How it works: A tiny pellet, about the size of a grain of rice, is placed just under the skin of the hip and slowly releases bioidentical hormones.

How often: Every 3–5 months.

Best for: Women who want steady hormone levels without having to remember a daily routine.

How it works: A measured dose of bioidentical hormone is rubbed into the skin and absorbed into the bloodstream.

How often: Daily.

Best for: Women who want flexibility, since the dose is easy to adjust as symptoms change.

How it works: Bioidentical hormones taken as a capsule or tablet. Options include progesterone, estradiol and DHEA.

How often: Usually once or twice daily, either continuously or on a cycle depending on your plan.

Best for: Patients who prefer the simplicity of a daily pill. Oral progesterone is especially popular because it can support restful sleep and calm mood while balancing estrogen therapy.

How it works: Bioidentical testosterone or estrogen injections.

How often: Weekly or twice a week.

Best for: Patients who want precise, adjustable dosing.

How it works: A small, discreet patch worn on the skin delivers a steady dose of estradiol.

How often: Changed once or twice a week.

Best for: Women who want consistent levels without a procedure or a daily application.

How it works: A low-dose cream, tablet or ring that treats tissue locally, with minimal effect on the rest of the body.

How often: Daily for the first 2 weeks, then 2–3 times a week.

Best for: Dryness, discomfort with intimacy and urinary symptoms.

How it works: A small lozenge dissolves between the cheek and gum, and the hormone is absorbed directly into the bloodstream.

How often: Once or twice daily.

Best for: Women who want a needle-free, cream-free option that's easy to adjust.