Hormone replacement therapy (HRT) patches contain estrogen and/or progesterone that is absorbed through the skin to supplement hormone levels in the body. The location of the patch on the body is important for proper absorption and effectiveness. HRT patches need to be applied below the waist, usually on the lower abdomen, hips, or buttocks.
There are a few key reasons why HRT patches must be placed below the waist:
Absorption
The skin on the abdomen, hips, and buttocks has better absorption than areas like the arms or back. The skin in these lower areas has more subcutaneous fat and blood flow which allows for more consistent uptake of the hormones from the patch into the bloodstream. Applying the patch in the proper area avoids inconsistencies in hormone levels.
Temperature
Body temperature is lowest on the abdomen and buttocks. The medication in HRT patches can become less effective when exposed to higher temperatures. Higher body temperature causes the medication to diffuse out of the patch more quickly. This could lead to reduced absorption. Keeping the patch below the waist where temperatures are lower allows for optimal diffusion and absorption from the patch.
Adhesion
The waist and below is a flatter surface which allows maximum contact between the adhesive patch and the skin. This helps the patch stick properly and avoids irritation, folding, or detachment. The waist and hips have minimal curvature, motion, and clothing friction compared to other areas like the arms or back. Proper adhesion ensures consistent dosing.
Discretion
For many patients, keeping the patch below the waist line provides more privacy and discretion. Areas like the hip and abdomen can be concealed by clothing more easily. Patients may feel uncomfortable or self-conscious about patches being visible on more exposed areas like the arm or upper back. Discretion promotes better compliance.
Comfort
The abdomen and buttocks tend to be more comfortable for adhesive patches because there is padding from fat. Areas without as much padding, like the bony hips or ribs, are prone to irritation or discomfort from the patch. Applying to soft tissue allows for extended wear without irritation.
Activities
The waist and below avoids areas of frequent motion that could cause folding, lifting, or removal of the patch. The arms and back are used extensively in movement and activities, which could disrupt adhesion. The lower trunk is a safer zone for undisturbed wear.
In summary, HRT patches work optimally when applied below the waist to the abdomen, hips, or buttocks. These areas provide better absorption, temperature, adhesion, discretion, comfort, and less disruption from activity. Following the manufacturer’s directions for proper patch placement ensures the medication is delivered effectively.
If you are considering hormone replacement therapy, the physicians at Hormone Harmony Clinic can help determine if patch, oral, or topical application is right for you. Our compassionate staff will educate you on proper administration to achieve your ideal hormone balance and relieve menopausal symptoms. Contact Hormone Harmony Clinic today to schedule a consultation and take control of your health during this transitional time. We provide customized bioidentical HRT to help you look and feel your best.
