Types of Hormone Replacement Therapy (HRT)

Hormone Replacement Therapy (HRT) is not a one-size-fits-all solution. There are different types and combinations of hormones available, depending on your symptoms, health history, and whether you’ve had a hysterectomy.

At Emkes Health, we help you choose the safest and most effective form of HRT for your unique needs.

1. Estrogen-Only Therapy

This type of HRT contains only estrogen and is typically prescribed to women who have had a hysterectomy (surgical removal of the uterus). Estrogen-alone therapy is highly effective in relieving:

  • Hot flashes and night sweats
  • Vaginal dryness
  • Sleep disturbances
  • Mood changes

It may also help prevent bone loss (osteoporosis).

2. Combined Estrogen and Progestin Therapy

If you still have your uterus, you’ll likely need both estrogen and progestin. Adding progestin protects the uterine lining from overgrowth, which can increase the risk of endometrial (uterine) cancer.

This combination therapy can help:

  • Regulate irregular bleeding
  • Relieve menopausal symptoms
  • Protect your uterus while on estrogen

3. Bioidentical Hormone Therapy (BHT)Bioidentical hormones are chemically identical to the hormones your body naturally produces. These may be available in standard FDA-approved forms or compounded in specialty pharmacies.

While many women are interested in bioidentical options, it’s important to work with a knowledgeable provider to ensure safety and proper dosing.

4. Local (Vaginal) Estrogen Therapy

For women dealing primarily with vaginal dryness, irritation, or discomfort during intimacy, low-dose estrogen can be applied directly to the vaginal area using:

  • Creams
  • Tablets
  • Rings

Because the hormone is absorbed locally, this option carries minimal risk and is not typically associated with the risks of systemic HRT.

HRT Delivery Options

Hormones can be delivered in several forms depending on your needs and preferences:

  • Pills (oral tablets)
  • Skin patches
  • Topical gels or sprays
  • Vaginal creams, tablets, or rings
  • Pellet implants (inserted under the skin)

Finding the Right HRT Plan for You

Choosing the right type and form of hormone therapy depends on:

  • Your symptoms
  • Your age and health history
  • Whether you’ve had a hysterectomy
  • Your personal preferences

At Emkes Health, we offer customized hormone therapy plans to help you feel balanced, energized, and confident during the menopausal transition.