HRT options explorer: every type of HRT for menopause, PH edition

Almost every HRT plan is built from two parts:

• Estrogen does the main work on hot flashes, night sweats and dryness.
• A progestogen protects the womb lining. Anyone with a uterus who takes estrogen needs one. If you had a hysterectomy, you usually do not.

Then there are two "all in one" routes: tibolone, a single tablet, and vaginal estrogen, which treats local dryness and bladder symptoms without acting much on the rest of the body.

All of these are prescription medicines. Generic name first, then the brand found in PH retail.

Estrogen

• Estradiol gel (Oestrogel), transdermal: From ₱1,185.50 per 80 g pump pack
• Conjugated estrogens tablet: From ₱47.25 per tablet
• Estradiol patches (Estradot, Climara, Evorel): Not available in PH retail as of October 2026
• Oral estradiol at menopause doses (Progynova): Not available in PH retail as of October 2026

Progestogens

• micronized progesterone (Utrogestan): From ₱85.75 per capsule
• Micronized progesterone (Heragest): From ₱76.50 per capsule
• Dydrogesterone (Duphaston): From ₱92.25 per tablet
• Medroxyprogesterone acetate (Provera): From ₱96.50 per tablet

Combined and other

• Estradiol plus dydrogesterone (Femoston): Not available in PH retail as of October 2026
• tibolone (Amena): From ₱1,442.75 per pack (pack size not stated)

Vaginal estrogen

• Estradiol vaginal tablet (Vagifem): From ₱154.50 per tablet
• Estriol vaginal cream (Ovestin): From ₱1,009 per 15 g tube

Prices checked October 2026. These are Watsons list prices; other pharmacies may differ. Products listed as not available were not found at any PH retailer we checked, which is not the same as confirmed unregistered. Monthly costs depend on your dose and plan, so use the cost calculator for worked examples.

• sequential HRT: estrogen every day, with a progestogen for part of each month. Usually gives a monthly bleed. Often used while you are still having periods.
• continuous combined HRT: estrogen and a progestogen every day. Aims for no bleeding, usually once periods have stopped for a while.

Your doctor chooses which fits your stage. Unexpected or new bleeding on either plan should be checked.

Each option in the explorer shows:

• What it is for: hot flashes and night sweats, womb protection, or local dryness.
• Who usually needs it: for example, "if you have a uterus".
• PH availability: sold at retail, or not found in PH retail.
• From-price: the lowest unit price we found.
• Learn more: the full medicine page, such as micronized progesterone or estradiol gel.

The Menopause Society 2022 notes that estrogen through the skin and lower doses may carry a lower risk of clots and stroke than tablets (NAMS 2022). That is one of the reasons doctors often discuss gel.

Estradiol gel and micronized progesterone are already molecularly identical to your own hormones, and they are registered products. Custom-compounded "bioidentical" mixtures are a different thing: The Menopause Society 2022 and ACOG (2023) do not recommend them when an approved product exists. The explorer shows registered products only. Read bioidentical hormones for the details.