What the Estrogen Patch Shortage Means for Women on HRT
The popularity of hormone replacement therapy, specifically for women, has skyrocketed over the past few years. For women experiencing life stages like perimenopause or menopause, this popularity has come with a lot of positive outcomes like the FDA removing the black box warning that used to come with hormone replacement therapy.
With these warnings gone, it gave women peace of mind when it came to treatment and erased fears for women wanting to try HRT.
But, in recent news, the estrogen patch, a method of hormone replacement therapy, has been experiencing a shortage.
This is a frustrating moment for women who rely on estrogen patches as their method of HRT. But don’t worry, there are other effective alternatives available so you can stay on track and maintain treatment.
But what is causing this shortage in the first place?
Summary
The estrogen patch shortage is being driven by rising demand and supply chain issues. Hormone replacement therapy use has increased significantly in recent years, with estrogen patches making up a large share of prescriptions. At the same time, global supply challenges have made production and distribution more difficult. Estrogen patch availability is expected to remain limited into 2026 and possibly longer.
Despite the shortage, hormone therapy can still continue with alternative options. Women are not out of treatment options, and many can safely transition to other forms of hormone therapy. A HerKare, provider can help guide women switch methods without stopping care. The goal is to maintain symptom relief and avoid interruption of care.
There are several HRT alternatives are available. At HerKare, we have a multitude of alternatives to choose from. This includes, oral estrogen, transdermal creams and gels, hormone pellets, and vaginal suppositories. A provider can help determine the most appropriate fit for you.
Do not stop therapy is you are experiencing issues accessing estrogen patches. Instead, you should consult a provider to safely switch to another option. At HerKare, we believe that personalized care ensures continued hormonal balance and symptom management throughout the shortage.
Why Estrogen Patches Are in Short Supply
The estrogen patch shortage is the result of several factors including popularity, demand, and tariffs.
Since 2021, the number of women being prescribed hormone replacement therapy has increased by 86%, and 50% of those prescriptions were for estrogen patches. Wow!
And with many of the ingredients used to create estrogen patches coming from overseas, factors like trade wars, tariffs, and weather play a huge role in getting products to pharmacies on time.
The estrogen patch shortage is being felt worldwide, and it’s predicted to continue through the end of 2026. Some manufacturers are warning that the increase in demand could extend the shortage for up to three years.
Despite the shortage, women are not out of options! There are still many ways for you to continue your hormone journey.
Who Is Most Affected
- Women who are currently using estrogen patches for HRT
The most impacted group during this shortage are women who are currently using estrogen patches to manage symptoms of perimenopause or menopause. When refills become delayed or unavailable, concern about symptoms returning or interruptions in treatment are valid feelings. - Women who prefer transdermal therapy specifically
Some women have a preference for transdermal (absorbed through the skin) estrogen over any other method. This shortage could mean going through trials to find another alternative that you prefer.
This shortage is affecting women in different ways, but luckily, most women are still able to continue hormone replacement therapy with the right alternative.
At HerKare, we pride ourselves on personalization. One size never fits all and that is why we have a multitude of hormone replacement therapy methods to choose from.
While the current shortage feels scary, this does not mean your treatment has to stop.
HRT Alternatives to the Estrogen Patch
The current shortage does not mean you need to pause or interrupt your hormone therapy.
The right alternative depends on you, and a HerKare provider is always ready to help you determine the best fit.
Alternatives include:
- Oral Estrogen (Pill)
Oral estrogen, the pill, is the traditional method of hormone therapy. Taken by mouth, usually once a day, it can be effective for managing symptoms that come with perimenopause and menopause. For some, the oral option is a simple and convenient option, although it may not be right for everyone depending on medical history.
- Transdermal Creams and Gels
Estrogen creams and gels are applied directly to the skin and absorbed gradually into the bloodstream. Like patches, these options offer another way to deliver steady hormone levels without taking a daily pill.
- Pellets
Hormone pellets are a long-acting option that gets placed under the skin in a quick in-office procedure. Once inserted, pellets release a steady dose of hormones over several months, reducing the number of in-clinic visits. Pellets are personalized based on your needs and dosage.
- Vaginal Suppositories
Vaginal estrogen therapy is designed to treat localized symptoms like vaginal dryness, discomfort, and urinary changes that may come with menopause. Vaginal suppositories deliver estrogen directly to the problem area. They are often used on their own or alongside other hormone therapy options for more symptom relief.
There are still multiple ways to continue hormone therapy without losing progress.
Get Support Navigating the Estrogen Patch Shortage
If you are currently having problems accessing your prescription, it is important to reach out to your provider rather than stopping therapy completely. It is possible to transition smoothly to an alternative option with guidance.
You still have options, and we’re here to help you find the right fit.
For women affected by the estrogen patch shortage, call or book an appointment to speak with a HerKare provider about your options today.
FDA’s 2025 removal of black box warnings on menopausal hormone therapy – PMC
Hormone Replacement Therapy Prescriptions for Women Up 72% Since 2021