, progesterone is needed alongside oestrogen to protect the lining of the womb.
This can be given in:
Continuous form (taken every day)
Sequential form (usually two weeks on and two weeks off)
The different ways to take HRT
Patches - Applied to the skin, patches release hormones steadily into the bloodstream. They are often recommended as they avoid first-pass metabolism in the liver and may have a lower risk of certain side effects.
Gels and sprays - Applied daily to the skin, these allow flexible dosing and are widely used.
Tablets - Taken orally, tablets are convenient but may not be suitable for everyone depending on medical history.
Vaginal oestrogen - Used locally (creams, pessaries or rings), this helps with symptoms such as vaginal dryness, and discomfort and urinary symptoms.
What about testosterone?
Testosterone is sometimes discussed alongside HRT. It may be considered for women experiencing persistent low sexual desire (low libido) where oestrogen and progesterone HRT alone has not been effective. There is some evidence it can support with other symptoms of the menopause.
It can be used following a specialist assessment, followed by careful monitoring to ensure appropriate dosing.
How do you choose the right type?
There isn’t a one-size-fits-all approach. The right HRT depends on:
Your symptoms
Your medical history
Your preferences
Your risk profile
A healthcare professional can help guide this decision, ensuring treatment is safe, appropriate and effective.
A balanced approach
HRT is recommended as the most effective treatment for managing menopause symptoms.
For many people, it can make a significant difference to quality of life, but it’s important that decisions are made based on individual clinical assessment and current evidence-based guidance.
The takeaway
Understanding the different forms of HRT, and where treatments such as testosterone may or may not fit, is the first step towards making informed decisions about your health.
If you’re considering treatment, book a consultation with us, to explore what’s right for you.
