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. Not meant to be used prior to intercourse since it is likely that your partner will absorb the cream as well. The side effects of estrogen are worse for men. If added lubricant is needed, use one of the non-medicated lubricants available.
Pills are familiar to all.
If possible use a micronized hormone product. It is absorbed through the lymph system and goes directly into circulation, thereby avoiding the digestive tract and decreasing the liver's first- pass removal. Patch Many women hate the idea of having something stuck to their bottom all the time. It can also be irritating to the skin, and its adhesive backing contains undesirable chemicals.