Hormone Replacement Therapy (HRT) Treatment

Hormone Replacement Therapy is administered to relieve the symptoms of menopause experienced by women. It replaces female sex hormones, oestrogen and progesteron, that begin to drop during menopause.

At The Online Surgery, we specialise in HRT prescription to relieve your symptoms of menopause, fully understanding that many women have previously been deprived of this desired and life-altering treatment due to presumed safety risks and concerns, but can now safely take these medications under the guidance of our experts.

HRT Patches, Creams and Tablets
Offer on theonlinesurgery

HRT > Continuous Combined - For women with a uterus (having no periods)

Angeliq Tablets

Angeliq is a red, round and convex shaped, film-coated tablet given to postmenopausal women who have not had a natural period cycle for at least 12 months. It is a hormone replacement therapy (HRT) medication, containing the two female sex hormones; oestrogen ... read more

£62.40

Elleste Duet Conti

Elleste Duet Conti tablets are a Hormone Replacement Therapy (HRT) medication. It contains two types of female hormones, an oestrogen and a progestogen. It is used in postmenopausal women with at least one year since their last natural period. These tablets he... read more

£71.04

Evorel Conti

Evorel Conti belongs to a group of medicines called hormone replacement therapy (HRT). It contains two types of female sex hormones, oestrogen and progestogen. Evorel Conti comes in the form of a patch and is prescribed only when a woman has not had menstrual ... read more

£30.00

Femoston Conti Tablets

Femoston-conti is a round, biconvex and yellow coloured film-coated tablet. It is a type of hormone replacement therapy (HRT) that is used in the treatment of symptoms that appear after menopause. The tablet contains two types of female hormones, oestrogen an... read more

£94.18

Indivina

Indivina is a hormone replacement therapy (HRT), which contains two kinds of female hormones, oestrogen and progestogen. This medicine is used in menopausal women who have a gap of at least three years since their last regular menstruation cycle. Indivina is u... read more

£48.93

Kliofem Tablets

Kliofem is a continuous combined hormone replace therapy (HRT) tablets used in postmenopausal women who have not had their natural period for at least last 12 months. It should be taken daily without any interruption.The medicine is taken to ease the postmenop... read more

£48.00

Kliovance Tablets

Kliovance is used in treating postmenopausal condition in women who have not had their natural period for last one year. It is a continuous combined hormone replacement therapy (HRT) which has two types of female hormones, oestrogen and progestagen. Kliovance... read more

£37.12

Nuvelle Continuous

Nuvelle Continuous is a pink film-coated tablet, which helps in the treatment of post menopause symptom such as hot face, neck and chest (hot flushes). It is a kind of hormone replacement therapy (HRT).Nuvelle Continuous contains the twin female sex hormones, ... read more

£76.80

Premique

Premique is a hormone replacement therapy (HRT). This is used for relieving the symptoms of menopause. Also, Premique is a period free HRT, where you do not bleed for a month. The medication is composed of two female hormones - oestrogen and a progestogen. ... read more

£36.86

HRT > Gonadomimetic - For women with or without a uterus

Livial Tibolone Tablets

Livial is a type of hormone replacement therapy. The white tablet contains a chemical called tibolone as the chief active substance. This chemical is known to have a favourable impact on the tissues of brain, vagina and bone.Livial helps cure hot flushes (hot ... read more

£63.00

HRT > HRT - Equine oestrogen

Premarin Tablets

Premarin is a hormone replacement therapy (HRT) available in the form of a tablet. The tablet comes in three different doses, 0.3 mg, 0.625 mg and 1.25 mg. The tablet is used to treat the symptoms associated with menopause such as hot flushes of the face, neck... read more

£17.50

Prempak-C Tablets

Prempak-C contains estrogen and progestogen, two types of the female sex hormones. It is preparation which is a hormone replacement therapy, given to women in their postmenopausal phase for relief against symptoms occurring after menopause. This drug is presc... read more

£22.00

HRT > Local Oestrogen - Acts locally on the vagina and vulva

Estring

Estring is a hormone replacement therapy, which comes in the form of a vaginal ring. This vaginal delivery system is used in the treatment of post menopause symptoms like vaginal dryness, inflammation or itching. These symptoms may cause problems like painful... read more

£66.27

Ovestin Cream

Ovestin 1 mg cream contains belongs to a group of medicines used as a Hormone Replacement Therapy (HRT). The chief active ingredient contained in the medicine estriol.The medicine is useful for vaginal problems that are caused because of the deficiency of oest... read more

£23.12

Vagifem Tablets

Vagifem contains estradiol. Estradiol is a female sex hormone. It belongs to a class of hormones called oestrogens. Estradiol hormone is produced by the ovaries of women. Vagifem belongs to a group of medicines called hormonal replacement therapy (HRT). This m... read more

