Evorel

Presciption Medicine

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Prescription and health questionnaire required

Your treatment starts with completing our digital health questionnaire. If you already have a prescription, you can upload it during this process.

In some cases, the doctor may also request recent blood test results or an ID check to ensure the treatment is safe and suitable for you.

Your health, our priority

Transgender treatments always begin with a private video consultation with a doctor specialised in transgender care. These medicines can have a profound impact on your body, so the consultation ensures the treatment is right and safe for you.

During this process you will be treated with respect, understanding, and confidentiality, so you feel supported every step of the way.

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  • Twice-weekly patch for effortless menopause relief
  • Steady oestrogen without daily pills or peaks
  • Skin-friendly adhesive with multiple strengths available
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  • Licensed Doctors All treatments reviewed and approved by certified medical professionals.
  • Prescription Included Issued by a licensed doctor and included in the price, no extra steps needed.
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  • 100% Discreet & Private Packed and shipped without any indication of the contents.
  • Fast Delivery Dispatched within 24 - 48 hours from a certified pharmacy.

Product Information

Better health begins with the right choices.

Medically Verified
Dr. M. Sharoyko

Dr. Marina Sharoyko

Internal Medicine Physician | MNr. 80134
Reviewed on: 27 April, 2025 View Profile

Dr. Marina Sharoyko is a medical specialist in clinical pharmacology and internal medicine, with additional expertise in cardiology and physiology.

Evorel is a hormone patch that delivers a steady dose of estradiol, a bioidentical form of estrogen identical to that naturally produced by the body. It is used in hormone replacement therapy (HRT) to manage symptoms associated with reduced estrogen levels, such as those experienced during or after menopause. Evorel is also commonly used in estrogen and feminizing therapy, where it supports the development of female secondary sexual characteristics in individuals undergoing gender-affirming treatment.

The patch is applied directly to the skin, usually on the lower abdomen or buttocks, and replaced twice weekly. This transdermal delivery system allows estradiol to be absorbed steadily into the bloodstream, helping maintain stable hormone levels without the peaks and troughs that can occur with oral estrogen medications.

In menopausal care, Evorel helps alleviate symptoms such as hot flushes, mood changes, vaginal dryness, and sleep disturbances. It may also support the maintenance of bone density and overall well-being in individuals with estrogen deficiency.

For those using Evorel as part of feminizing hormone therapy, estradiol plays a key role in supporting physical changes such as breast development, softer skin, and fat redistribution. When combined with testosterone-suppressing medications, Evorel contributes to creating a hormonal environment that supports a more typically feminine physiology.

Dosing is individualized and may vary depending on the indication, symptom severity, and response to treatment. Patches come in multiple strengths to allow dose adjustments over time.

Possible side effects include skin irritation at the patch site, breast tenderness, mood changes, and mild bloating. As with all estrogen therapies, longer-term risks such as venous thromboembolism or cardiovascular complications should be assessed based on individual medical history and risk factors.

General Information

What is [Product name]?

Evorel is a transdermal patch that releases estradiol into the bloodstream through the skin, providing continuous oestrogen replacement without daily tablets. 

What is [Product name] used for?

It treats menopausal symptoms such as hot flushes, mood swings, and vaginal dryness, prevents osteoporosis, and supports transgender women in HRT regimes. 

How does [Product name] work in the body?

The patch delivers a steady dose of estradiol that bypasses the digestive system and first-pass liver metabolism, producing smoother hormone levels and fewer ups and downs. 

What is the general recommended dosage for [Product name]?

Patches are usually applied twice weekly (changing every 3-4 days). The strength (25-100 µg/24 h) depends on symptom control and doctor recommendation. 

How long does it take to feel the effects of [Product name]?

Some relief can appear within a week; maximum benefit is seen over 4-6 weeks. 

What should I do if I forget a dose?

If a patch falls off, apply a new one and keep your normal change-over day. If you forget to replace it for more than 24 hours, you may experience spotting or return of symptoms. 

Safety & Side Effects

What are the possible side effects of [Product name]?
  • Common: mild application-site irritation, headache, breast tenderness, bloating, and mood swings.
  • Uncommon: high blood pressure, gallstones, migraine, weight change.
  • Serious but rare: blood clots, stroke, heart attack, or breast/endometrial cancer with prolonged use. Any leg swelling, sudden chest pain, or jaundice warrants immediate attention.
Can [Product name] cause allergies?

Skin irritation at the application site is fairly common. Rarely, a true allergic rash may occur. If severe redness, swelling, or itching spreads beyond the patch, discontinue use and consult your doctor. 

Can I combine [Product name] with other medications?

Enzyme-inducing drugs (e.g., some epilepsy medicines) can lower estradiol levels. Always reveal your full medication list. 

Does [Product name] affect sleep or alertness?

It often improves sleep by reducing night sweats. 

Can I use this if I am pregnant or breastfeeding?

No-remove the patch and contact your doctor if pregnancy occurs. 

Is [Product name] safe for long-term use?

Long-term HRT should be reviewed annually; lowest effective dose is advised. 

Is it safe to drink alcohol while using [Product name]?

Alcohol does not directly interfere but can worsen hot flushes. 

Usage & Administration

How do I administer [Product name]?

Apply to clean, dry, hairless skin below the waist. Press firmly for 10 seconds to secure. Rotate sites to avoid irritation. Do not cut the patch-it will leak.

How should I store [Product name] properly?

Keep in the sachet at room temperature away from direct heat. 

Who should not take [Product name]?

Avoid if you have or have had breast cancer, uterine cancer, unexplained vaginal bleeding, active blood clots, severe liver disease, or porphyria. It is not for use during pregnancy or breastfeeding. 

What if I take too much [Product name]?

Using multiple patches may cause nausea and breast soreness. Remove extra patches and seek advice. 

Ordering & Delivery

How can I order [Product name] online?

To get [Product name], fill out a medical form or book a video consult with a doctor via Transtoyou. After approval, your prescription is sent to the pharmacy for fast delivery.

Do I need a prescription for [Product name]?

[Product name] requires a valid prescription, which is issued after the doctor reviewed your answered in the medical questionnaire or via a video consultation with the doctor.

How fast is [Product name] delivered?

After approval by a doctor from Transtoyou, the prescription of [Product name] is forwarded to an affiliated pharmacy and typically shipped within 1–2 working days.

Can I return [Product name] if I change my mind?

For safety and legal reasons prescription medication (RX) and in this case [Product name] is non-returnable once shipped. 

Product Documentation

All Variants

Select a variant to see specific documentation. Leaflets are provided for information purposes only. The official leaflet in the language of the country of delivery is supplied with the order.

EN

Evorel 25-100 mcg

135.62 KB Feb 2026 Multi-variant
Informational leaflet with dosage instructions and safety information.
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Simple & Transparent

How Ordering Works

This product requires a prescription. Here is exactly what to expect after you order.

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Prescription Issued, Included

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