Bioidentical HRT

The use of the terminology ‘Bioidentical Hormone’ therapy has aroused much controversy and heated debate over the past 20 years, often with much criticism and unreferenced claims from the various parties.

Bioidentical hormone therapy (BHRT) cannot be classified as natural therapy. It is hormones that have exactly the same chemical and molecular structure as hormones that are produced in the human body and are all synthesised through enzymatic processes in a laboratory. Bioidentical oestrogen is the opposite of the term xenoestrogens. The general perception that the use of bioidentical hormones is safer than conventional HRT is backed by a growing body of evidence. BHRT, however, is not without potential risk, therefore assessment prior to prescribing BHRT should be conducted in the same way as for conventional HRT.

Benefits of BHRT include relief of symptoms caused by menopause and andropause. It forms an integral part of anti-ageing and can prevent chronic medical conditions such as stroke, cardiovascular disease and osteoporosis.

Bioidentical hormones can be prescribed through the Doctor’s formularly or supplied by compounding pharmacists. It is available in the form of creams, lozenges or micronised capsules.

Progesterone can be manufactured in a laboratory from diosgenin. The highest amount of diosgenin is present in the Mexican wild yam. Creams containing Mexican wild yam will have no beneficial effect on menopause unless the diosgenin has been converted into progesterone in the laboratory.

Oestrogen bioidentical hormones are often combined with testosterone and other hormones to optimise health. Hormones should only be used after careful consultation with your Doctor.

It is recommended that BHRT should be tailored to women’s needs according to their symptoms, not to blood or salivary hormone levels. Checking your levels initially might help in establishing and also monitoring your clinical situation.

For further advice and to arrange an appointment please call the Medical Clinic on 01243 771455.