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Compare Provera vs. Vivelle-Dot

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Medroxyprogesterone (Provera) and estradiol patch (Vivelle-Dot) are both medications used in hormone therapy, but they belong to different drug classes and have distinct uses. Medroxyprogesterone is a progestin that helps regulate menstrual cycles and protects the uterus in postmenopausal women taking estrogen. Vivelle-dot is an estrogen replacement used to treat menopause symptoms and prevent bone loss. While both medications can be part of hormone replacement therapy, they are used differently. Medroxyprogesterone is taken orally, typically once a day for a set number of days each month, while Vivelle-dot is applied as a patch twice a week. Common side effects of medroxyprogesterone include spotting and breast tenderness, while estradiol can cause headaches and breast pain. Both medications can increase the risk of blood clots and certain cancers. However, medroxyprogesterone is specifically used to lower the risk of endometrial cancer when taking with estrogen.

  • Medroxyprogesterone (Provera)
    Vivelle-dot (estradiol patch)
  • Medroxyprogesterone (Provera)
    Vivelle-dot (estradiol patch)

  • Summary of Provera vs. Vivelle-Dot

    Summary for Progestin
    Prescription only

    Medroxyprogesterone (Provera) can help make your menstrual cycles more regular. It also helps protect the uterus from harm in people who've gone through menopause and are taking estrogen replacement medications. When taken with estrogen therapy, it has some serious risks that you should consider if you need treatment for a long time.

    Summary for Estrogen replacement
    Prescription only

    Vivelle-Dot (estradiol patch) is a twice-weekly hormonal patch used to treat menopause symptoms and low estrogen levels. It also helps prevent bone loss (osteoporosis) in people who have gone through menopause. The patch is a form of hormone replacement therapy. The usual dose is one patch applied to the lower stomach or buttocks twice a week, or every 3 to 4 days. Side effects include headache, breast pain, and sinus swelling. </br> This twice weekly patch is also available as a generic called Dotti.

  • Indications of Provera vs. Vivelle-Dot

    Indications for
    •Lack of menstrual periods due to hormone imbalance
    •Irregular periods due to hormone imbalance
    •Protection of the uterus in postmenopausal women who are taking estrogen medications
    Indications for
    •Hot flashes, night sweats, and flushes caused by menopause
    •Vaginal dryness and irritation caused by menopause
    •Low estrogen levels due to certain conditions
    •Prevention of osteoporosis after menopause

  • Pros and Cons of Provera vs. Vivelle-Dot

    Pros and Const for Progestin
    Pros
    •Taken once a day
    •Helps protect the uterus from damage if taking estrogen medications after menopause
    •A good alternative to progesterone (Prometrium) if you have a peanut allergy
    Cons
    •Need to remember to take on certain days of the month
    •Can have spotting or breakthrough bleeding, even if you've gone through menopause
    •Shouldn't be used in people with liver problems
    Pros and Const for Estrogen replacement
    Pros
    •Typically has fewer side effects than oral estrogen pills
    •Relieves multiple menopause symptoms
    •Good option if you have trouble swallowing pills
    •Available in different strengths, allowing you to customize your dose
    Cons
    •Commonly causes headache, breast pain, and sinus swelling
    •Need to apply a new patch twice a week
    •Raises your risk of certain cancers, blood clots, and strokes
    •Might need to take it with another hormone called progestin if you have a healthy uterus

  • Common Side Effects of Provera vs. Vivelle-Dot

    Common Side Effects for
    •Spotting or breakthrough bleeding
    •Heavier or lighter periods
    •Breast tenderness
    •Nausea
    Common Side Effects for
    •Headache (up to 50%)
    •Common cold symptoms (up to 20%)
    •Breast tenderness (up to 17%)
    •Sinus swelling (up to 13%)
    •Bleeding in-between periods (up to 11%)
    •Depression (up to 11%)
    •Back pain (up to 11%)
    •Sinus headache (up to 10%)
    •Indigestion (up to 9%)
    •Weight gain (up to 9%)
    •Joint pain (up to 9%)

  • Warnings of Provera vs. Vivelle-Dot

    Common Side Effects for
    •When taken with estrogen medications:
    •Blood clots and their complications (heart attack, stroke)
    •Breast cancer
    •Dementia
    •Uterine and ovarian cancer
    •Vision problems
    •Higher blood pressure and cholesterol levels
    •Swelling (fluid buildup)
    Common Side Effects for
    •Blood clots and related complications (e.g., heart attack, stroke)
    •Uterine (endometrial) cancer
    •Breast cancer
    •Ovarian cancer
    •Dementia
    •Gallbladder and liver problems
    •Vision problems
    •High triglycerides
    •Low thyroid hormone levels (hypothyroidism)
    •Fluid Retention
    •Severe allergic reactions
    •Worsening of other health conditions

  • Prices with our coupons for Provera vs. Vivelle-Dot

    Learn more about Medroxyprogesterone
    Learn more about Vivelle-dot

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