what are the advantages of the oestrogen patch over oral oestrogen?

WHAT ARE THE ADVANTAGES OF THE OESTROGEN PATCH OVER ORAL OESTROGEN?
The patch is worth trying if you don't tolerate oral oestrogen well (side effects like nausea, abdominal pain or headaches will tell you that). You're much less likely to have these side effects with the patch because it cuts down the number of times the oestrogen passes through your liver. This means that the liver is not stimulated so much to produce proteins that may interfere with normal blood pressure and your fluid control systems.
The patch may also be more convenient than taking oestrogen tablets each day, because it is applied twice a week.
All the same, oral oestrogen is the way most doctors prefer to start patients who need oestrogen therapy. The main reason is that there is considerable research demonstrating the effectiveness of oestrogen pills in managing menopausal symptoms and protecting the bones, heart and blood vessels.
Regrettably, research on HRT patch formulations has not been going on for long. Recent studies indicate that the patch protects against osteoporosis if you use it for longer than six months, but so far there is very little long-term data regarding its impact on heart and blood vessel disease.
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