What is BHRT?

Bioidentical hormone replacement therapy (BHRT) uses hormones that are chemically identical to hormones naturally produced by the human body. Depending on your needs, treatment may include estrogen, progesterone, or testosterone. Some bioidentical hormone products are FDA-approved, while others are custom-compounded by a pharmacy.

Is BHRT safe?

Hormone therapy can be safe and effective for appropriately selected patients when it is prescribed and monitored by a qualified healthcare provider. However, all hormone treatments have potential risks, and safety depends on factors such as your age, medical history, symptoms, dosage, and method of administration. FDA-approved products are generally preferred when available because they have been evaluated for quality, safety, and effectiveness.

How long does it take to work?

Some patients begin noticing improvements within a few weeks, while others may need several months to experience the full benefits. The timeline varies depending on your symptoms, hormone levels, treatment method, and individual response. Follow-up appointments allow your provider to assess your progress and adjust treatment when appropriate.

Will BHRT help with weight loss?

BHRT is not a weight-loss treatment. Correcting a diagnosed hormone imbalance may improve symptoms that can make weight management more difficult, such as low energy, poor sleep, or changes in body composition. Healthy nutrition, regular physical activity, stress management, and adequate sleep remain essential parts of a weight-management plan.

What is the difference between BHRT and traditional hormone therapy?

The term “bioidentical” refers to hormones that have the same chemical structure as hormones produced by the body. Traditional hormone therapy may include bioidentical hormones as well as other hormone formulations. Both FDA-approved and compounded bioidentical products are available, but compounded products are not FDA-approved and may vary in potency, purity, and consistency.

Can men receive BHRT?

Yes. Men with symptoms and laboratory findings consistent with a hormone deficiency may be candidates for hormone replacement therapy, most commonly testosterone therapy. Treatment should only begin after a thorough medical evaluation because similar symptoms can have many different causes.

Is BHRT covered by insurance?

Insurance coverage varies by provider, plan, medication, and treatment method. Some FDA-approved hormone medications and related laboratory tests may be covered, while compounded medications or certain procedures may not be. Contact your insurance company for details about your specific benefits and expected out-of-pocket costs.

What happens during my first appointment?

Your first appointment typically includes a discussion of your symptoms, health goals, medical history, current medications, and previous treatments. Your provider may perform a physical examination and order laboratory testing when clinically appropriate. After reviewing the results, your provider will discuss suitable treatment options, potential benefits and risks, and a personalized follow-up plan.

Are there side effects?

Possible side effects depend on the hormones used and may include breast tenderness, bloating, headaches, acne, mood changes, fluid retention, changes in menstrual bleeding, or irritation at the application site. Hormone therapy may also carry more serious risks for certain patients. Contact your healthcare provider if you experience concerning symptoms, and seek urgent medical attention for chest pain, difficulty breathing, sudden weakness, or severe leg swelling.