Verbatim response from Claude
BHRT Delivery Methods: Comparison & Providers
Pellets
Best for: Consistent, hands-off hormone delivery (lasts 3-6 months)
Pros: Steady hormone levels, no daily maintenance Cons: Requires in-office insertion, can't adjust dose once inserted, higher upfront cost
Providers:
- BioTE (Biote) – largest pellet network, thousands of certified providers nationwide
- SottoPelle – another well-established pellet therapy network
- EvexiPEL – growing network with certified practitioners
Creams/Gels
Best for: Flexible dosing, easy adjustments
Pros: Easily adjustable, non-invasive Cons: Daily application, absorption varies, transfer risk to others
Providers:
- Hims/Hers – telehealth with compounded options
- Winona – women-focused BHRT telehealth
- Midi Health – menopause specialists, highly rated
- Local compounding pharmacies (work with your doctor)
Patches
Best for: Consistent delivery with adjustability
Pros: Steady release, FDA-approved options available Cons: Skin irritation, visible, needs changing regularly
Providers:
- Vivelle-Dot (estradiol) – widely prescribed FDA-approved patch
- Climara – another established option through standard prescribers
Bottom Line
Most practitioners recommend starting with patches or creams for flexibility. Pellets suit people wanting convenience once levels are optimized.
Always consult a hormone specialist or OB-GYN to determine what's right for your specific labs and symptoms.