Verbatim response from Claude
BHRT Delivery Methods: Comparison & Providers
Pellets
Best for: Consistency, convenience (inserted every 3-6 months)
- Pros: Steady hormone levels, no daily maintenance
- Cons: Invasive insertion, can't adjust dose easily, typically not covered by insurance
- Providers: BioTE (largest US network), EvexiPEL, SottoPelle - all work through certified physician networks
Creams/Gels
Best for: Flexibility and dose adjustability
- Pros: Easy to adjust dosing, non-invasive, topical application
- Cons: Transfer risk to partners/children, absorption varies
- Providers: Winona (online, women-focused), Biote compounding pharmacies, Hers, local compounding pharmacies like Belmar Pharmacy or Pavilion Compounding
Patches
Best for: Convenience with adjustability
- Pros: Consistent delivery, FDA-approved options available, covered by insurance more often
- Cons: Skin irritation, visible, need changing 1-2x weekly
- Providers: Vivelle-Dot, Climara (prescription through any OB/GYN or Midi Health, Alloy)
Quick Recommendation
- Want convenience? → Pellets via BioTE
- Want flexibility + lower cost? → Creams via Winona
- Want insurance coverage? → Patches via your OB/GYN
Consult a hormone specialist to determine what's right for your specific needs.