£35.00

HRT > Sequential Combined - For women with a uterus (will continue periods)

Cyclo-Progynova

Cyclo-Progynova is a Hormone Replacement Therapy (HRT) medication. The tablets contain two hormones; estradiol (an oestrogen) and norgestrel (a progestogen), these act in different ways in your body. It is used to relieve symptoms of menopause in women, such a... read more

£55.81

Elleste Duet

Elleste Duet (1mg and 2mg) tablets are a Hormone Replacement Therapy (HRT) medication. It contains two types of female hormones, an oestrogen and a progestogen. It is used in postmenopausal women with at least one year since their last natural period. These ta... read more

£30.72

Evorel Sequi

Evorel Sequi is a hormone replace therapy (HRT). It contains two forms of female sex hormones, oestrogen (estradiol) and progesterone (norethisterone acetate). The medicine comes in the form of a memory pack that contains eight patches.The two female sex hormo... read more

£122.46

Femoston

Femoston is a Hormone Replacement Therapy (HRT). It has two types of female hormones, an oestrogen and a progestogen. Femoston is used for relief of menopausal symptoms and prevention of developing fragile bones in the body. This condition is also known as ost... read more

£67.71

Novofem

Novofem is used for treating postmenopausal condition in women with at least six months since their last natural menstrual cycle. It is a sequential and combined Hormone Replacement Therapy (HRT), which needs to be taken every day without interruption. It has ... read more

£34.29

Tridestra

Tridestra is a Hormone Replacement Therapy (HRT) and consists of two types of female hormones, the oestrogen and progestogen. Trisedtra is used for relief of menopausal symptoms and prevention of osteoporosis (developing of fragile bones). Tridestra alleviates... read more

£81.57

Trisequens (Estradiol/Nor ..

Trisequens is a medicine which contains two female sex hormones oestrogen and progestagen. It is a combined hormone replacement therapy (HRT), prescribed to women in their postmenopausal phase. The women’s body will stop producing oestrogen during menopause... read more

£33.76

HRT > Unopposed Oestrogen - For women without a uterus (or a Mirena coil)

Elleste Solo Tablets

Elleste Solo is a hormone replacement therapy (HRT). This white and orange film-coated tablet comes in 1 mg and 2 mg dosage. It contains estradiol hemihydrate as the chief active substance, which acts like the natural female reproductive hormone oestrogen. El... read more

£32.19

Elleste Solo Mx

Elleste Solo is a Hormone Replacement Therapy (HRT). It consists of a female hormone oestrogen. Elleste Solo is a patch containing estradiol as the active ingredient. Elleste Solo is used to relief the symptoms of menopause. Some symptoms include a hot face, n... read more

£40.91

Estraderm MX Patch

Estraderm MX is a form of hormone replacement therapy (HRT), which contains the female hormone oestrogen. It is prescribed to postmenopausal women who have not had their natural periods for at least 12 months. Estraderm MX is a transdermal patch that is applie... read more

£47.97

Estradot (Transdermal Pat ..

Estradot is a form of hormone replacement therapy (HRT), which contains the female hormone oestrogen. It is prescribed to postmenopausal women who have not had their natural periods for at least 12 months.Estradot should not be used in women who have an intact... read more

£50.90

Evorel Patch

Evorel patches are available in four different strengths (25, 50, 75, 100) containing different amounts of estradiol (an oestrogen hormone).Estradiol is used as hormone replacement therapy (HRT) to alleviate menopausal symptoms or at generally higher doses can... read more

£40.00

FemSeven

FemSeven is a Hormone Replacement Therapy. It contains an oestrogen (estradiol hemihydrate) and a progestogen (levonorgestrel). FemSeven is used by postmenopausal women more than a year after menopause. It is also used to relieve symptoms occurring after menop... read more

£44.83

Oestrogel Pump Pack

Oestrogel is a Hormone Replacement Therapy (HRT). It contains the female reproductive hormone oestrogen, production of which declines during the menopause. This medicine is prescribed to postmenopausal women who have not had their natural periods for at least ... read more

£23.68

Sandrena

Sandrena is a Hormone Replacement Therapy (HRT). It consists of the female hormone - oestrogen. Sandrena is used to relief the symptoms occurring after menopause. Some symptoms include a hot face, neck and chest. You will only be prescribed this smooth alcohol... read more

£25.36

Zumenon Tablets

Zumenon contains oestrogen, a female sex hormone. It is a hormone replacement therapy, prescribed to women in their postmenopausal phase within six months since they had their last period. This drug is prescribed to assuage the symptoms caused by the reductio... read more

£27.02

What is Hormone Replacement Therapy?

