Role of Mirena in HRT - Nick Panay

Routes of AdministrationAdvantagesOralTablets• Easy to take• Easily reversible• AffordableTransdermalPatches• Convenient• Easy to use• Easily reversible• Avoids first-pass metabolismGel• Easy to use• More natural delivery of hormoneDisadvantages• Unnatural delivery of hormones• Must be taken daily• High dose required• First-pass metabolism• Can irritate the skin• Can become detached• More expensive than tablets• Must be changed once or twice a week• Must cover correct amount of skin• More expensive than tabletsJones H. A Change for the Better. – How to survive-and thrive –during the menopause.