In the United States, you buy estrogen pills over the counter (OTC). All forms of systemic estrogen therapy, including pills, patches, and gels, are regulated by the FDA and require a valid medical prescription.
While genuine estrogen pills are prescription-only, there are several OTC products marketed for similar symptoms, though they differ significantly in composition and regulation. OTC Hormone Alternatives & Supplements can you buy estrogen pills over the counter
These products are often available at retailers like Walmart or Amazon . In the United States, you buy estrogen pills