Hormone therapy during menopause may be by oral ingestion of tablets. Sometimes help creams or hormone patch.


When hormone therapy in menopause, the hormone absorption via different routes. There is the oral application in the form of capsules or tablets, the use of drops which are dropped under the tongue (sublingual) and the vaginal absorption through vaginal tablets, suppositories, hormone creams or rings. Through the skin (transdermal) Hormones can be taken in the form of gels, creams or patches. In some cases it may also be useful to inject the hormone addition directly into the subcutaneous tissue.

Hormone pills

Natural hormones are destroyed by the oral ingestion of the stomach acid and can therefore no longer act. Therefore, when oral administration to synthetic hormones are used. These are changed so that the stomach acid is not the action of estrogens lowers. The problem here is that through the chemically modified hormone metabolism in the liver and can be changed in their structure, which can lead to various side effects. Therefore, we try again in a different way to administer hormones, so they do not have to be absorbed from the gastrointestinal tract.

At the start of hormone treatment may occur in rare cases, severe nausea and vomiting. In addition, stress may also experience feelings in the chest, headaches and mood swings. These complaints have to rule in the cases. The dose of the administered agent must constantly re-examined and kept as low as possible.

Estrogen patch

A proven method of hormone replacement appears to be the estrogen patch. Estrogen patches are used about a quarter of the hormone-treated women during menopause. The benefits of these patches are in the constant estrogen levels in the blood and the few side effects. The digestive tract and liver metabolism is bypassed, so that damage to the organs can be excluded. The stress hormone is about 20 times lower than in the oral therapy. Hot flashes can be reduced in the first two application cycles. The patches are also effective in restlessness, insomnia, depression, muscle, joint and headache. The hormones also exert on the urinary and genital tract influence, so burning and dryness in the vaginal and bladder weakness can be mitigated. Side effects can result in skin reactions, itching and rash. The patch is applied twice per week. The small amounts sufficient to obtain natural estrogen and cortisol levels in the blood. In the transdermal hormone therapy breast cancer risk is not increased.

Oestrogel and natural progesterone

The easiest method is administered in hormone replacement in the form of a gel. The hormone concentration in Östrogengelen is much lower than in pills, but just as effective. The gel can be easily once a day to the skin, it goes so the different layers of the skin into the bloodstream. The skin is not irritated and the passage through the liver is bypassed. The Hormongel has clearly emerged as the most gentle and effective method of administration of hormones during menopause. Because even these low doses are sufficient to balance the estrogen levels and alleviate the symptoms. In addition, the risk of thrombotic disease in contrast to hormone pills do not increase. The advantage of the skin gel is also shown that the hormone replacement is individually metered. Against the regression of symptoms in the urinary and reproductive organs and to treat with reduction in tissue density of the vagina should hormones in the form of ointments or suppositories are used. By the local application of estrogen, symptoms such as pain during intercourse (dyspareunia) and vaginal dryness are positively influenced.

Benefits of progesterone

Progesterone strengthens the arteries and venous system, whereas estrogens extend the vessels. In contrast to the exclusive use of estrogens and progesterone in tablet form is an increased breast cancer risk is not in the combination of estrogen-containing ointments with the inclusion of natural progesterone. Studies have shown that natural progesterone can also improve sleep quality. Especially at the beginning of menopause, the administration of progesterone is recommended. A further advantage of natural progesterone is that it has no effect on the sugar and fat metabolism having. Thus, the risk of diabetes is not increased. Blood pressure is not increased, but it can occasionally cause side effects such as stomach problems and chest pain.