Oestrogen only HRT Patches
Oestrogen patches are a common form of hormone replacement therapy (HRT) available on the NHS. They are used to relieve menopause symptoms such as hot flushes, night sweats, mood changes, and vaginal dryness. Patches deliver oestrogen through the skin and are suitable for many women, especially those who cannot take tablets.
How are oestrogen patches used?
- Applied directly to the skin (usually buttocks, thighs, or lower abdomen).
- Worn continuously and changed once or twice a week depending on the brand.
- Oestrogen is absorbed through the skin into the bloodstream, bypassing the digestive system and liver.
Benefits of HRT patches
- Lower risk of blood clots (VTE): Transdermal oestrogen does not increase clot risk in the same way oral tablets do【source: NHS】.
- Bypasses liver metabolism: Suitable for women with liver disease or digestive issues【source: Leeds Teaching Hospitals NHS Trust】.
- Stable hormone levels: Provides a steady release of oestrogen, which may reduce side effects.
- Convenient dosing: Only needs changing once or twice a week.
- Effective symptom relief: Proven to reduce common menopause symptoms and improve quality of life【source: NHS】.
Potential drawbacks
- Skin irritation: Some women experience redness or itching at the application site.
- Adhesion issues: Patches may not stick well during hot weather or after bathing.
- Visible on skin: May be less discreet than other forms of HRT.
- Not suitable for all: Women with adhesive allergies or certain skin conditions may need alternatives.
Who might benefit from patches?
- Women with a history of blood clots or clotting risk factors.
- Those with liver disease or who cannot tolerate oral tablets.
- Women who prefer less frequent dosing.
- Anyone seeking steady hormone delivery with fewer fluctuations.
Key Safety Message
If you have a uterus, you must also take progestogen alongside oestrogen patches to protect your womb lining.
Oestrogen‑only patches are suitable only if you have had a hysterectomy if you are not taking progestogen.