BIOIDENTICAL HORMONE REPLACEMENT THERAPY (BHRT)

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

Traditional vs. bioidentical

Bioidentical hormones are different from those used in traditional hormone replacement therapy (HRT) in that they’re identical chemically to those our bodies produce naturally and are made from plant estrogens. The hormones used in traditional HRT are made from the urine of pregnant horses and other synthetic hormones.

Supporters of bioidentical hormones claim their products are safer because they are “natural” and identical in makeup to the hormones the body produces naturally. But most experts believe the risks of BHRT and HRT are similar. Compounded bioidentical hormones may carry even more risks. There’s no credible evidence that BHRT is more effective than HRT.

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.