Bioidentical Hormone Replacement Therapy Q&A

Menopause QuestionsBioidentical hormone replacements, known as BHRT (Bioidentical Hormone Replacement Therapy), has become a popular method to treating the hormone imbalance experienced during menopause.  However, there are a lot of questions about its effectiveness, safety, and accuracy.  Read the following Q&A to see if we can answer some of your questions and concerns regarding BHRT.  Feel free to ask any questions of your own!

Q:  Are there natural, healthier options to bio-identical hormones available?

A:  While bio-identical hormone replacement therapy is considered natural by many, there are many other ways to help manage the symptoms of menopause and aging. There are wonderful herbal remedies that can be very helpful to help handle the symptoms associated with the transition of menopause, as well as diet changes and nutritional supplements that help women and men feel their best as well as focus on preventing disease in later life.

Dr. Emily Dashiell, Doctor of Naturopathic Medicine, Arbor Vitae Wellness Center

Q:  Is testing hormone levels to subscribe replacement therapy an effective testing method?

A:  There is no scientific evidence to support claims of increased efficacy or safety for individualized estrogen or progesterone regimens prepared by compounding pharmacies. Hormone therapy does not belong to a class of drugs with an indication for individualized dosing. Salivary hormone level testing used by proponents to “tailor” this therapy isn’t meaningful because (a) salivary levels are not as accurate as blood levels and (b) they can vary within each woman depending on her diet, the time of day, the specific hormone being tested, and other variables.

Brett Badgley Snodgrass, Family Nurse Practitioner, Comprehensive Primary Care

Q:  Do compound levels of bioidentical hormones work?

A:  BHRT are safer due to the fact that the dosages can be adjusted easier than synthetic versions. Not all doctors are trained in this form of HRT. Not all over the counter hormones work long term, and women should find either a naturopathic specialist or gynecologist who fully understands prescribing and testing your own hormone levels!

Gail Sas, Health and Fitness Trainer/Advisor, Health Quest Unlimited

What questions do you have about using bioidentical hormone replacements?

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