• Customer Service Team available now: Mon-Fri 8:00-17:00
  • Private & confidential service
  • Genuine medication
  • All-inclusive service - No hidden fees
  • Next day delivery

Elleste Duet

Buy Elleste Duet after completing our online consultation for menopause symptoms

1mg
3 months 84 tablets (£21.99)

Prices include next-day delivery and prescription

3 months £21.99 84 tablets
6 months £39.99 168 tablets

Select your treatment after the consultation:

Start consultation
Start your consultation in the next 5h and 26min to receive your order Friday, 24 Apr
Free next-day delivery
Lowest Price Promise: If you find it cheaper elsewhere, we refund the difference.
Price is all-inclusive
An overview

Benefits of product

Middle-aged woman taking a pill and holding a glass of water.

Combined hormonal support for symptoms of menopause

  • Effective relief from hot flushes, night sweats, and insomnia
  • Combination HRT for women with a womb
  • Bioidentical hormones for natural menopause support
  • Simple once-daily tablet
  • 1 mg + 1 mg/1 mg & 2 mg + 2 mg/2 mg film-coated tablets
The facts

Elleste products compared

There are 3 different versions of Elleste: Elleste Solo, Elleste Duet, and Elleste Duet Conti. The one that’s right for you depends on your individual circumstances. Here is a helpful table explaining the main differences:

Elleste Solo Elleste Duet Elleste Duet Conti
Type of HRT Oestrogen-only Combined oestrogen + progestogen (sequential/cyclical) Combined oestrogen + progestogen (continuous)
Active ingredient(s) Estradiol hemihydrate Estradiol hemihydrate & norethisterone acetate Estradiol hemihydrate & norethisterone acetate
Suitable for Postmenopausal or perimenopausal women without a womb (hysterectomy). Postmenopausal or perimenopausal women with a womb, including recent bleeding. Postmenopausal women with a womb who need continuous HRT.
Monthly bleed? No Yes No
Practical info

How to use Elleste Duet

A close-up of a calendar page featuring a red flag marking a specific day.

Start right

If you’re still having regular periods, start on the first day of bleeding, if not, you can start right away.

A close-up of a woman in a white gown putting a tablet into her hand.

Take the right tablet

Each pack will have two coloured tablets. Take one per day, starting with the first one and following the arrows.

A close-up of a woman's hands holding a pill pack.

Follow your doctor’s advice

Elleste Duet should be taken only as long as necessary. Your doctor will tell you how long to take it for.

Quick overview

Key facts

Type of medicine Hormone replacement therapy (HRT)
Used for Menopausal symptoms
Active ingredient Estradiol hemihydrate & norethisterone acetate
Works by Replacing depleted oestrogen levels while protecting the uterine lining
Effective within A few weeks, with peak effects felt after approximately 3 months
Available as Tablets
Available dosage(s) 1 mg & 2 mg
Usage instructions Take 1 tablet at the same time every day, following the order of the strip
Packaging Blister packs containing 28 tablets each (84 total)
Manufacturer Exeltis
Generic available? No
Storage 1 mg: store below 30°C
2 mg: store below 25°C
Store tablets in the original packaging
Independently collected reviews Service reviews
Excellent 4.7 26,973 patients have reviewed our service on Trustpilot
Verified

Stuart D , 22 Apr

product as described, good price and promptly dispatched.

Verified

Mr Parker , 22 Apr

My original card was compromised. My new card number was accepted without problems. I then received my medication promptly.

Verified

David K , 21 Apr

next day delivery always arrives on time

Verified

Jennifer A , 21 Apr

Always fast and reliable service

Verified

Richard F , 20 Apr

Good selection of products to choose from after the consultation period, the questions do seem thorough to reach a conclusion. Th product I chose was delivered fast and with fantastic communication, I wouldn’t hesitate to recommend these people. Thank you to all .

Verified

Febiola L , 20 Apr

Easy to order and smooth delivery throughout.

Verified

Sally C , 20 Apr

Easy to order Quick delivery

Verified

Mrs fredericks , 20 Apr

Order arrived late. Ice pack had completely melted.

Verified

Mark , 20 Apr

I had a lot of trouble with reordering from the website. At the final stage the site was endlessly buffering. I accessed my account again from a different web browser and the same thing happened. The online chat wasn’t much help, advising me to delete my history and try again - no joy. Then I was asked to call the helpline. When I did this I was informed there was no one available and asked to leave a message, which I did. No one called back. It was only on the second occasion that I got through to a person who confirmed my order. In the days following I was bombarded by electronic emails telling me I had an incomplete order (which I didn’t) and asking if a needed help (!)

Your questions answered

More information about Elleste Duet

About Elleste Duet

What is Elleste Duet?

Elleste Duet is an HRT medication that combines oestrogen and progestogen to help ease menopause symptoms while protecting your uterine lining. It is suitable for women who still have their womb, including those who are perimenopausal or still having periods, as progestogen makes you less likely to experience excessive thickening of the endometrium than oestrogen-only HRTs.

