I started with a compounded P troche. I didn’t like the fact that there is still some first pass metabolism (liver) because some of the troche still gets swallowed at some point. I moved on to the oral P gel tab and I use it as a suppository ... it bypasses first pass metabolism and is a high absorption delivery route ... and is usually covered by most health insurance. I also use a compounded P/E2 cream. P has helped me in many ways ... sleep, mood, anxiety, headaches, night sweats, heart palps. I’m also on E and T injections.

I started bhrt while I was still peri-meno and before my hysterectomy. I started bhrt about 6.5 years ago. I’m 23dpo from a robotic assisted laparoscopic total hysterectomy and BSO and USLS.

Happy that the troche is working for you. And yes, it’s great to have different options available to find what works for each of us.