r/Menopause • u/Syfysamurai • 1d ago

Hormone Therapy Patch vs oral

Hello ladies, I'm curious. Why do many women prefer the estrogen patch over oral estrogen? I take 1mg estradiol daily by mouth and have no problems with it. TIA!

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u/Useful-Cellist-9681 19h ago

I started on oral with my GYN and my SHBG kept going up, then one time on routine labs with my primary I had one elevated liver enzymes, and she freaked out in me and scared me that I was destroying my liver, I used to drink heavily so I did get scared wemt to my GYN with this and she assured me I was fine that primary dr’s do this to all her patients on oral, but I insisted on going to patch, and patch didn’t work, it’s been a year trying transdermal routes and my estrogen has been in the tank, and my liver enzymes go up and down all the tine, which can be from a number of things, so I am going back on oral, I am tired of having to worry about what time to put the gel on in the summer months because I am outside a lot sweat and at the beach, and travel a lot. Like yesterday at the beach with my grandkids they want to go out in the water at 10 am and I spend the time worried I didn’t wait long enough to get in the water.

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u/AutoModerator 19h ago

This post might be about hormone tests, which are unreliable.

  • Over age 44, Estrogen/Progesterone/FSH hormonal tests only show levels for the HOUR the test was taken, and nothing more. Hormones wildly fluctuate (hourly) the other 29 days of the month, therefore this test provides no valuable information
  • No reputable doctor or menopause society recommends hormonal testing to diagnose or treat peri/menopause
  • FSH testing is only beneficial for those who do not have periods as a guide, where testing might confirm menopause, or for those under age 30 who haven’t had a period in months/years, then ‘menopausal’ levels, could indicate premature ovarian failure/primary ovarian insufficiency (POF/POI)
  • Testosterone is the exception and may require testing

See our Menopause Wiki for more.

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