Ways of Prescribing Hormone Therapy

Available in the form of tablets, patches, creams, pills, mist sprays and vaginal preparations (vaginal tablets, rings or cream), the choice of estrogen preparations are largely dependent on the symptoms diagnosed by the doctor. For example, vaginal creams or tablets are responsible for treating vaginal dryness while the pills or patches are useful for easing hot flashes. The estrogen pills are considered to be equally effective for treating vaginal dryness and are used along with other vaginal preparations during hormone replacement.

On the other hand, though progestin is generally taken in the form of pills, it is also found, along with estrogen, in the form of a patch or cream.

Some standard types of hormone therapy (HT) prescribed in med spa are:

Pills (Oral Therapy)

To avoid the issues linked with monthly vaginal bleeding, certain women prefer to take small quantities of these hormones on a daily basis. Also known as daily continuous therapy, this regular intake of progesterone and estrogen may lead to unexpected, irregular vaginal bleeding during the first few months of treatment, especially in the case of younger women who are entering their menopause. Proper planning with regards to the intake of these pills is a must to avoid any serious complications.

Spray Mists/ Patches (Transdermal Therapy)

The skin patches associated with Hormone therapy (HT) are meant to be used on a consistent basis. These patches have to be renewed a couple of times per week. To prevent the onset of cancer in the uterus, patches consisting of a combination of estrogen/progesterone are prescribed for those women who have not yet undergone hysterectomy. These patches are very effective for controlling hot flashes as well.

Vaginal Tablets, Creams and Rings

In general, estrogen vaginal tablets/ creams are prescribed nightly for a period of two weeks. Thereafter, their frequency is reduced to twice per week; for “maintenance therapy.” However, the safe use of these products has not been established with regards to the risks of uterine cancer, breast cancer or heart diseases.

Way Forward

In general, a carefully structured combination of female hormones — estrogen and progesterone, constitute the process that is referred to hormone therapy (HT) by medical practitioners. Also called progestins, synthetic progesterone compounds work along with estrogen to reduce the risks of uterine cancer or endometrial cancer. The presence of adequate amounts of progesterone reduces this risk and is generally not recommended for patients who have already undergone the removal of their uterus (hysterectomy).

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