BHRT Delivery Methods: A Practical Comparison Pellets Best for: Consistent levels, low-maintenance people Inserted under skin every 3-6 months Very steady hormone levels (no daily fluctuations) Providers: BioTE (largest network, thousands of certified practitioners), SottoPelle, EvexiPEL Downside: Invasive, can't adjust dose quickly if problems arise Creams/Gels Best for: Flexibility and dose adjustment Applied daily to skin Easy to modify or stop Providers: Winona (telehealth, ships to most states), Alloy Women's Health, compounding pharmacies like Belmar Pharmacy or Farmacy through your doctor Downside: Transfer risk to partners/children, absorption varies Patches Best for: Convenience with some flexibility Changed 1-2x weekly Most studied delivery method with established safety data Brands: Vivelle-Dot, Climara, Minivelle (FDA-approved options) Providers: Available through most OB-GYNs, Midi Health (telehealth), Gennev Quick Recommendations Priority Choose Convenience Pellets (BioTE) Flexibility Creams (Winona) Evidence-based Patches (Midi Health) Important: Consult a hormone-specialist physician — individual health history matters significantly.
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