Menopause HRT

Oestrogen and progestogen preparations stocked at PCTMart

This category covers the oestrogens and progestogens. Estradiol is stocked as tablets and as valerate, alone and combined with levonorgestrel or norethisterone. Conjugated oestrogens are carried, as is ethinyl estradiol in combination products. On the progestogen side there is natural micronised progesterone in oral and vaginal forms, dydrogesterone at 10MG, medroxyprogesterone acetate at 2.5MG, 5MG and 10MG, and megestrol.

Route changes the medicine, not just the format

Route changes the medicine more than most people expect. Oral oestrogen passes through the liver before reaching the circulation, which affects clotting factors in a way that transdermal gels and patches largely bypass. Micronised progesterone taken orally and the same molecule used vaginally produce quite different blood levels. For that reason a number on a tablet cannot be matched to a number on a gel or pessary, and switching route is a change of treatment rather than a change of format.

Monitoring and endometrial protection

This is treatment guided by blood tests and by symptoms together, adjusted over months. Where oestrogen is used by someone with a uterus, a progestogen is normally given alongside it to protect the endometrium, and that pairing is not optional. Clot risk, breast and cardiovascular history all feed into whether a given preparation is appropriate, and those are things a doctor weighs with your full history in front of them.

Storage, listings and substitutions

Storage is straightforward for tablets; vaginal preparations and gels have their own directions on the pack and some are temperature-sensitive. Once you are established on a particular preparation and strength, staying with it avoids the disruption of re-titrating.

If your usual brand is unavailable

If a familiar brand is out of stock, the active ingredient filter will show the alternatives carrying the same molecule at the same strength and route, which is usually a safer substitution than moving to a different preparation.

Sourcing, expiry dates and delivery

Every product page lists the molecule, the strength, the route and the pack size, and the guaranteed minimum expiry date is shown before you add anything to your basket. The active ingredient filter groups every brand of a given molecule. All stock ships from India through licensed distributors.