How is bHRT administered?

bHRT may be given as a topical cream, pellet, sublingual tablet, injection, or oral capsule. A clinician selects the route.

The right administration method depends on the type of treatment and the patient. The common ones are below.

Administration methods

Topical creams: The cream is applied to the skin, and the hormone is absorbed into the bloodstream. This route provides a steady delivery through the day.
Pellets: Pellets are small inserts placed under the skin, usually at the hip. They dissolve over time and release hormone into the bloodstream. Patients may choose pellets to avoid daily dosing or to reduce transfer of cream to other people or to pets.
Sublingual tablets: The tablet is placed under the tongue, where it dissolves and is absorbed into the bloodstream. Absorption is relatively quick. This route is an option for patients who prefer not to use creams or pellets.
Injections: Injections may be given by the patient or by a clinician, and they are often used for testosterone. They are typically administered once or twice a week. Some products are auto-injectors. Others require the dose to be drawn from a vial.
Oral capsules: Oral capsules are swallowed. This route is straightforward for patients who prefer an oral medication. The clinician decides whether an oral route is appropriate for the hormone prescribed.