Navigating Female Hormones: A Pharmacist's Guide to HRT

Ashley Firm, PharmD; Caitlin Bertrand, PharmD; Cara Dantzler, PharmD


US Pharmacist. 2015;40(9):33-37. 

In This Article


In summary, many HRT products are available to alleviate symptoms associated with menopause. Several medications are available commercially, whereas others are compounded in accordance with the needs of the individual patient. Commercial products are available in a variety of dosage forms, including tablets, patches, vaginal creams, and vaginal rings. The majority of compounded HRT products are in the form of creams, troches, or capsules. Medications are chosen based on the patient's level of deficiency of natural hormones, including estrogen, progesterone, and testosterone. Although there are risks associated with HRT, there are several clinically significant benefits in terms of alleviating unwanted menopausal symptoms.

Pharmacists should continue to assist with HRT management, as their extensive knowledge of prescription products and the role of hormones in the female body qualifies them to identify the most appropriate products based on symptoms and laboratory values. Pharmacists also are capable of recommending and compounding HRT at the request of a prescriber. By collaborating with patients and providers, pharmacists may be the key to therapy optimization in women experiencing menopausal symptoms.