Bioidentical hormone replacement therapy (BHRT) continues to demonstrate marked efficacy in the treatment of hormone imbalance in men and women. It offers several advantages to traditional, synthetic hormones. That being said, not everyone is a good candidate for BHRT, and, like any medical treatment, there are special considerations. Let’s discuss the pros and cons of bioidentical hormones to help you decide if this treatment is right for you.
What is Bioidentical Hormone Replacement Therapy?
First, let’s define what BHRT is. Bioidentical hormones are compounds that have the same chemical structure as the hormones naturally produced by the body. They are plant-based, with the most common sources being yams, soy, and certain species of cacti.
Replacement therapy with bio-identical hormones involves using them to supplement or replace the hormones that have declined due to aging, medical conditions, chronic stress, or other factors. The most commonly replaced hormones in BHRT are estrogen, progesterone, and testosterone.
Signs of a Hormone Imbalance
Treatment with bio-identical hormones can help alleviate symtpoms associated with a hormone imbalance. Some of the more common signs you may have a hormone imbalance include:
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Weight gain
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Fatigue
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Insomnia
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Mood swings
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Hot flashes
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Night sweats
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Acne
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Low sex drive
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Pain with intercourse/vaginal dryness
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Headaches
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Poor concentration
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Bloating, spotting, and/or cramping
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Breast tenderness
Pros of Bioidentical Hormones vs Synthetic Hormones
Bioidentical hormones offer several potential benefits versus their synthetic counterparts:
Fewer Side Effects
Because bioidentical hormones mimic the body’s own molecular structures, it is thought they can be better tolerated and result in fewer side effects. As a familiar structure, they may also have increased bioavailability, meaning the body absorbs more of them. For this reason, BHRT may be more effective at lower levels.
Entirely Plant-Based
While some synthetic hormones are also plant-derived, many of them also come from animal sources. Leading brands of synthetic estrogen, for example, are sourced from mare urine. These are known as Conjugated Equine Estrogens (CEEs), and they come with a laundry list of unpleasant side effects.
Customizable
Bioidentical hormones can be compounded into customized formulas that suit individual needs. The formula can be adjusted as necessary to increase efficacy and/or reduce side effects.
Cons of BHRT
Bioidentical hormone therapy carries no more risk than synthetic therapy and, as we have discussed, may actually be more effective and cause fewer side effects. As with any medical therapy, however, it is not without special considerations. Your provider will discuss any potential concerns with you.
Who is a Good Candidate for BHRT?
There are many, many individuals who can benefit from BHRT, including:
Menopausal or Perimenopausal Women
BHRT can help alleviate symptoms such as hot flashes, night sweats, mood swings, and vaginal dryness that are commonly associated with menopause or perimenopause.
Men with Low Testosterone Levels
In patients assigned “male” at birth, BHRT can address symptoms like fatigue, reduced libido, erectile dysfunction, and mood changes that may result from low testosterone levels.
PCOS Patients
Polycystic ovarian syndrome (PCOS) is associated with abnormally high levels of testosterone in individuals assigned “female” at birth. Symptoms can be counteracted with bioidentical hormone therapy to counteract the higher androgen levels.
Thyroid Disorder Patients
The thyroid is responsible for stimulating the production of androgen hormones, including progesterone and testosterone. Those with thyroid disorders may benefit from bioidentical hormone replacement therapy.
Those with Non-Menopausal Hormonal Imbalances
BHRT may be suitable for individuals experiencing hormonal imbalances not related to specific medical conditions but causing symptoms like fatigue, weight gain, or mood disturbances.
How IS BHRT Administered?
Bioidentical hormone replacement therapy (BHRT) can be administered through various methods, tailored to individual needs and preferences. Here are some common administration routes:
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Topical Creams or Gels: One of the most common methods involves applying bioidentical hormones in the form of creams or gels to the skin. These formulations are absorbed through the skin and into the bloodstream, allowing for controlled delivery of hormones. Application sites typically include areas with thin skin, such as the inner arms, thighs, abdomen, or vagina The dose and frequency of application are customized based on individual hormone levels and symptoms. This is the preferred method of many functional medicine providers since it can be so individually tailored and adjusted.
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Transdermal Patches: Transdermal patches are another option for delivering bioidentical hormones through the skin. These patches adhere to the skin and release hormones gradually over time, providing a consistent dosage. Patches are typically applied to clean, dry skin and replaced according to a prescribed schedule.
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Sublingual Tablets or Troches: Some bioidentical hormones are available in the form of sublingual tablets or troches, which are dissolved under the tongue. This allows for rapid absorption of hormones directly into the bloodstream, bypassing the digestive system. Sublingual administration can provide quick relief for symptoms and may be preferred by individuals who have difficulty swallowing pills.
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Pellet Implants: Pellet implants involve the surgical placement of small pellets containing bioidentical hormones under the skin, typically in the hip or buttock area. These pellets slowly release hormones into the bloodstream over several months, eliminating the need for daily administration. Pellet therapy is often recommended for individuals seeking long-term hormone replacement with minimal maintenance.
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Oral Capsules or Tablets: Bioidentical hormones are also available in oral capsule or tablet form, which are taken by mouth. While convenient, oral administration may result in variable hormone levels due to metabolism in the liver. Additionally, some individuals may experience gastrointestinal side effects such as nausea or indigestion with oral hormone therapy.
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Injections: Injections of bioidentical hormones may be administered intramuscularly or subcutaneously, depending on the specific hormone and formulation. Injection therapy allows for precise dosing and may be recommended for individuals who prefer injectable medications or have difficulty with other administration methods.
BHRT in Kelowna
Bioidentical hormone replacement therapy offers a personalized approach to addressing hormone imbalances, providing relief for symptoms that can significantly impact quality of life. If you are struggling with symptoms of a hormone imbalance in Kelowna, BC and the surrounding areas, please contact Radiance Wellness & Aesthetics. Our caring professionals will work with you to develop a holistic, sustainable treatment program that gives you long-term relief. Schedule your appointment here.
