Hormone Therapy
Hormone therapy can replace a hormone the body lacks, block one that is overactive, or support a fertility goal, and it takes very different forms across the thyroid, menopause, male hormones and fertility. Which one is relevant depends on which gland or hormone is involved.
Levothroid
25mcg · 50mcg · 75mcg · 100mcg · 112mcg · 125mcg · 200mcg
Formulated to alleviate hormone deficiencies to support baseline metabolic activity and target systemic lethargy.
Neomercazole
5mg · 10mg
Designed to support thyroid hormone suppression to manage hyperthyroid symptoms and alleviate cardiovascular stress.
Prometrium
100mcg · 200mcg
Designed to support physiological hormone replacement to manage uterine health and alleviate irregular periods.
Cernos Gel
1% 5gm
Formulated to alleviate symptoms of low testosterone to support muscle density and target localised hormone balance.
Enclomisign
50mg
Designed to support ovulation recruitment to manage fertility pathways and alleviate reproductive hormone deficits.
Mesterolone Tablets
20mg
Intended to relieve androgenic deficits to support secondary male traits and target metabolic activity.
Danazol Tablets
50mg · 100mg · 200mg
Formulated to alleviate endometrial hyperplasia to support hormonal balance and target physical pain symptoms.
Estriol Topical
1g
Formulated to alleviate vaginal dryness to support local tissue integrity and target cellular mucosal layers.
Ddavp Spray
10mcg 2.5ml
Designed to support water retention to manage central diabetes insipidus and alleviate nighttime bedwetting.
Key points
- NHS’s Levothyroxine: a medicine for an underactive thyroid (hypothyroidism) page describes it as the main treatment for an underactive thyroid, usually taken for life.
- NHS’s Hormone replacement therapy (HRT) page lists tablets, patches, gel, spray, vaginal preparations and tibolone among the forms HRT can take.
Thyroid replacement and thyroid suppression
Synthroid and Levothroid both contain levothyroxine, replacing a thyroid hormone the body lacks; Cytomel contains liothyronine for the same purpose. Neomercazole (carbimazole) and Tapazole (thiamazole) do the opposite job, reducing hormone from an overactive thyroid instead.
Menopause and other female hormone medicines
Estrace contains estradiol and Premarin contains conjugated estrogens for menopausal symptoms, while Estriol Topical treats vaginal and urinary symptoms locally. Provera, Prometrium and Aygestin add a progestogen and also treat period problems such as abnormal bleeding apart from menopause; Tibofem contains tibolone as a single-ingredient alternative, and Desogen pairs desogestrel with ethinylestradiol as a contraceptive pill instead.
Male hormone and fertility medicines
Cernos Gel contains testosterone and Mesterolone Tablets contain mesterolone for low testosterone in men; Androxal and Enclomisign contain enclomiphene for a different cause of the same problem. Clomid (clomifene) treats female infertility, Zyhcg (human chorionic gonadotropin) supports ovulation induction, and Dostinex (cabergoline) treats a raised prolactin level; Danazol Tablets treat endometriosis, fibrocystic breast disease or hereditary angioedema.
Samsca, DDAVP Spray, Mestinon and Medrol are not hormone replacements
Samsca (tolvaptan) and DDAVP Spray (desmopressin) manage the body’s water balance rather than a sex or thyroid hormone. Mestinon (pyridostigmine) treats myasthenia gravis, a muscle condition, and Medrol (methylprednisolone) treats inflammatory and allergic conditions broadly; neither replaces or blocks a hormone the way the medicines above do.
Further reading
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