Personalised hormone options.
Your specialist will recommend the form that best matches your symptoms, lifestyle, and medical history.
Daily Tablet
One tablet each day. The most common way to restore hormone levels and relieve symptoms.
Skin Patch
A small patch worn on the skin, changed twice a week. Gentler on the digestive system and preferred for some health profiles.
Daily Gel
Applied to the skin once a day with a small pump. Fast absorbing, easy to adjust, and preferred by women who avoid tablets.
Combined Single Tablet
Two hormones in one daily tablet. Designed for women who are fully postmenopausal and prefer the simplicity of a single pill covering everything.
Local Vaginal Treatment
Low-dose oestrogen applied directly to vaginal tissue. Relieves dryness, discomfort, and recurrent urinary infections — with minimal systemic absorption. Suitable for most women.
Deep Dive into HRT Delivery
Understanding how each format works with your biology.
Daily Oral Tablet
Most Prescribed
Who it is typically prescribed for: Women without a history of liver disease or high blood clot risk who prefer the convenience of an oral pill.
Absorption characteristics: Passes through the liver before entering the bloodstream (first-pass metabolism), which means slightly higher starting doses are required compared to skin applications.
What the first month feels like: Some initial nausea or breast tenderness is common but usually resolves rapidly as the body adjusts within 3-4 weeks. Hot flashes begin diminishing quickly.
Transdermal Skin Patch
Gentle Absorption
Who it is typically prescribed for: Women who experience migraines, have a higher BMI, or have risk factors for blood clots. Highly recommended in modern guidelines.
Absorption characteristics: Bypasses the liver, delivering estrogen directly into the bloodstream at a steady, consistent rate, avoiding the "peaks and valleys" of oral medication.
What the first month feels like: Rapid symptom relief. Skin irritation at the application site can occur for some women, but changing brands or keeping the skin dry usually resolves it.
Transdermal Gel
Flexible Dosing
Who it is typically prescribed for: Women who want the benefits of transdermal absorption without dealing with adhesive patches, or those who need very fine-tuned, adjustable dosages.
Absorption characteristics: Absorbed entirely through the skin within 5 minutes. Creates a highly stable hormone level in the blood.
What the first month feels like: Extremely smooth adjustment phase for most. It is easy to build up the dose gradually, minimizing side effects like breast tenderness.
Combined Single Tablet
All-in-one
Who it is typically prescribed for: Women who are fully postmenopausal (have not had a period for over 12 months) and still have their uterus.
Absorption characteristics: Oral systemic absorption. Provides continuous protection for the uterine lining while treating symptoms.
What the first month feels like: Effective symptom relief. Some light spotting may occur initially as the uterine lining adjusts to the continuous hormone exposure, but this stops quickly.
At a Glance: Comparing HRT Options
How Your Specialist Decides
When our board-certified gynecologists review your MidHealth Labs profile, here is the exact clinical logic they use to draft your prescription.
1. Checking Your Uterus Status
If you still have your uterus, you MUST be prescribed a progestogen alongside estrogen. Estrogen alone thickens the uterine lining; progestogen protects it. If you have had a hysterectomy, you generally only need estrogen.
2. Assessing Systemic Risk Factors
For women with higher blood pressure, a high BMI, or a history of migraines, oral medications are usually avoided because the liver processing of oral estrogen slightly increases clotting factors. In these cases, transdermal gels or patches are the clear choice.
3. Evaluating Stage of Menopause
If you are in perimenopause and still having occasional bleeding, specialists typically prescribe sequential HRT (estrogen daily, progestogen for 12-14 days a month). If you are postmenopausal, continuous HRT (both hormones daily) is safer and easier.
4. Lifestyle and Personal Preference
Finding a treatment you stick with is just as important as the medicine itself. Do you swim daily? A gel might be better than an adhesive patch. Hate applying lotions? A patch or tablet is superior.
Not every plan needs hormones.
For women who cannot or prefer not to use hormone therapy — and for long-term health that goes beyond symptoms.
Non-Hormonal Symptom Relief
Clinically validated options effective for hot flashes, mood changes, anxiety, and sleep. Available for women who cannot take or prefer not to take hormone therapy.
Bone and Long-term Health Support
Indian women are at higher risk of bone loss, and it starts earlier than expected. Your doctor may include bone-protective support in your care plan where appropriate.
Everything you need, nothing you don't.
Your MidHealth Labs plan is designed around your life, not around a clinic's schedule.
Monthly video consultation
30-minute consultation with a specialist gynecologist each month, from home.
Personalised care plan
A treatment plan built around your specific symptom profile and medical history.
Treatment at your door in 48 hours
Your prescribed treatment is packaged and delivered directly to your home.
WhatsApp support
Reach your clinical team between appointments for questions or concerns.
Monthly progress check-in
Your care plan is reviewed and adjusted every month based on how you are responding.
Automatic monthly refills
Your treatment is sent automatically each month so you never run out.
Three steps to your care plan.
From assessment to treatment, entirely from home.
Free Symptom Assessment
Five minutes on your phone. Your doctor reviews it before the call so your consultation time is focused on you.
Video Consultation
30 minutes with a specialist gynecologist from your home. Your doctor reviews your history, asks questions, and builds your plan.
Treatment at Your Door
Your personalised care plan and first treatment are delivered within 48 hours in discreet, secure packaging.
Not every treatment is right for every woman. Your doctor will review your medical history before prescribing anything. If there are reasons a particular option is not suitable for you, alternatives will be discussed. Your safety comes first, always.
Ready to find out what is right for you?
Take the free assessment. Your doctor will build a plan around your specific symptoms.
Start Free AssessmentNo clinic visit required. Results reviewed by a specialist within 24 hours.