Estradiol valerate
In addition to single-drug formulations, oral estradiol valerate is available in combination with the progestin dienogest as a combined oral contraceptive and intramuscular estradiol valerate is marketed in combination with the progestins hydroxyprogesterone caproate and norethisterone enantate as combined injectable contraceptives. Intramuscular estradiol valerate has also been marketed in combination with testosterone enantate, but this formulation has been discontinued. The availability of estradiol valerate-containing products varies throughout the world.
Pharmacokinetics of progesterone
Progesterone does not appear to be available pharmaceutically in the form of subcutaneous pellet implants. This is in contrast to estradiol and testosterone. Progesterone may be available in the form of subcutaneous pellet implants from some compounding pharmacies however. Such products are not regulated for quality or effectiveness however. Subcutaneous implantation of progesterone has been studied in animals. Although progesterone is not available for subcutaneous implantation as a pharmaceutical product, subcutaneous implants of progestins, such as etonogestrel (Implanon/Nexplanon) and levonorgestrel (Jadelle/Norplant), are available as pharmaceutical preparations. They are used specifically as a form of long-lasting hormonal birth control.