Why Bioidentical Hormone Replacement Therapy (BHRT) ?

And what the heck is a Bioidentical?


Bioidentical hormones are derived from yams and soy. The chemical structures of these hormones are identical to those produced by the human body, thus the term “Bioidentical”. Bioidentical estrogens are 17 beta-estradiol, estrone, and estriol. (Estradiol is the form of estrogen that decreases at menopause.) Bioidentical progesterone is simply progesterone. Bioidentical testosterone, DHEA, and pregnenolone is also available for both men and women.


Are bioidentical hormones right for me?

Bioidentical hormones can potentially help to improve symptoms such as hot flashes, low energy levels, night sweats, low libido, poor sleep, vaginal dryness, and multiple other symptoms. Hormonal balance is dynamic, shifting from day to day, week to week, and through the years. Providing your body with the support it needs promotes balance and a better daily well-being. When considering any type of hormone therapy risk assessment should be performed if your age is over 60, if a woman is more than 10 years past menopause, and if there is any family history of reproductive cancers such as breast, endometrial, ovarian, or prostate.


When are compounded bioidentical hormones needed?

Custom bioidentical hormone compounding allows a patient to administer hormone combinations that aren’t available in everyday manufactured compounds. It is available in numerous dosing options to tailor doses to the needs of each patient. BHRT also allows the patient access to other dosage forms such as sublingual tablets and suppositories. The delivery method is important; when estrogen is taken as an oral swallowed pill, it’s first processed through the liver. This stimulates proteins associated with heart disease and stroke, such as C-reactive protein, activated protein C, and clotting factors. When delivered by topical or sublingual administration, estrogen isn’t first processed by the liver and — at the same level of blood concentration — doesn’t have these effects. Compounding bioidentical hormone therapy also allows elimination of inclusion of inactive ingredients patient may be sensitive to such as glutens/wheat/corn or other allergic components. For example, manufactured. Estrace vaginal cream contains bioidentical estradiol, but some women are sensitive to the inactive ingredients of the cream base such as propylene glycol. One manufactured biodentical progesterone medication, Prometrium is made with peanut oil. Many patients are allergic to peanut oil and need progesterone to be compounded without it. Also, some hormones are not available for women in forms other than compounds, such as testosterone. 


Are compounded bioidentical hormones regulated?

Bioidentical hormones, like all compounded medications, are made from FDA- and USP-registered materials. Also, their preparation is well regulated by state boards of pharmacy. There are also national standards and guidelines for compounded medications. The ingredients and their suppliers are regulated at the federal level by the FDA, with additional oversight provided by the U.S.Pharmacopeia.

Comments 1

  1. I currently take a Progesterone Pill but I’m pretty certain it’s not Bioidentical. I would like to know if you have something like this, and what my options would be! Thank you

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