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.
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