Bioidentical Hormone Replacement Therapy

What is BHRT?

BHRT can be used to treat men and women when their hormone levels drop or become unbalanced. It’s most frequently used to ease symptoms of perimenopause and menopause. It may also be used to improve symptoms of cancer treatment or to treat conditions such as:

  • insulin resistance
  • adrenal and thyroid disorders
  • osteoporosis
  • fibromyalgia

Bioidentical hormones are manmade hormones derived from plant estrogens that are chemically identical to those the human body produces. Estrogen, progesterone, and testosterone are among those most commonly replicated and used in treatment. Bioidentical hormones come in various forms, including:

  • pills
  • patches
  • creams
  • gels
  • injections

Components of BHRT

Some bioidentical hormones are made by drug companies. Others, known as compounded bioidentical hormones, are custom made by a pharmacy, according to a doctor’s orders. This process is known as compounding. Compounding typically involves ingredients being combined or altered to meet the needs of an individual.

The U.S. Food and Drug Administration (FDA) has approved some forms of manufactured bioidentical hormones, including bioidentical estriol (a weak form of estrogen) and progesterone. However, the FDA hasn’t approved any custom-compounded bioidentical hormones.

Most bioidentical hormones are manufactured and sold without controls for safety, quality, or purity. Many medical organizations have taken a stand against the marketing and use of unapproved bioidentical hormones.

Compounded bioidentical hormones are often touted as being safer and more effective than synthetic hormones. But the FDA and most doctors will caution that those claims haven’t been proven in reputable studies, and that these hormones may even be potentially dangerous in some cases.

How to take BHRT

BHRT comes in a variety of forms including:

  • creams
  • injections
  • implanted pellets
  • patches
  • gels

Talk to your doctor about which form may be best for you and your lifestyle. You’ll likely need to be monitored regularly once you begin BHRT to evaluate your body’s response. However, the FDA cautions against monitoring hormone levels via blood and saliva tests. These only tell you your hormone levels at a moment in time and can vary widely throughout the day.

The FDA recommends that if you do choose any form of hormone therapy that you use the lowest dose that produces results. The FDA also says you should use it for the shortest length of time possible.

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  • Overview

    Your body’s hormones control most of your basic bodily functions. They serve as an internal communication system between cells throughout the body. They coordinate everything from digestion and growth to your appetite, immune function, mood, and libido. So, when your hormones are out of balance, even slightly, it can have a big impact on your health and well-being.

    Often, when people’s hormones drop or become unbalanced, they turn to hormone replacement therapies to ease symptoms. One such therapy, bioidentical hormone replacement therapy (BHRT), has gotten a lot of attention in recent years. It promises a “natural” solution to hormone issues. But what exactly is BHRT, and how’s it different from other hormone replacement therapies?

    Read on to learn all you need to know about BHRT, its benefits and risks, and whether it may be right for you.

    Benefits of BHRT

    BHRT is typically used as people age and hormone levels drop, particularly for women who are in perimenopause or menopause. It’s used to increase the levels of the hormones that have dropped and improve moderate to severe menopause symptoms, including:

    • hot flashes
    • night sweats
    • mood changes
    • memory loss
    • weight gain
    • sleep issues
    • loss of interest in sex or pain during sex

    In addition to helping with symptoms, hormone replacement therapy may also reduce your risk for diabetes, tooth loss, and cataracts. There’s some evidence that it can help improve skin thickness, hydration, and elasticity, and even reduce wrinkles.

    For those with cancer who have undergone treatments that affect their estrogen levels, BHRT has been shown to be effective in improving their general well-being and quality of life. In one study, people with cancer who underwent BHRT found relief from treatment-related symptoms such as migraines, incontinence, low libido, and insomnia. The study also found their recurrence rate of breast cancer was no higher than average.

    Side effects and risks of BHRT

    While the FDA has approved some preparations of bioidentical estradiol and progesterone, it hasn’t approved any compounded bioidentical hormones. There are claims that bioidentical hormones are safer and more effective than traditional HRT because they’re identical in structure to those produced in the body. But these claims have not been confirmed by large-scale, reputable studies. The FDA urges caution when using compounded products.

    Research has shown that hormone replacement therapy in general may increase the risk for certain conditions and diseases including:

    • blood clots
    • stroke
    • gallbladder disease
    • heart disease
    • breast cancer

    There may also be side effects that accompany BHRT, particularly in the beginning as your body adjusts to the hormones. Common side effects of BHRT may include:

    • acne
    • bloating
    • weight gain
    • fatigue
    • mood swings
    • increased facial hair in women

    Many people cannot take BHRT or any form of hormone replacement. The risks and potential for side effects may vary among women depending on their health history. Discuss the pros and cons with your doctor before using any hormone replacement therapy.