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Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical Hormone Replacement Therapy (BHRT) offers a natural alternative to traditional hormone therapy, using hormones that are chemically identical to those produced by the human body. Derived from natural sources like wild yams, BHRT is tailored to fit individual needs, providing a personalized approach to managing menopausal symptoms.

What is BHRT?

Bioidentical Hormone Replacement Therapy (BHRT) is a treatment designed to help women (and sometimes men) manage the symptoms of hormonal imbalances or deficiencies, particularly those associated with menopause. BHRT uses hormones that are chemically identical to those produced naturally by the human body. Derived primarily from plant sources, these hormones are processed and compounded to match an individual’s unique hormonal needs.

Differences Between BHRT and Conventional HRT?


  • Uses hormones that are chemically identical to those naturally produced by the human body. These hormones are often derived from plant sources such as wild yams and soy.
  • Promoted as a more “natural” option because the hormones match the molecular structure of human hormones.
  • Commonly administered topically via creams, gels, or patches. Other forms include sublingual tablets, vaginal preparations, and injections. The topical method reduces the risk of liver metabolism and associated side effects.


  • Typically uses synthetic hormones or hormones derived from animal sources. These may include conjugated equine estrogens (derived from horse urine) and synthetic progestins.
  • Uses standardized synthetic or animal-derived hormones, which may not be identical to human hormones.
  • Available in oral forms, as well as transdermal patches, vaginal rings, and injections. Oral administration is common but carries a higher risk of blood clots and liver issues.

Benefits of Bioidentical Hormone Replacement Therapy (BHRT)

  1. Natural Hormone Structure: BHRT uses hormones that are identical in molecular structure to those naturally produced by the human body. This natural similarity may allow for better recognition and utilization by the body’s hormone receptors.

  2. Customized Treatment: BHRT is often compounded and tailored to fit the specific hormonal needs of each individual. This customization allows for personalized dosing and formulations that can be adjusted based on symptoms and hormone levels.

  3. Symptom Relief: BHRT can effectively alleviate many symptoms associated with hormone deficiencies or imbalances, including:

    • Hot Flashes and Night Sweats: Reduction in frequency and severity.
    • Vaginal Dryness: Improved vaginal health and comfort.
    • Mood Swings: Stabilization of mood and reduction in irritability.
    • Sleep Disturbances: Better sleep quality by alleviating night sweats and improving overall comfort.
  4. Bone Health: Estrogen in BHRT helps maintain bone density, reducing the risk of osteoporosis and fractures.

  5. Cardiovascular Health: Some studies suggest that BHRT, particularly when initiated close to menopause onset, may have cardiovascular benefits, such as maintaining healthy blood vessel function and reducing the risk of heart disease.

Remember, BHRT should always be conducted under the supervision of a qualified healthcare practitioner who can provide personalized guidance and ensure your safety throughout the treatment process.