injections or pills

[brenda lynn mwe]

hello everyone
I have a nother appointment with my dr and he asked me if I wanted the pills or the injections and he told me the injections are stronger than the pills I was wondering what everyone here thinks about them and witch one should I go with I was thinking the injections would be better all around because I wouldn't have to take pills everyday thank youl
brenda lynn

[Karen564]

I would say injections are more convenient & considered safer instead of popping pills everyday..
But not so sure it's any stronger than a pill or patch, it all depends..

I started on pills & then switched to the patch, but now back on the pills again...
I think they have done what their supposed to do very well,.,.

I take my HRT meds in the morning & at bedtime, so it's very easy to remember that way..after many years it's just become a habit & part of my daily regimen..

[sherri52]

I think as in comparison with other drugs the injections will be stronger, but I don't know for a fact. Pills can be put into a habit like Karen says. As long as you have a certain time like wake-up and bedtime they won't be a problem taking.

[crystalann]

When I started Hrt I was on pills but switched over to the injections it's safer then taking pills as far as the liver. And I feel you do get quicker results then the pills, every 2 weeks I take a shot but I feel I get some ups and downs with the injections.

[Mariah]

My Doc will not use injections, as he says they are the same as pills, just less inpact on the liver, but not enough to justfy using them on mtfs. they're stronger but aborb slower so you get the same ether way.
I'm on pills. it's a bitch cuse I wanted injections. but that's how it is. the main advantage of injection over pills is that you only have to do it 1 time a week instead of everyday. but there are risk (glass chards injected to your blood being one, air bubbles that can kill you being a nother.)

(platypus sounds)
Mariah

[CharleneT]

I self inject, it is not a big deal. For some it is, YMMV. I do not think it is stronger - rather it does have a different effect. When you take pill form, you normally get a steady dose and therefore steady blood level. With injections, you get a "cycle". At first more is absorbed, then as you get farther away from the day of injection, there is less and less. Some believe this mimicks nature better as the blood level cycles.

It is a safer way in terms of completely missing the first pass thru the liver. Patches will do that too though. Some folks find the patches are too much trouble (they fall off easily). They are also more expensive. If you do end up taking pills, try and get a type that will dissolve under your tongue. This helps avoid the first pass thru the liver ( not completely, but mostly).

[Veronica_Jean]

I have been on injections for about 6 weeks now, going every two weeks for a shot.

I have not tried self-injection and it is not a big deal going to the doctor for them.

I prefer not having to let it melt under my tongue so the only other alternative would be patches. For me, taking pills just adds more work for my liver and less benefit for me.

:2c:

Veronica

[Jenny Chen]

If you do end up taking pills, try and get a type that will dissolve under your tongue. This helps avoid the first pass thru the liver ( not completely, but mostly).

Sublingual Pills are the type that Dissolve under the tongue.

As far as Ranking goes according to Doctors is as follows.

1.Trans-dermal:

Patches 9Vivelle-Dot®, Estraderm®, Climara®, etc.) Transdermal estrogen causes less clotting tendency than oral estrogen, which is possibly important to some patients. However, transdermal preparations are more expensive, and skin reactions to the adhesives employed are not uncommon.

2. Injectables:

Injectable estrogen may cause less clotting tendency than oral estrogen and it is less expensive than transdermal estrogen. However, it requires the use of needles and syringes, and the ability to perform injections; it has a greater tendency to increase serum prolactin levels; and it is often associated with inadvertent or deliberate overdosage. Contrary to the belief of many consumers, there is no credible evidence that injectable estradiol produces superior feminization.

3. Oral Sublingual:

Estradiol tablets can be taken sublingually (placed under the tongue to dissolve) instead of being swallowed. This may reduce possible liver toxicity, because with sublingual administration, much of the medication is absorbed directly into the blood stream, rather than being metabolized by the liver after first passing through the digestive tract. Less metabolism is also likely to result in higher levels of estradiol itself, and lower levels of its less-active metabolites, estrone and estriol. Micronized estradiol tablets are specifically designed for either oral or sublingual use and dissolve quickly under the tongue without an unpleasant taste.

4. Oral:

Clotting issue, liver toxicity, and more than half of what you take would be metabolized instead of reaching your blood stream.

[CharleneT]

uh huh ... yah...