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


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Angeliq 1 mg/2 mg film-coated tablets (Estradiol + Drospirenone) - It contain s two types of female hormone, an oestrogen and a progestogen.

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Elleste Duet Conti

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Evorel Conti

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Femoston-conti 0.5 mg/2.5 mg and Femoston conti 1mg/5mg film-coated tablets is used for Hormone Replacement Therapy (HRT).

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Indivina

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Kliofem® 2 mg/1 mg film-coated tablets Estradiol/norethisterone acetate

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Kliovance® 1 mg/0.5 mg film-coated tablets Estradiol/norethisterone acetate: Used for hormone replacement therapy (HRT).

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Nuvelle Continuous

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Premique

HRT > Gonadomimetic - For women with or without a uterus


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Livial ® 2.5 mg tablets TIBOLONE: It is used in postmenopausal women with at least 12 months since their last natural period.

HRT > HRT - Equine oestrogen


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PREMARIN ® 0.3 mg, 0.625 mg & 1.25 mg coated tablets conjugated estrogens. It is used to treat the symptoms & conditions associated with the menopause.

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PREMPAK-C® 0.625 mg/0.15 mg & 1.25 mg/0.15 mg Coated Tablets conjugated estrogens and norgestrel

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


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Buy Estring 7.5 microgram/24 hours, vaginal delivery system (a slightly opaque ring) for the treatment of postmenopausal symptoms.

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OVESTIN® 1 mg CREAM ESTRIOL 1mg in 1g of cream

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Vagifem 10 micrograms vaginal tablets

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


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Cyclo Progynova Tablets - norgestrel (0.5 mg) and estradiol (2 mg). It is a progestin and estrogen combination - hormone replacement.

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Elleste Duet

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Evorel Sequi

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Femoston

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Novofem

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Tridestra

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Trisequens® is a Hormone Replacement Therapy (HRT) used to treat women with menopausal symptoms.

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


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Elleste Solo 1 mg and 2 mg film-coated tablets (estradiol): Used for relief of symptoms occurring after menopause.

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Elleste Solo Mx

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Estraderm® MX 25, 50, 75 and 100 (oestradiol (as hemihydrate))

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Buy Estradot 25, 50, 75, 100 micrograms/24 hours transdermal patch online UK for Hormone Replacement Therapy.

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Evorel 25, 50, 75 & 100 microgram patches used to help treat menopausal women by replacing oestrogen.

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FemSeven

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Oestrogel is also called Oestrogel Pump-Pack. This medicine is applied by postmenopausal women who have not had a natural period for 6 months.

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Sandrena

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Zumenon 1mg and 2mg Film-coated tablets: Used for relief of symptoms occurring after menopause.

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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Please note:


In the interest of safe practice, we must apply the following restrictions to this service:

  • We can only treat people aged 18 and above
  • We will not issue prescriptions for the following medicines:
    • Morphine and other opiates
    • Benzodiazepines
    • ‘Z-drugs’ e.g. Zopiclone or Zolpidem (Sleeping tablets)
    • High risk drugs which require regular blood monitoring, e.g. Warfarin, Methotrexate, other DMARDs or drugs that can only be prescribed by a hospital specialist
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