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Bioidentical Hormone Replacement Therapy (BHRT)

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What is Bioidentical Hormone Replacement Therapy (BHRT)?

Bioidentical Hormone Replacement Therapy

Bioidentical Hormone Replacement Therapy (BHRT) is a treatment approach that uses hormones structurally identical to the ones naturally produced in the body. These hormones are designed to restore balance and relieve symptoms caused by hormone deficiencies or imbalances. Unlike synthetic alternatives, bioidentical hormones closely mimic the body’s natural chemistry, offering a more tailored and potentially better-tolerated therapy option. We are an EVEXIPEL CERTIFIED PROVIDER.

Whether it’s female bioidentical hormone replacement therapy (Estradiol, Progesterone, and Testosterone) for menopausal symptom relief or bioidentical hormone replacement therapy for men (Testosterone) addressing low testosterone and andropause, BHRT can be customized to meet individual needs. Patients seeking the best hormone replacement therapy (HRT) benefit from individualized treatment plans, guided by medical evaluation and ongoing monitoring.

Symptoms of Hormone Deficiency

In Women:

  • Hot flashes and night sweats
  • Mood swings, irritability, and anxiety
  • Fatigue, insomnia, brain fog
  • Vaginal dryness and painful intercourse
  • Decreased libido and sexual satisfaction
  • Thinning hair, brittle nails
  • Bone loss, increased fracture risk

In Men:

  • Low energy and increased fatigue
  • Reduced libido and erectile difficulties
  • Mood disturbances such as depression and anxiety
  • Loss of muscle mass and strength
  • Poor concentration and cognitive decline
  • Decreased bone density

Indications for Hormone Replacement Therapy

  • Symptomatic relief of menopausal or andropausal symptoms (e.g., hot flashes, night sweats, sexual dysfunction)
  • Prevention and treatment of osteoporosis and fractures related to hormone deficiency
  • Management of genitourinary symptoms such as vaginal atrophy or urinary urgency
  • Treatment of confirmed androgen deficiency in men with symptoms
  • Support for overall well-being and reduction of chronic disease risks related to hormone imbalance when initiated appropriately and individualized
Bioidentical-Hormone-Replacement-Therapy

Benefits of Bioidentical Hormone Replacement Therapy

  • Structural Mimicry: BHRT uses hormones molecularly identical to endogenous hormones, enabling better receptor binding and physiological effects with reduced side effects.
  • Symptom Improvement: Effectively reduces vasomotor symptoms, improves mood, cognition, sleep quality, and sexual function.
  • Bone Density Preservation: Helps maintain or improve bone health, reducing osteoporosis risk.
  • Metabolic and Cardiovascular Health: When started appropriately, may have favorable effects on glucose metabolism and cardiovascular risk factors.
  • Customization: Compounded BHRT allows individualized dosing tailored to patient-specific symptoms and hormone levels (though FDA-approved formulations that are bioidentical provide high-quality consistent dosing and safety profiles).

Hormone Replacement Options

Route Advantages Considerations
Pellets – Provide steady, long-acting hormone release over 3–6 months – Requires minor procedure for insertion and removal
– Avoid first-pass liver metabolism, enhancing bioavailability – Less flexibility in quick dose adjustments
– Improved patient adherence with infrequent dosing
Injections – Rapid onset and effective hormone delivery – Hormone levels fluctuate between doses
– Dose easily controlled and adjusted – More frequent administration (e.g., biweekly)
Topical – Creams, Gels, Patches – Easy to administer and dose adjustment – Absorption variability depending on skin condition
– Bypass first-pass hepatic metabolism – Some patients may prefer or dislike daily application routines

Individualized treatment selection includes patient preference, symptom control, lifestyle, and side effect profiles for optimal results.

FAQs about Bioidentical Hormone Replacement Therapy

FAQs about Bioidentical Hormone Replacement Therapy

FDA-approved bioidentical hormones have been proven safe and effective with rigorous quality control. Compounded bioidentical hormones lack such oversight, which may lead to variable potency and safety concerns. Shared decision-making with your provider is important.

Treatment duration is individualized. Many benefit from therapy for several years, but lowest effective dose for the shortest duration needed to relieve symptoms is commonly recommended. Some patients with persistent symptoms may continue long-term under medical supervision.

Hormone levels are monitored clinically and by laboratory testing depending on the hormone replaced. Adjustments follow symptom relief and safety parameters. Routine hormone tests like saliva or blood must be interpreted carefully in context.

We specializeSome hormone therapies carry potential risks, especially for breast and endometrial cancers. Risk varies by hormone type, dose, duration, and individual factors. Your provider will evaluate your risk profile carefully before starting therapy and monitor you regularly. in providing top-notch pool service and maintenance

Pellets provide steady blood hormone levels and convenience with less frequent dosing. However, they require minor surgical insertion and removal, and dose changes are less flexible. Pills and gels offer easy dosing adjustments but may lead to daily fluctuations and variable absorption.

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