Hormone Replacement Therapy (HRT) is a treatment administered to relieve the symptoms of menopause experienced by women. It replaces female sex hormones, oestrogen and progesterone, whose levels begin to drop as women approach menopause, allowing the body to function normally again.

Menopause is a condition when a woman’s ovaries stop producing an egg every month, whereby she will no longer have monthly periods or be able to conceive naturally. It usually occurs when women are in their 50s, but for few it could be earlier. Oestrogen and progesterone play an important role in a woman’s body; falling levels can cause a range of physical and emotional symptoms.

Oestrogen helps to release eggs from the ovaries, regulates a woman’s periods and helps in conceiving. It also controls other functions such as bone density, skin temperatures etc. While Progesterone prepares the womb for pregnancy and helps protect the lining of the womb known as endometrium.

In HRT oestrogen is used in combination with progesterone.

Most women will experience symptoms around menopause. Their duration and severity varies from woman to woman. Symptoms usually start a few months or years before your periods stop completely, and sometimes persist afterwards as well.

The first sign of menopause is usually a change in the normal pattern of your periods. You may start having unusually light or heavy periods and the frequency changes as well.

Common symptoms associated with menopuase include;

- Hot flushes

- Night sweats

- Vaginal dryness

- Difficulty sleeping

- Loss of sex drive

- Headaches

- Problems with memory

- Mood changes

- Stress incontinence – leaking urine when you cough or sneeze

- Bone thinning

- Reduced muscle mass

- Recurrent UTIs such as cystitis.


Most of these symptoms pass within two to five years.

Menopause is caused by a change in the balance of the female body’s sex hormones, which occurs as you get older. It happens when your ovaries stop producing as much of oestrogen and no longer releases an egg each month. As a result of these hormonal changes, many woman undergo physical and emotions changes.

Sometimes menopause can also be caused due to a treatment such as surgery to remove the ovaries (hysterectomy), breast cancer treatment, radiotherapy or due to other underlying conditions such as Down’s Syndrome or Addison’s Disease.

Signs and symptoms of menopause are usually enough to indicate for most women that they have begun the transition into menopause. Further evaluation can be done with your GP.

Tests may be ordered to confirm the diagnosis.

Follicle Stimulating Hormone (FSH) and Oestradiol A blood test measures the level of FSH and oestradiol in the blood. FSH increases and oestradiol decreases as menopause occurs.

Thyroid Stimulating Hormone To check for an underactive thyroid, which can cause symptoms similar to that of menopause.

You can start on HRT as soon as you begin to experience menopausal symptoms, once advised by your GP, however it is not suitable for people with a history of breast cancer, ovarian cancer, blood clots, heart disease or stroke, high blood pressure, and liver disease.

To treat symptoms of menopause, we can prescribe Hormone Replacement Therapy. It is used to relieve symptoms by replacing female hormones that drop in level as menopause occurs. There are numerous types of HRT that can be prescribed, based on your specific condition.

Sequential Combined 
This type is recommended for women who have menopausal symptoms but continue to have their periods still. It involves taking oesterogen every day and progestogen at the end of your cycle for 12-14 days (for women having regular periods) or every three weeks (for women having irregular periods) This includes Climagest, Clinoretter, Cycle-progynova, Elleste Duet, Evorel Sequi, Femoston, FemSeven Sequi, Novofem, Tridestra and Trisequens

Continuous Combined 
This type is recommended for women who are post-menopausal. If you haven’t had your periods for a year. It involves taking both oestrogen and progestogen every day without a break. This includes Angeliq, Climesse, Elleste Duet Conti, Evorel Conti, Femoston Conti, FemSeven Conti, Indivina, Kilofem, Kliovance and Nuvelle Continuous

Gonadomimetic 
This type is recommended for women who experience a reduced sex drive.This includes Livial

Unopposed Oestrogen 
This type is recommended for women who have had their womb removed during a hysterectomy. There is no need to take progestogen because there is no risk for developing uterus cancer. 
This includes Bedol, Climaval, Elleste Solo, Elleste Solo MX, Estraderm MX, Estradot, Evorel, FemSeven, Hormonin, Oestrogel, Progynova TS, Sandrena and Zumenon

Local Oestrogen 
This type is also recommended for women who have had their womb removed during a hysterectomy.
This includes Estring, Generic Prep, Ovesting Cream and Vagifem

You can stop taking HRT usually two to five years after you start menopausal symptoms and gradually decrease the dose. You may have a relapse of symptoms, which should pass in a few months.

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Dr. Helen Webberley

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