See menopause management guideline
Tablets
Elleste Solo- 1st line oestrogen only tablet. 1mg or 2mg
Zumenon- alternative if unable to obtain Elleste Solo. 1mg or 2mg
Transdermal Patches
Evorel- 24h patch (replace every 3-4 days) 25, 50, 75 or 100 microgram
Estraderm MX- alternative transdermal patch if unable to obtain Evorel
Patches are more expensive than oral preparations but may be suitable for patients with high risk of VTE (e.g. those with a BMI over 30 kg/m2). See local menopause management guideline.
Gel
Oestrogel 0.06%
Sandrena 500microg, 1mg
Prescribing in adults off-license in primary care is permitted as per NHS England specialised services circular, click here. This should be done in close collaboration with the specialists at the Gender Identity Clinics.