Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Medroxyprogesterone (Provera) and estradiol (Minivelle) are both hormone therapy medications, but they belong to different classes and have important differences. Medroxyprogesterone is a progestin that helps regulate menstrual cycles and protects the uterus in postmenopausal women taking estrogen. Estradiol is an estrogen replacement used to treat menopause symptoms like hot flashes and to prevent bone loss (osteoporosis). Medroxyprogesterone is taken orally, while estradiol is applied as a transdermal patch. Medroxyprogesterone is typically taken for 5 to 14 days each month, whereas estradiol patches are applied to the lower stomach or upper buttocks twice a week. Common side effects of medroxyprogesterone include spotting and breast tenderness, while estradiol can cause headaches and breast tenderness. While taking both medications together is common, it also may increase the risk for breast cancer. Medroxyprogesterone is not used as birth control, unlike its injectable form, Depo-Provera. Both medications are available as a lower-cost generic.
Medroxyprogesterone (Provera)
Minivelle (estradiol patch)
Medroxyprogesterone (Provera)
Minivelle (estradiol patch)
Summary of Provera vs. Minivelle
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
Minivelle (estradiol patch) is a twice-weekly hormonal patch that treats moderate-to-severe vasomotor symptoms, like hot flashes and night sweats, caused by menopause. It can also prevent bone loss (osteoporosis) after menopause. It's a type 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. Potential side effects include headache, breast tenderness, and back pain.
Indications of Provera vs. Minivelle
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