Bioidentical Hormone Replacement Therapy (“BHRT”) refers to the treatment of symptoms and disorders associated with menopause using hormones that are molecularly identical to hormones the body naturally makes. The therapy is tailored to the individual using saliva test and other means of identifying specific hormone imbalances and having a compounding pharmacies tailor a specific replacement therapy. In recent years, BHRT has gained popularity through the media because it is identified with being “natural” and specific to the individuals and thus safer as opposed to using non-bioidentical hormones. However, the American College of Obstetricians and Gynecologist, the Endocrine Society, the North American Menopause Society, the United States Food and Drug Administration, and the Mayo Clinic have taken the position that there is no difference in the benefits or risks of using bioidentical instead of non-bioidentical hormones for replacement therapy. The concern lays in the use of biodentical hormones from compounding pharmacies because there are currently no regulations or FDA guidance regarding their safety, purity and potency.
At avecinia, we do not follow trends. Instead, our healthcare providers (e.g., Dr. Hayat, Ali Kunkel) work with each patient, beyond applying a saliva test, to determine which type of hormone replacement therapy is best suited for them. Click “read more” to learn more about Hormone Replacement Therapy at avecinia wellness center.
How does Hormone Replace Therapy work?
Hormones can be administered in a variety of ways, including skin and vaginal creams, pills, topical gels, vaginal rings and tablets, and transdermal patches. Though all preparations are molecularly identical before their use, estrogens administered orally are modified by the liver before entering the blood, while those entering through the skin are not. Creams and gels applied to the skin also enter the blood directly and without modification, but it is not clear how much is actually absorbed. Pharmaceutical compounding is frequently used to modify the dose, form, and additives of the preparations, based on the instructions from a health care practitioner.
Bioidentical Hormone Replacement Therapy at avecinia wellness center
One of the core principals of patient care at avecinia wellness center is the individual care and attention that we believe every patient deserves and requires for their optimal wellness. Our approach to hormone replacement therapy reflects this principal. Instead of following the latest fad or media hyped approach, we determine your hormone replacement needs using lab results, your health history, along with traditional Hormone Replacement tests. Once the best approach for you is identified, we work with a trusted local compounding pharmacy if it is determined that is what may work best for you. If it is not the best approach for you, we work with your pharmacy of choice to prescribe the hormone replacement therapy that works for you. We regularly monitor your therapy to determine if it is working.
Results from Biodentical Hormone Replacement Therapy
Results vary. Hormone Replacement Therapy is known to reduce the symptoms of Menopause and potentially increase bone density. Other reported results have not been supported by research.