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| As in the traditional HRT, the
hormone in natural hormone replacement therapy can be taken in several
forms - from creams, gels, and drops to oral tablets or suppositories.
What you choose to use is based on your preference, and, in some
instances, how your body responds.
Cream Some women love using the creams or gels, others find them messy. Creams or gels can come with handy applicators that allow you to measure out an exact dose. The transdermal (absorbed through the skin) creams and gels are applied to those parts of your body where the skin is thin and the cream can be easily absorbed -e.g., inner wrists, inner arms, face, stomach, breasts, neck, and palms of the hands, all the places where capillaries are abundant and close to the surface. They can work when rubbed on the stomach as well. The transdermal creams and gels have the great advantage of delivering the hormone directly into your bloodstream, where it is carried through your body. In this form, the hormones bypass the liver's first-pass removal process, allowing greater immediate systemic effect. Women with gastrointestinal problems or liver problems are advised to use the transdermals |