Bio-Identical Hormone Replacement Therapy (BHRT)

  Bio-Identical Hormone Replacement Therapy: A Comprehensive Guide

Bio-Identical Hormone Replacement Therapy (BHRT)

Hormones play a crucial role in our overall health and well-being. They are responsible for regulating various bodily functions such as metabolism, energy levels, mood, and reproductive health. As we age, our hormone levels naturally decline, which can lead to a host of symptoms and health issues. Bio-identical Hormone Replacement Therapy (BHRT) is a treatment that aims to restore hormonal balance and get rid of these symptoms. In this guide, we’ll take a closer look at BHRT, including what it is, how it works, and its potential benefits and risks.

What is Bio-Identical Hormone Replacement Therapy?

Bio-Identical Hormone Replacement Therapy (BHRT) is a treatment that uses hormones that are the same in structure to the hormones naturally produced by the body.  Pharmacies compound these hormones, derived from plant sources such as soy or yam, to create a custom hormone replacement therapy regimen for each patient. Doctors often use BHRT to treat the symptoms of menopause, such as hot flashes, night sweats, and vaginal dryness, and to treat other hormone-related conditions such as thyroid issues, adrenal fatigue, and low testosterone in men.

How does BHRT work?

The goal of BHRT is to restore hormonal balance in the body. The compounding pharmacist tests a patient’s hormone levels when they undergo BHRT to determine which hormones are deficient. Then, the pharmacist creates a custom hormone replacement therapy regimen based on the results of these tests to address the patient’s specific needs. This can involve replacing estrogen, progesterone, testosterone, or other hormones as needed. BHRT is given in a variety of ways, including creams, gels, troches, vaginal suppositories, and capsules. The specific method of administration will depend on the patient’s individual needs and preferences.

What are the Potential Benefits of Seeing A Compounding Pharmacist?

BHRT has been touted as a natural and effective treatment for the symptoms of menopause and other hormone-related conditions. Some of the potential benefits of BHRT include:

  • Relief of hot flashes
  • Night sweats
  • Vaginal dryness
  • Increased energy levels
  • Improved mood and emotional well-being
  • Improved libido and sexual function
  • Improved memory
  • Reduced risk of osteoporosis and bone fractures
  • Reduced risk of cardiovascular disease

However, it’s important to note that the scientific evidence making these claims is limited. While some studies have shown that BHRT can be effective in getting rid of menopausal symptoms, more research is needed to determine its long-term safety and effectiveness.

What are the potential risks?

Like any medical treatment, BHRT carries some potential risks and side effects. Some of the potential risks of BHRT include:

Risk of breast cancer: BHRT has been associated with an increased risk of breast cancer in some studies. However, other studies have found no increased risk. It’s important to discuss your individual risk factors with your healthcare provider before undergoing BHRT.

Risk of blood clots: Hormone replacement therapy has been associated with an increased risk of blood clots, which can lead to serious health complications such as stroke or pulmonary embolism.

Other side effects: BHRT can also cause other side effects such as acne, mood changes, and weight gain. It’s important to discuss the potential risks and benefits of BHRT with your healthcare provider before starting treatment.

Who is a good candidate for BHRT?

BHRT may be a good treatment option for individuals who are experiencing symptoms related to hormonal imbalance. This includes individuals who are experiencing menopausal symptoms such as:

  • hot flashes
  • night sweats
  • vaginal dryness.

It can also be helpful for those with thyroid disorders, adrenal fatigue, and low testosterone in men. However, BHRT is not appropriate for everyone, and it’s important to discuss your individual situation with your healthcare provider to determine if it’s the right treatment for you.

Additionally, BHRT may not be appropriate for individuals with a history of certain medical conditions, such as breast cancer, blood clots, or liver disease. Your healthcare provider will review your medical history and perform a physical exam to determine if BHRT is a safe and appropriate treatment option for you.

What should I expect during BHRT treatment?

The first step in BHRT treatment is to undergo a full review of symptoms and hormone levels to determine which hormones are deficient and create a custom hormone replacement therapy regimen. This may involve blood tests, saliva tests, or urine tests to measure hormone levels.  All of these tests are available over the counter!

It’s important to note that BHRT is not a one size fits all treatment. Thus, the dosage and method of administration may need to be adjusted based on the patient’s response to treatment. Regular follow-up visits with your healthcare provider are essential to monitor hormone levels and adjust the treatment regimen as needed.

In conclusion, BHRT is a treatment that uses hormones identical in structure to those naturally produced by the body to restore hormonal balance and alleviate symptoms related to hormonal imbalance. While BHRT is a natural and effective treatment for menopausal symptoms and other hormone-related conditions, more research is needed to determine its long-term safety and effectiveness. It’s important to discuss the potential risks and benefits of BHRT with your healthcare provider before undergoing treatment to determine if it’s the right treatment for you.

References:
  1. Mayo Clinic. (2019). Hormone therapy: Is it right for you? Retrieved from https://www.mayoclinic.org/diseases-conditions/menopause/in-depth/hormone-therapy/art-20046372
  2. Harvard Health Publishing. (2019). Bioidentical hormones: Are they safer? Retrieved from https://www.health.harvard.edu/womens-health/bioidentical-hormones-help-or-hype
  3. National Center for Complementary and Integrative Health. (2020). Menopausal Symptoms: In Depth. Retrieved from https://www.nccih.nih.gov/health/menopausal-symptoms-in-depth
  4. U.S. Food and Drug Administration. (2019). FDA-approved hormone therapy medicines. Retrieved from https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fda-approved-hormone-therapy-medicines
  5. American College of Obstetricians and Gynecologists. (2020). Hormone Therapy. Retrieved from https://www.acog.org/womens-health/faqs/hormone-therapy
  6. Cleveland Clinic. (2021). Hormone Replacement Therapy. Retrieved from https://my.clevelandclinic.org/health/treatments/16217-hormone-replacement-therapy

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