Elleste Duet follows a sequential regimen, meaning oestrogen is taken every day and progestogen is added for part of the month. Taken in the order set in the pack, this helps manage menopause symptoms like hot flushes, sleep problems, mood swings, and more, while mimicking a natural menstrual cycle.

It is available from HealthExpress in the form of 1 mg and 2 mg tablets.

How does Elleste Duet work?

Elleste Duet is an HRT that supplements oestrogen lost during menopause and includes progestogen to protect the lining of your uterus. Its effects come from these two active ingredients:

  • Estradiol: binds to oestrogen receptors to increase hormone levels in the body, alleviating menopausal symptoms like night sweats, hot flushes, and sleep problems.
  • Norethisterone: a progestogen that protects the womb lining (endometrium) from excessive thickening. This protects you from discomfort and reduces your risk of endometrial cancer.

This dual-action support helps you take back control of your hormones during menopause, helping you regain balance and confidence.

Is Elleste Duet a good HRT?

Elleste Duet is generally well-tolerated and highly effective, helping women ease symptoms and regain balance. It’s generally considered a reliable, effective option for managing hot flushes, night sweats, mood changes, and other menopause symptoms, especially for women who still have a womb and need a treatment containing both oestrogen and progesterone.

Using Elleste Duet

How do I take Elleste Duet?

Take 1 tablet every day with a glass of water. You can take Elleste Duet at any time of day, just make sure you take every tablet at around the same time to ensure a steady supply of hormones.

Each strip of tablets will have two different colour tablets. Start with the first one in the pack, and follow the arrows to ensure you take your next ones in the correct order. Continue taking tablets every day until the strip is finished, and then start your next one without a break.

Your doctor will let you know how long you should take this treatment for. You should be prescribed the lowest effective dose to minimise the risk of side effects.

When should I start taking Elleste Duet?

When you start taking Elleste Duet depends on whether or not you still have menstrual periods:

  • If you still have regular periods, take your first tablet on the first day of bleeding.
  • If you are not having regular periods, you can start straight away.

If you are switching from another oral HRT, start taking Elleste Duet once you finish the one you are currently taking. If you are switching from another type of HRT (e.g. patches), speak to your doctor about how to switch safely and effectively, as advice depends on what you’re switching from.

How long does Elleste Duet take to work?

Elleste Duet works instantly to supply your body with hormones, but it can take a few weeks for you to notice an improvement in your symptoms. Peak effects are usually felt about 3 months after you take your first tablet, and continuously support you until you stop taking it.

Does Elleste Duet cause weight gain?

Some women notice changes in weight while taking Elleste Duet, but it isn’t clear whether this is a result of Elleste Duet directly, or of menopause itself.

Lower oestrogen levels as a result of menopause have been linked to weight gain due to factors like reduced activity levels, overeating, and changes to metabolism. If weight gain has been experienced as a result of hormone changes, then Elleste Duet may indirectly support you in this way. Weight gained may also be water weight as a result of fluid retention, and should only be temporary.

Safety and precautions

Who can take Elleste Duet?

Elleste Duet can be safely taken by postmenopausal women who still have a womb, provided treatment is deemed safe in our short online consultation.

Do not take Elleste Duet if you have:

  • an allergy to estradiol, norethisterone, or any other ingredient found in this medicine
  • ever had breast cancer
  • cancer that is sensitive to oestrogens, such as endometrial cancer
  • unexplained vaginal bleeding
  • excessive thickening of the womb lining (endometrial hyperplasia) that is not being treated
  • ever had a blood clot, or a condition that affects clotting
  • or recently had a disease caused by blood clots in the arteries
  • ever had liver disease and your liver function tests have not returned to normal
  • porphyria, a rare inherited blood disease

During your consultation, tell your doctor about any health conditions and medications you use to make sure your treatment is safe for you.

What are the most common side effects of Elleste Duet?

Elleste Duet can cause side effects, but not everyone will get them. Tell your doctor if you experience any side effects as a result of taking this medicine.

The most common Elleste Duet side effects include:

  • headache
  • breast pain
  • breast tenderness
  • painful periods
  • changes to your menstrual cycle
  • mood changes

This is not an exhaustive list. For a full list of Elleste Duet’s side effects, consult the patient information leaflet .

How safe is Elleste Duet?

Elleste Duet is safe provided you are prescribed treatment from a licensed healthcare provider like HealthExpress. Elleste Duet was approved for use in the UK in 1997, meaning it has a long track record of clinical use and monitoring.

If you no longer have a womb, you may be prescribed an oestrogen-only HRT like Elleste Solo since you are not at risk of endometrial problems.

Medically reviewed by Dr. Caroline Fontana Written by our editorial team Last reviewed 23-04-2026
How it works

3 simple steps to get you started

Complete consultation

Complete our consultation

Fill in a short medical form so our doctors can check if the treatment is right and safe for you.

select treatment

Select treatment

Choose from the treatment options our doctor recommends. If approved, we’ll send your prescription to our pharmacy.

Free next day delivery

Free next-day delivery

We’ll dispatch your treatment in discreet packaging with free next-day delivery.

Start consultation