Which Type of Hormone Use is Best For You? Pellets, Vaginal, Transdermal, Oral, an Injection?

Hormone levels should be optimized for your age, your sex, and your personal health.

This will mean that we have to test, discuss, and adjust recommendations over time.

Pellet hormonal therapy can be adjusted to your own hormone levels, it can provide testosterone for which in women there is other form really available, it can result in a more consistent blood level, it has to be inserted, so there is discomfort, can have some activity restrictions immediately after insertion, has a possibility of extrusion.

Oral hormones: These can be in the form of contraception, treatments for bleeding, or therapy for as an individual ages. They do go through the liver, they are a bit more likely to cause GI or gall bladder problems, they can increase inflammatory markers, they can cause an increase in your blood fat triglyceride level, and in some cases cause blood pressure to go up.

Injections of hormones are really used very little. The blood levels fluctuate a lot, they do cause some pain at the injection site, they are hormones suspended in oils so some people with allergies have to be concerned about that, and there is not as much research about these formulas as there have been with other forms.

Topical or transdermal creams can have problems with proper skin absorption, you have to administer every date, the blood levels do vary, and there are cases of transferring cream to others or pets.

We want to discuss your treatment goals and let us help you decide what would be best!


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

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