Common Hormone Therapy Programs for Women

Cyclic estrogen and progestin

You take estrogen all month and progestin about half the month. This method is based on a normal menstrual cycle. You may have bleeding.

Combined continuous

You take a lower dose of progestin. Both estrogen and progestin are taken each day of the month. You’re likely to have the symptoms of a menstrual cycle. And you still reduce your risk of uterine cancer. But symptoms may be present during the entire cycle.

Combined continuous with a break

You take 5 to 7 days off before estrogen and progestin each month. You may have less irregular bleeding with this program.

Unopposed estrogen

Estrogen is prescribed by itself. This is most likely if you have had a hysterectomy. It's unusual to use this choice if you still have a uterus, and you would need yearly tests to check for uterine cancer.

Combined estrogen and androgens

Estrogen is combined with hormones called androgens. This choice may be prescribed if your symptoms are not controlled by estrogen alone and you have had a hysterectomy. If you have a uterus, you may need estrogen, androgen, and progesterone combined. 

Birth control pills may be prescribed if you are close to menopause and start to have symptoms. These pills control the menstrual cycle. You will still have monthly bleeding.