BHRT: A Modern Approach to Hormone Optimization
Bioidentical Hormone Replacement Therapy (BHRT) is a personalized treatment option designed to restore hormonal balance in both women and men. Unlike synthetic hormones, bioidentical hormones are chemically identical to the hormones naturally produced by the human body. Because of this structural similarity, many patients find them to be well-tolerated and effective in relieving symptoms of hormone imbalance.
Hormones act as the body’s chemical messengers—regulating mood, metabolism, sleep, libido, cognitive function, and more. When levels decline or fluctuate due to aging, stress, thyroid dysfunction, perimenopause, menopause, or andropause, the effects can significantly impact quality of life. BHRT aims to restore those levels to a more optimal range, helping patients feel like themselves again.
Who Typically Needs BHRT?
Hormonal imbalance can affect both women and men, especially beginning in their 30s and 40s, and they become more noticeable with age.
Common Symptoms in Women
Women experiencing perimenopause or menopause often report:
Hot flashes and night sweats
Mood swings, anxiety, or irritability
Brain fog and difficulty concentrating
Low libido
Vaginal dryness or discomfort
Weight gain (especially around the abdomen)
Sleep disturbances
Fatigue
Hair thinning or dry skin
Common Symptoms in Men
Men experiencing testosterone decline (sometimes referred to as andropause) may notice:
Low energy or chronic fatigue
Decreased muscle mass
Increased body fat
Low libido
Erectile dysfunction
Brain fog
Irritability or mild depression
Poor sleep
Reduced motivation
If these symptoms persist and cannot be explained by lifestyle factors alone, hormone testing may reveal underlying imbalances that BHRT can address.
Different BHRT Modalities Available
BHRT is not one-size-fits-all. Treatment is customized based on lab testing, symptoms, and health history. Common delivery methods include:
1. Pellet Therapy (Evexipel)
Tiny, customized pellets containing bioidentical hormones (often estrogen or testosterone) are inserted just beneath the skin. These pellets slowly release hormones over several months, providing steady, consistent levels without daily dosing.
Best for: Patients who want convenience and stable hormone delivery.
2. Topical Creams and Gels
Hormones are applied daily to the skin, where they are absorbed into the bloodstream. Dosing can be adjusted more easily compared to pellets.
Best for: Patients who prefer non-invasive options with flexible dosing.
3. Oral Capsules or Tablets
Bioidentical hormones can be taken by mouth. While convenient, they may not be appropriate for everyone due to liver metabolism considerations.
Best for: Patients seeking a familiar and simple administration method.
4. Injections
Testosterone and certain other hormones may be administered via injection at regular intervals.
Best for: Patients who need precise dosing and rapid symptom improvement.
Your healthcare provider determines the safest and most effective modality based on your individual needs.
Benefits Patients Often Notice
When hormone levels are restored to optimal ranges, many patients report significant improvements in their overall well-being.
Increased Energy
One of the first changes many people notice is a substantial boost in energy and stamina.
Improved Mood & Mental Clarity
Balanced hormones can reduce anxiety, stabilize mood swings, and sharpen cognitive function.
Better Sleep
Restoring progesterone, estrogen, or testosterone levels often improves sleep quality and reduces nighttime awakenings.
Enhanced Libido
Hormonal optimization frequently improves sexual desire and function in both men and women.
Improved Body Composition
Patients often find it easier to build lean muscle, reduce body fat, and maintain a healthy weight.
Stronger Hair, Skin & Nails
Hormonal balance supports collagen production and overall tissue health.
Bone & Heart Health Support
Optimized hormone levels play a role in maintaining bone density and cardiovascular health as we age.
Is BHRT Safe?
This is the question I get asked most—and it’s a valid one. The short answer YES! They are also the preferred method of HRT based on the science.
Data shows that bioidentical hormones are associated with lower risks, including the risk of breast cancer and cardiovascular disease, and are more efficacious than their synthetic and animal-derived counterparts. Until evidence is found to the contrary, bioidentical hormones remain the preferred method of HRT.
BHRT is the preferred most effective and safest when prescribed and monitored by a qualified healthcare provider. Treatment should always begin with a conversation, identification of symptoms (using standardized AMS or MRS questionnaires), and comprehensive lab testing. BHRT should also include ongoing follow-up to ensure appropriate dosing and symptom resolution.
Not everyone is a candidate for BHRT, and a full medical evaluation is essential before beginning therapy.
The Bottom Line
If you’re feeling “off” and can’t quite explain why—low energy, mood changes, stubborn weight gain, poor sleep—it may not just be aging. Hormone imbalance is common and treatable.
Bioidentical Hormone Replacement Therapy offers a personalized, science-based approach to restoring vitality, improving quality of life, and helping patients feel balanced again.
If you suspect hormone imbalance may be affecting you, consider scheduling a consultation and explore whether BHRT is right for you!