Expanding Choices for Menopausal Therapy Mean Better Options

The approach to hormonal therapy used to be simplistic: estrogen lack being the primary reason for triggering menopause symptoms the theory was to just replace the treatment with estrogen hormone. And this is important because we know that losing estrogen increases disease risk including that of cardiovascular disease. Now that we understand menopause better and know that many symptomatic women are not hormone candidates we have a massive list of options. Here is a simplistic list of your choices so that you can do your research before you come in to see us and review your options!

Medication Therapy Options (Systemic Therapies)

  • HRT/HT: Hormone Replacement Therapy/Hormone Therapy
    • ERT: Estrogen Replacement Therapy
    • EPT: Estrogen and Progesterone Therapy
    • T: Testosterone Therapy
  • Topical Hormone Therapy (Prescription Therapy)
    • Estrogen Patches
    • Combination Estrogen and Progestogen Preparations
    • Topical Estrogen
  • BRT: Bioidentical Hormone Therapy (ERT/EPT/T)
  • Compounded Therapy
    • Pellet Therapy available as Estrogen or Testosterone
    • Topical Therapy
  • SSRI: Selective Serotonin Reuptake Inhibitors
  • SNRI: Serotonin Norepinephrine Reuptake Inhibitors
  • SERM: Selective Estrogen Receptor Modulator which can mimic or block Estrogen Therapy
    • Osphena
  • TSEC: Tissue Selective Estrogen Complex
    • Duavee
  • NK3 Inhibitor
    • Veozah


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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