Estradiol Cypionate
Long-acting estradiol injection for menopause and perimenopause symptoms and for gender-affirming hormone therapy, given every one to two weeks. Prescribed and dosed by a licensed physician.
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from $139/mo
Dissolved under the tongue · Once a day
BioidenticalMenopauseSublingual
Progesterone Troches
Bioidentical progesterone 200 mg in a troche that dissolves under the tongue at bedtime, to protect the uterine lining, balance estrogen and support sleep.
- Dissolves under the tongue, no pill to swallow
- Taken at bedtime to help with sleep
- Protects the uterine lining during estrogen therapy
- Monthly$99/mo
- Every 3 months$237 billed up front$79/mo
- Every 6 monthsBest value$414 billed up front$69/mo
- Free, discreet shipping
- Licensed U.S. pharmacy
- Board-certified physicians
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
- How
- Dissolved under the tongue
- How often
- Once a day
- Each shipment
- 30 troches
- Strength
- 200 mg - Stevia
What is a progesterone troche?
(TRO-key)
A soft lozenge of micronized progesterone that dissolves under the tongue. Part of the dose is absorbed through the lining of the mouth, which avoids the first pass through the liver.
What's in it
- ProgesteroneProtects the uterus; helps sleep
Bedtime
progesterone is naturally calming, so it is taken at night
Absorption from troches varies more than from capsules; your physician follows your symptoms and, if needed, your blood levels.
Is it right for you?
Who it's for
Women who want a higher dose absorbed in the mouth.
What sets it apart
A 200 mg troche sweetened with stevia.
Worth knowing before you start
Place it between cheek and gum at bedtime.
Protection you don't feel
Endometrial protection
progesterone prevents cancer from unopposed estrogen
Hormone balance
progesterone completes the estrogen-progesterone partnership
Sleep support
many patients report improved sleep with evening progesterone
Continued estrogen benefit
estrogen-progesterone together is safe with a uterus
How progesterone therapy works
Day 1
A US-licensed physician explains why progesterone is mandatory if you have a uterus and use estrogen.
1Week 1
Start your progesterone dose at the prescribed strength. Evening dosing helps you sleep through any drowsiness.
2Weeks 2-4
You may notice mild drowsiness or mood changes. Most effects settle within 2-4 weeks. Your physician monitors these effects.
3Month 3
Check-in. Your physician confirms that progesterone is working as expected and reviews any side effects.
4Beyond
Continue progesterone as long as you use estrogen and have a uterus. Your physician reassesses yearly.
5
Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
How you use it
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
- How
- Dissolved under the tongue
- Dose
- one troche (200 mg)
- How often
- Once a day
- When
- At bedtime
- Each shipment
- 30 troches
- Pharmacy label
- Dissolve one troche (200 mg) under the tongue at bedtime once daily for 30 days. Do not chew or swallow it whole.
A sample week
- M
- T
- W
- T
- F
- S
- S
Once a day
The science of progesterone protection
Micronized progesterone protects the uterine lining in women using estrogen and is associated with a more favorable breast and clot profile than synthetic progestins.
The troche is a compounded delivery form; capsules remain the standard. It suits women who have trouble swallowing pills or who respond better to sublingual dosing.
Learn moreImportant safety information and common side effects
Progesterone is essential for uterine protection when using estrogen therapy. Common effects include drowsiness (especially if taken in the evening), mood changes, bloating, and breast tenderness. Progesterone does not increase blood clot or stroke risk significantly (unlike estrogen). Rare effects include dizziness or headache. Tell your physician if you experience severe mood changes, severe bloating, or persistent headache. Progesterone is not prescribed during pregnancy (it is already high). Stop and seek care for severe allergic symptoms.
Every plan includes
- Personalized, physician-guided plan
- Monthly, 3-month and 6-month plans
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
How it works
1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.
2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.
3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.
Progesterone troche educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Frequently asked questions
How do I take Progesterone Troches?
Dissolved under the tongue, once a day, at bedtime. The starting prescription is one troche (200 mg) each time. Your physician sets your own dose and it is printed on your label.
How much arrives in each shipment?
30 troches at the starting strength, shipped to your door from a licensed US pharmacy.
Troche or capsule?
Capsules are the most studied. Troches dissolve under the tongue and work well for women who cannot swallow pills or want a faster effect at bedtime.
Can I skip progesterone if my symptoms improve on estrogen alone?
No. Progesterone is mandatory with estrogen if you have a uterus. The protection is about cancer prevention, not symptom relief. Stopping progesterone while using estrogen significantly raises endometrial cancer risk. Your physician does not recommend this.
Does progesterone cause weight gain?
Some patients report mild bloating or water retention, but true weight gain is uncommon. If you notice significant weight gain, tell your physician. You may adjust dose, timing, or form.
Why do I take progesterone in the evening?
Progesterone causes drowsiness in many patients. Evening dosing helps you sleep and avoids daytime sedation. However, if you experience drowsiness, tell your physician, they may adjust timing or dose.
Progesterone, the uterine guardian.
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The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Sources
- 1
WHI Steering Committee: Risks and benefits of estrogen plus progestin in healthy postmenopausal women.
JAMA, 2002 - 2
KEEPS Investigators: The Kronos Early Estrogen Prevention Study (KEEPS).
Menopause, 2016
Progesterone Trochesfrom $69/mo