These benefits, however, are still being debated and will be discussed more in a later section. Estratest is a combination of estrogen and testosterone, and can be made by the pharmacist in a cream base. Injections and implants Shots have the disadvantage of injecting very large amounts of the hormone directly into the blood, which diminishes over time. This generally produces more than you need initially, then drops to less than what you need, giving a sea-saw effect. They are often given once a month.
Subcutaneous pellets are somewhat outdated.
They are injected through a small incision and absorbed through the fatty tissue. They are difficult to remove, except through a surgical procedure, and therefore have a distinct disadvantage if there are side effects. A woman who chooses to use estrogen has a variety of choices, but in the last analysis, none may be suitable if she just cannot tolerate the side effects or if she has too many contraindications for hormone replacement therapy. In any event, look at all of your possibilities before making your decision. It may be that you don't need estrogen at all.