Pharmacist checking medications on the pharmacy shelf.
Women in the UK are currently facing an HRT shortage (Picture: Getty Images)

Women in the UK have been warned that shortages of Hormone Replacement Treatment (HRT) could continue for weeks.

Around two million women in England aged 40 and above regularly rely on HRT to manage symptoms triggered by menopause, according to the NHS.

It works to replace or top up falling levels of hormones – primarily oestrogen and progesterone – and is vital for women contending with menopause symptoms such as hot flashes, night sweats, brain fog, mood swings, anxiety, and vaginal dryness.

In the UK alone, there are over 70 different types of HRT products available – ranging from skin patches, sprays, gels, creams, pessaries, and intrauterine systems.

Most women tend to try out a few different kinds, ultimately settling on the method they find the most effective.

An mature woman with gray hair lies in bed, bright sunlight bathing her face. The themes of morning reflection, aging with dignity, and the quiet beauty of solitude.
HRT can provide an essential lifeline for people who’re struggling with receptive symptoms triggered by menopause (Picture: Getty Images)

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But in a recent statement shared by The Department of Health and Social Care, officials revealed that there are a number of HRT products currently out of stock – with FemSeven Conti patches and Estradot patches flagged as two of the medications most affected by the supply issue.

Experts emphasise that it’s crucial the government take action before women begin seeking out alternative solutions – potentially putting their health at risk in the process.

Which HRT products are affected by the supply issues?

According to multiple reports, two major HRT patch brands, Estradot and FemSeven Conti, are currently experiencing the worst disruption.

While pharmacies are hopeful that FemSeven Conti patches will be back on shelves by the end of November, access to Estradot is expected to remain limited until January 2027.

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To try and minimise impact, the Department of Health has approved for Estradot to be put under serious shortage protocols (SSPs) – emergency regulatory measures in the UK that allow pharmacists to supply specified alternative medicines without needing to contact the original prescriber.

Pharmacist giving recommendations to a senior customer at a pharmacy counter
Experts have urged the government to be more proactive to avoid future shortages (Picture: Getty Images)

Dr Louise Newson, physician and hormone specialist, tells Metro that the Estradot shortage is indeed very ‘worrying’.

‘For many women hormones are an essential treatment that helps ease symptoms and protect their long-term health, so it’s worrying that women are still struggling to get their HRT.’

As experts point out, this isn’t the first time the UK has faced HRT shortages. In fact, supply chain disruption driven by surging consumer demand has been an issue since 2024.

‘Manufacturers and the government need to work together on a lasting solution,’ Dr Louise shares. ‘No woman should have to ring round pharmacies to find her medicine.’

What to do if your HRT is in short supply

If you find yourself running low on your medication, Dr Louise shares the following guidance:

Don’t stop your treatment. Keep using your current supply while you investigate options

Order repeat prescriptions early, but avoid stockpiling, as this can make shortages worse

Ask your pharmacist whether an SSP covers your product and what alternatives they can offer

Talk to your clinician about switching to a similar product, such as another brand of patch or an estradiol gel. Absorption varies between products, so your dose may need adjusting.

Don’t borrow from friends or buy online, as you may not get the right product

If you’re ever concerned about your treatment, the best step forward is always to consult a professional.

Symptoms of menopause can include, but aren’t limited to:

Palpitations 
Chest pain 
Breast tenderness 
Itchy skin 
Dry skin 
Rosacea 
Acne 
Thin skin 
Collagen loss 
Crying 
Brain fog 
Memory loss 
Poor concentration 
Word finding difficulty 
Anxiety 
Low mood 
Worsening PMS 
Anger/rage
Irritability 
Headache 
Migraines 
Joint pain 
Joint stiffness 
Vaginal dryness 
Vaginal discharge 
Vulval itch 
Perineal itch 
Vulval/vaginal electric shocks 
Increase in thrush 
Increase in BV 
Poor libido 
High libido 
Weight gain 
Scalp hair loss 
Unwanted hair growth 
Urinary infections 
Urinary incontinence 
Urinary urgency 
Nocturia (getting up at night) 
Sexual dysfunction 
Chest tightness
Constipation 
Gastric reflux 
Fatigue 
Night sweats 
Hot flushes 
Cold flushes 
Period increased frequency 
Periods decreased frequency 
Heavier periods 
Muscle loss 
Tinnitus 
Dry eyes 
Watery eyes 
Burning mouth 
Gum disease 
Foot pain 
Frozen shoulder 
Insomnia 
Histamine sensitivity 
New allergy 
Body odour change 

If you’re concerned about any of these symptoms, speak to your doctor.

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