
Hormone Replacement Therapy (HRT) is one of the most effective ways to manage the symptoms of menopause and hormonal imbalance. One popular option within HRT is the oestrogen patch, also known as a hormone replacement therapy patch. These patches are designed to deliver a controlled dose of oestrogen through the skin, offering a convenient and effective alternative to pills.
This blog explores the benefits and risks of oestrogen patches, how to use them correctly, how to manage common side effects, and how skincare solutions like Nudi Spray™ adhesive remover with added Vitamin E can improve comfort and skin health. Whether you’re new to HRT or looking to optimise your current treatment, this comprehensive guide will help you make informed choices.
What Are Oestrogen Patches?
Oestrogen patches are medicated transdermal patches worn on the skin. They are a form of transdermal oestrogen therapy, meaning the hormone is absorbed directly through the skin into the bloodstream. This method bypasses the digestive system and offers a steady, controlled hormone release over time.
Oestrogen patches are commonly used in menopause hormone treatment to manage symptoms such as:
- Hot flushes
- Night sweats
- Mood swings
- Vaginal dryness
- Sleep disturbances
- Fatigue
- Loss of bone density (osteoporosis prevention)
There are two main types of patches:
- Oestrogen-only patches (for women who have had a hysterectomy)
- Combined oestrogen and progesterone patches (for women with a uterus, to reduce the risk of endometrial cancer)
The best oestrogen patch for menopause varies from person to person. It depends on your symptoms, medical history, lifestyle, and preferences. Your doctor or healthcare professional can help you decide which form is most suitable.
Oestrogen Patch vs. Pill. Which Is Better?
One of the most common comparisons in HRT is oestrogen patch vs. pill. While both deliver the same hormone, how they work in the body differs significantly.
Pills pass through the digestive system and liver before reaching the bloodstream. This process, known as first-pass metabolism, may increase the risk of certain side effects, such as blood clots.
In contrast, hormone replacement therapy patches provide oestrogen absorption through skin, delivering the hormone directly into the bloodstream without liver processing. This offers several advantages:
Lower risks of blood clots
Fewer fluctuations in hormone levels
More consistent symptom control
Better suited for women with digestive issues
Who Can Benefit from Oestrogen Patches?
Oestrogen patches are recommended for a wide range of individuals, including:
- Women in natural menopause
- Women experiencing early menopause or Premature Ovarian Insufficiency (POI)
- Those with hormonal imbalance due to surgery (e.g., oophorectomy or hysterectomy)
- Women who prefer not to take pills or who cannot tolerate oral HRT
Patches can be highly effective in reducing symptoms such as hot flushes, mood swings, vaginal discomfort, and poor sleep quality. They may also help prevent bone loss and improve overall quality of life.
How to Use Oestrogen Patches Correctly
Proper HRT patch usage is essential to get the most benefit from your treatment and reduce potential side effects.
How to Apply an HRT Patch
Learning how to apply an HRT patch correctly is key to ensuring proper hormone delivery.
Follow these simple steps:
- Choose the right site: Apply the patch to your lower abdomen or buttocks. Avoid breasts or areas with cuts, rashes, or irritation.
- Clean the skin: Ensure the area is clean and dry. Don’t use oils, lotions, or powders beforehand.
- Peel and press: Remove the protective backing and press the patch onto your skin. Hold firmly for 10-15 seconds.
- Wash your hands: After application, always wash your hands thoroughly.
- Avoid direct heat: Don’t place patches near heating pads or hot water bottles, as heat can increase hormone release.
Rotating HRT Patch Application Sites
Rotating HRT patch application sites is crucial for maintaining healthy skin and reducing skin irritation from hormone patches. Repeated use on the same area can cause redness, itching, or even adhesive allergies from patches.
- Rotate application sites each time you apply a new patch.
- Avoid using the same spot within a seven-day period.
- If you notice irritation, switch to a new area immediately.
How Often to Replace the Patch
Most patches are changed once or twice a week, depending on the brand and dosage. Always follow the schedule given by your doctor. Set calendar reminders if needed to stay consistent.
If a patch falls off, apply a new one on a different site and continue your usual replacement schedule.
Can You Shower with a Patch?
Yes, most patches are designed to be water-resistant oestrogen patches, so you can safely bathe or shower without them falling off. However, avoid excessive rubbing or long hot baths that might affect adhesion.
If you’re worried about patch security during water activities, consider using skin-safe adhesive covers or medical tape.