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Oestrogen

Oestrogen patches

A small patch on the skin, changed once or twice a week. Steady oestrogen with no daily routine.

How patches work

A patch releases oestrogen through the skin into the bloodstream at a steady rate. Patches are one of several types of HRT available in the UK, and one of the most commonly prescribed. Depending on the type, you change it once or twice a week. Combined patches that also contain a progestogen are available for women who still have a womb. In perimenopause, while periods continue, the progestogen is usually given cyclically; our page on progesterone and progestogens explains why it is needed.

Who they suit

Patches are a good choice if you prefer not to take something every day, or if oestrogen through the skin is recommended for you, for example if you have a higher risk of blood clots or migraines. Your doctor weighs this up as part of a personalised HRT plan, and the choice between patch and gel can be changed later if the first one does not suit you.

Possible side effects

Skin irritation where the patch sits is the most common issue. Breast tenderness, headaches and bloating can happen in the first few weeks and often settle. Patches can occasionally lift in heat or water.

Oestrogen patches

Common questions

Are HRT patches safer than tablets?

Oestrogen through the skin, including patches, does not raise the risk of blood clots above your baseline at standard doses, whereas tablets slightly increase it. Your doctor will explain what this means for you.

Where do I put an HRT patch?

Usually below the waist on clean, dry skin, such as the buttock or lower abdomen. Change the site each time to avoid irritation.

Patches or gel, which is better?

Both deliver oestrogen through the skin. Patches suit people who want less to remember; gel and spray make it easier to adjust your dose. Your doctor will help you choose.

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