Different types of MHT

Why are there so many options?

Not all MHT is the same—and that’s a good thing.

Different types of MHT:

• work in different ways
• come with different risks and benefits
• can be given in different ways (like tablets, patches and gels)

Key things to know

🔷 Different forms act differently
For example, MHT tablets and MHT patches work differently in the body.

🔷 Some work better for certain symptoms
Some types target certain issues better. For example, patches or gels may more suitable for women with migraines, while vaginal estrogen works best for local symptoms like dryness or pain with sex.

🔷 Your needs can change
What worked in your 30s may not be what you need in your 50s.

🔷 History gives clues
How you responded to things like the pill or a Mirena IUD may help guide what might suit you now.

🔷 Route affects risk
For example, patches and gels bypass first-pass hepatic metabolism (the liver’s first processing step) by being absorbed through the skin (not the gut). This is one reason patches and gels have a lower risk of blood clots than oral estrogen.

🔷 It’s personal
Your medical history, symptoms, and personal preferences all help shape the best approach.

💙 A word from Dr Sam

MHT is a tool—and like any tool, its value lies in how well it's matched to the person, the moment, and the goal. The more we understand the options, the better we can personalise care.