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BHRT for Women and Bioidentical Hormone Care Options
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I finally feel like I have a team that actually listens. My provider and pharmacist worked together to find the right approach for me, and for the first time in years I feel like myself again.
Diane M.
Age 52
Frequently Asked Questions About BHRT for Women
What does hormone replacement therapy for women cost?
Costs vary depending on the type of medication, dosage form and frequency of use. Because compounded medications are customized, pricing is determined on a per-prescription basis. Speak with a pharmacist to get a clearer picture of what to expect for your specific prescription.
What are the benefits of bioidentical hormone therapy for women?
When prescribed and monitored appropriately, hormone therapy may support improvements in sleep, mood, energy, cognitive clarity, sexual health and bone density. Research also suggests that hormone therapy initiated near the time of menopause may be associated with cardiovascular benefit and reduced risk of osteoporosis. Individual responses vary, and your healthcare provider can help you understand what may be relevant for your situation.
Does hormone therapy increase the risk of breast cancer?
This question is more nuanced than many people realize. The concern largely originated from the Women’s Health Initiative study, which used synthetic progestins rather than bioidentical progesterone. Subsequent research, including a large French cohort study, found that bioidentical progesterone combined with estradiol was not associated with the increased breast cancer risk observed with synthetic progestins. The type of hormone used matters significantly. Your healthcare provider will evaluate your individual history before making any clinical decisions.
Does hormone therapy increase the risk of heart disease?
Timing appears to be the critical factor. Evidence supporting the timing hypothesis, including findings from the KEEPS trial and the Danish Osteoporosis Prevention Study, suggests that women who begin hormone therapy within ten years of menopause or before age 60 may experience cardiovascular benefit rather than increased risk. The Women’s Health Initiative enrolled women with an average age of 63, many years past menopause, which contributed to a different risk profile. Speak with a provider who understands the current research before drawing conclusions.
Is bioidentical hormone therapy different from conventional HRT?
Yes. Bioidentical hormones are structurally identical to the hormones the body produces naturally, including estradiol, progesterone and testosterone. Conventional hormone therapy has historically used synthetic derivatives such as medroxyprogesterone acetate, which bind to receptors differently and may carry a different safety profile. Compounded bioidentical hormones can also be customized in strength and delivery form in ways that commercially manufactured products cannot.
I am still having periods. Can I still have a hormone imbalance?
Yes. Perimenopause, the transitional phase leading up to menopause, can begin in the early to mid 40s and sometimes earlier. During this phase, hormone levels fluctuate significantly even while periods continue. Symptoms such as irregular cycles, sleep disruption, mood changes, brain fog and changes in libido can all occur before menopause is reached. Blood testing combined with symptom evaluation can help your provider get a clearer picture of what is happening hormonally.
Can you stop hormone therapy once you start?
Decisions about starting, adjusting or discontinuing therapy should be made in consultation with your healthcare provider. Stopping therapy may lead to a return of symptoms, and the approach to discontinuation should be guided by your provider based on your individual situation and goals.
What forms of hormones are available through a compounding pharmacy?
Compounding pharmacies can prepare estradiol, progesterone and testosterone in several forms including transdermal creams, troches, sublingual tablets, vaginal preparations and implantable pellets. The form prescribed depends on your healthcare provider’s assessment of which option offers the most appropriate absorption and tolerability for your individual needs.
How do I find a provider who prescribes BHRT for women near me?
If you do not currently have a provider who specializes in hormone health, a compounding pharmacy may be able to help connect you with practitioners in your area who offer this type of care. You can also ask your primary care physician for a referral or speak directly with a pharmacist.
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Tell us a little about what you are looking for and we will take it from there. Whether you have a prescription ready, questions about a therapy your provider mentioned, or just need help figuring out your next step, our team is here and ready to help.
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