SUBCUTANEOUS (under the skin)
This is the most physiological way for the hormones to react in the body. It acts most like the testicles and ovaries. The body draws what it needs as it needs it. This vehicle is chosen by many patients and there are many doctors that do only this type of HRT. Women should visit the doctor once every 3 to 4 months for implantation and men every 4 to 6 months. You will be sore for about 3 to 4 days and may have some slight bruising. The procedure itself is not painful at all. You feel a stick and about 3 seconds of burning.
INJECTION (into muscle with needle)
TRANSDERMAL (absorded through the skin)
This vehicle will by pass the liver and is the most preferred by our patients. However you must do this at the same time of day everyday and make sure you wash the site before applying. You apply the HRT lotion to the inner arms or upper inner thighs. You need to rotate sites so that there will be no saturation in the receptor site you are using.
SUBLINGUAL (under the tongue)
This vehicle will by pass the liver. However, several patients say this is bitter-tasting and patient compliance isn’t always the best with this choice.
ORAL (by mouth)
This is not a preferred way to deliver Bio-Identical HRT or any other hormone therapy for that matter. This system does not bypass the liver and can have the most side effects and conversions.
There are other methods but these are the most well known.
Others included: Vaginal, and Rectal