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Woman consulting a GP online about HRT options in the UK
Private GP-led menopause care

HRT Types Available in the UK: Complete Guide to Treatment Options

Confused about the different HRT options available in the UK? Our expert guide explains every type of hormone replacement therapy from patches and gels to tablets and implants. Get the facts you need to make an informed choice with your GP.

  • Expert guidance on all HRT types licensed in the UK
  • Personalised assessment with menopause-trained GPs
  • Same-day prescriptions sent to your phone
Start 2-minute symptom check
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Not suitable for emergencies. If you are in immediate danger, call 999.

What types of HRT are available in the UK?

The UK offers several types of hormone replacement therapy (HRT) including oestrogen-only preparations for women who have had a hysterectomy and combined HRT (oestrogen plus progestogen) for those with a uterus. These come in various forms: transdermal patches and gels, oral tablets, vaginal preparations, nasal sprays and implants. Body-identical hormones are increasingly popular as they have the same molecular structure as hormones naturally produced by your ovaries.

Your GP will help determine which type suits your symptoms, medical history and lifestyle preferences. Transdermal options like patches and gels may carry lower blood clot risks than tablets. Our online menopause care service connects you with specialist GPs who can guide you through all available options and prescribe the most suitable treatment.

HRT may not be suitable if you have unexplained vaginal bleeding, current or previous breast cancer, blood clot history, active liver disease or are pregnant. Always consult a qualified healthcare professional for personalised advice.
Last reviewed: May 2026 · GP-led clinical content

Is online HRT consultation right for you?

Online GP consultations can be suitable for many women seeking HRT guidance and prescriptions in the UK.

When online care may not be suitable

Some situations require face-to-face assessment or specialist referral rather than online consultation.

  • Under 40 with possible premature ovarian insufficiency
  • Unexplained vaginal bleeding requiring investigation
  • History of breast cancer, blood clots or stroke
  • Complex medical conditions requiring specialist input

Comparing different HRT types in the UK

Understanding the various HRT options available helps you make an informed decision with your healthcare provider.

HRT TypeWhat it may help withImportant notes
Transdermal patches/gelsHot flushes, night sweats, mood changes, bone protectionMay have lower blood clot risk than tablets. Applied to skin daily or twice weekly.
Oral tabletsMenopausal symptoms, osteoporosis preventionConvenient daily dosing. May increase blood clot risk slightly compared to patches.
Vaginal preparationsVaginal dryness, discomfort, urinary symptomsLow-dose local treatment. Can be used alongside systemic HRT if needed.
Body-identical hormonesAll menopausal symptoms with natural hormone structureAvailable through our specialist menopause service. Increasingly preferred by many women.
Urgent careSevere symptoms or immediate dangerCall 999 or go to A&E immediately if experiencing medical emergency.
Start 2-minute symptom check A GP will advise on the most appropriate HRT type for your individual needs.

How to access HRT through tapMenopause

Get expert guidance on all UK HRT types through our streamlined online menopause consultation pathway with specialist GPs.

Book consultation in under 3 minutes Speak with menopause specialist GP HRT prescription sent instantly
1Woman completing online menopause symptom assessment

Complete symptom assessment

Answer questions about your symptoms, menstrual history and medical background to help our specialist GPs understand your needs.

2-minute check
2Woman having video consultation with GP about HRT options

Discuss HRT options with specialist GP

Have a detailed consultation about different HRT types available in the UK and which might work best for your lifestyle and symptoms.

GP-led assessment
3Woman receiving HRT prescription on her phone

Receive your HRT prescription

Get your personalised HRT prescription sent directly to your phone with clear instructions and ongoing support from our clinical team.

Personalised care plan

Why choose tapMenopause for HRT guidance

Access expert advice on all UK HRT types through our regulated specialist menopause service.

CQC-regulated servicetapMenopause is provided by tapGP – registered and regulated by the Care Quality Commission.
Same-day HRT prescriptionsGet your chosen HRT type prescribed and sent to your preferred pharmacy or delivered to your door.
NHS-trained GPsEvery consultation is with a GMC-registered doctor trained in the NHS with a specialist interest in menopause and women's health.
Not a crisis serviceIf you are in immediate danger or experiencing a medical emergency, call 999 or go to A&E.

Frequently asked questions about HRT types in the UK

Common questions about the different hormone replacement therapy options available.

What is the safest type of HRT available in the UK?+
Transdermal HRT (patches and gels) are often considered to carry lower risks than oral tablets, particularly for blood clots. Body-identical hormones are also increasingly popular. However, the 'safest' option varies by individual and depends on your medical history, age and risk factors. A specialist GP can assess which type may be most suitable for you.
Can I get body-identical HRT on the NHS?+
Some body-identical HRT preparations are available on the NHS, including certain oestrogen gels and micronised progesterone capsules. However, availability can vary by area and GP practice. Private services like tapMenopause can often provide faster access to the full range of body-identical options available in the UK.
How do I know which HRT type is right for me?+
The best HRT type depends on your symptoms, medical history, lifestyle and personal preferences. Factors include whether you've had a hysterectomy, your risk factors for blood clots or breast cancer, convenience preferences and how you respond to different hormone delivery methods. A detailed consultation with a menopause specialist GP is essential.
Can I switch between different types of HRT?+
Yes, you can often switch between HRT types under medical supervision. Many women try different options to find what works best for them. For example, you might start with tablets then switch to patches if you prefer them. Always discuss changes with your GP who can advise on timing and dosing adjustments.
How long does it take for different HRT types to work?+
Most women notice some improvement in symptoms within 4-6 weeks of starting HRT, regardless of type. Hot flushes and night sweats often improve first, while other benefits like mood and energy may take 2-3 months. Bone protection benefits develop over years. Your GP can advise on realistic timelines for your specific symptoms.
Are there any HRT types not available in the UK?+
The UK has access to most modern HRT formulations including patches, gels, tablets, sprays and implants. Some preparations available in other countries may not be licensed here, but the MHRA-approved options cover the vast majority of women's needs. Specialist menopause clinics can access the full range of UK-licensed treatments.
When should I seek urgent help?+
If you have severe symptoms, feel unsafe or are in immediate danger, call 999 or go to A&E.
Start 2-minute symptom check HRT treatment is recommended only where clinically appropriate.

Ready to explore HRT options with expert guidance?

Don't let confusion about HRT types delay your treatment. Our specialist menopause GPs provide clear guidance on all UK options from body-identical hormones to traditional preparations. Start your journey to finding the right HRT solution for your needs today.

Start 2-minute symptom check HRT treatment is recommended only where clinically appropriate.
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