Bioidentical Hormone Replacement Therapy: Is It Safe?
Hormone imbalances can significantly impact one's quality of life, affecting everything from mood to physical health. Bioidentical hormone replacement therapy (BHRT) offers a promising alternative to conventional treatments, claiming better safety and efficacy.
But is it really safe?
In this article, we'll get into what BHRT is, examine its benefits and risks, and how it compares to conventional hormone replacement therapy (HRT).
What Are Bioidentical Hormones Made From?
Bioidentical hormones are compounds that are chemically identical to the hormones produced by the human body. They differ from synthetic hormones as bioidentical ones are extracted from plant sources such as soy and yams, which are engineered to match the molecular structure of human hormones. These similarities in the structure push the body to recognize and metabolize these hormones more effectively, which in return leads to fewer side effects.
Bioidentical Hormone Replacement Therapy (BHRT)
Hormone replacement therapy (HRT) has long been used to manage symptoms of hormonal imbalances, such as those experienced during menopause or due to conditions like hypothyroidism. BHRT provides an alternative to conventional hormone replacement therapy by using these bioidentical hormones.
BHRT offers a more natural approach, as the hormones used are identical to those the body naturally produces, potentially reducing the risk of adverse reactions associated with synthetic hormones..
Bioidentical Hormone Replacement Therapy (BHRT) vs Conventional Hormone Replacement Therapy (HRT)
BHRT and HRT both aim to alleviate symptoms of hormonal imbalance, but they differ in the hormones used and their sources.
How Can BHRT Help Me?
Healthcare providers recommend BHRT for a variety of reasons. It is commonly used to treat symptoms of menopause, such as hot flashes, mood swings, and sleep disturbances. Add to that, BHRT is also used for andropause (male menopause), thyroid disorders, and adrenal fatigue.
The use of BHRT has been growing steadily, with an increasing number of patients and healthcare providers seeking more natural treatment options. The individualized nature of BHRT allows for personalized treatment plans that can address specific hormonal needs more precisely than conventional methods.
Bioidentical Hormones and Menopause
Dr. John Stracks, Co-founder and Medical Director of Cormendi, raised the significant impact that menopause can have on women's daily lives. Up until 2002, hormone replacement therapy (HRT) was the standard care for managing menopause symptoms. However, the Women’s Health Initiative (WHI) study published that year indicated increased risks of invasive breast cancer, blood clots, and heart attacks for women on HRT, leading to a widespread discontinuation of it.
Subsequent analyses of WHI data revealed that the initial risks were overstated, though. The cardiovascular risks were primarily in women who started HRT more than ten years after their last menstrual period or those using synthetic progesterone. Moreover, the breast cancer risk was much lower than initially reported.
That said, Dr. Stracks emphasizes the benefits of bioidentical hormone replacement therapy (BHRT), which uses hormones identical to those produced naturally by the body, offering a safer alternative to synthetic hormones.
BHRT effectively addresses menopause symptoms such as hot flashes, memory loss, and joint aches, improving women's quality of life. For those within ten years of their last menstrual period, BHRT is now considered both safe and effective, providing a viable option for managing menopause symptoms with a lower overall risk.
What Are the Signs that You Need BHRT?
Not everyone is a candidate for BHRT. Signs that you might need BHRT include:
persistent fatigue
weight gain
mood swings
hot flashes
decreased libido
However, certain groups should avoid BHRT, such as those with a history of:
hormone-sensitive cancers
untreated thyroid disorders
clotting disorders
The Process for Starting BHRT
Working with an experienced provider like Dr. Stracks is essential to determine if BHRT is right for you. The process begins with a comprehensive evaluation, which includes reviewing your medical history, discussing your symptoms, and, if necessary, conducting hormone-level tests. After the initial evaluation, your provider will prescribe a customized hormone regimen and determine the appropriate dosage.
BHRT Timeline
The timeline for noticing effects can vary significantly. Some patients see improvements within a week, while for others it can take much longer. Starting BHRT is a process of prescribing medication, noting the effects of the medication, and adjusting the medication to find the right dose for each individual. Dr. Stracks recommends working with a provider who is committed to working with you over time to try to find the right dose that maximizes the positive effects of the hormones while minimizing any side effects that might be present.
Bioidentical Hormones Pros and Cons
Pros of Bioidentical Hormone Replacement Therapy (BHRT)
Bioidentical Hormone Replacement Therapy (BHRT) offers numerous benefits, providing relief from various menopause symptoms. The use of BHRT can lead to:
Better sleep patterns
Eased vasomotor symptoms, such as night sweats and hot flashes
Decreased brain fog
Enhanced comfort and pleasure during sex
Reduced vaginal dryness and itching
Lowered risk of osteoporosis and bone fractures
A unique advantage of BHRT is the ability to create custom formulations, making it a viable option for women who cannot tolerate conventional HRT or its non-hormonal ingredients.
Cons and Potential Risks of BHRT
While BHRT can be beneficial, it is important to be aware of potential risks and side effects. Remember, the goal is to produce a maximum benefit with minimal side effects, so if side effects occur, it’s generally a sign that medications and/or dosages need to be changed:
Common Side Effects:
Skin problems, including acne (if using testosterone)
Headaches
Spotting
Menstrual cramps
Bloating
Sore breasts
Mood changes
More facial hair (if using testosterone)
These side effects occasionally happen early on in the process of using BHRT and go away as the body adjusts to new hormone levels and/or doses are adjusted.
What are the risks of bioidentical hormones?
The FDA does not approve (or disapprove) BHRT from compounding pharmacies, meaning side effects and risks are not always reported.
There is a risk of endometrial cancer when taking estrogen without progesterone in any patient who has not had a hysterectomy.
Increased risk of blood clots, stroke, and breast cancer associated with HRT also applies to BHRT if not prescribed and monitored appropriately.
Safety Profile: Bioidentical vs. Synthetic Hormones
The safety profile of bioidentical hormones is often considered better than the safety profile of synthetic hormones because they are chemically identical to the hormones produced by the human body.
However, it's important to start BHRT (or HRT) within ten years of menopause, use the lowest effective dose, and regularly monitor health with pelvic exams and mammograms to minimize risks.
Overall, while BHRT offers a promising alternative with customizable options, patients should discuss all potential risks and benefits with their healthcare provider to make an informed decision.
What Happens When You Start BHRT?
Within the first month of starting BHRT, you may begin to notice several positive changes in your body. Common improvements include:
Enhanced Mood
Many individuals feel happier and more emotionally balanced after beginning BHRT. This is likely due to the therapy's ability to replace hormones like estrogen and progesterone, which play crucial roles in mood regulation.
Boosted Libido
Hormone imbalances can negatively affect sexual desire. BHRT helps balance hormones such as testosterone and estrogen, which are vital for sexual function, leading to an increased sex drive and better sexual performance.
Better Sleep
Hormone imbalances can disrupt sleep quality and duration. BHRT may help you sleep more soundly and wake up feeling refreshed. This improvement can significantly enhance your overall quality of life and boost your daily productivity.
Reduction in Hot Flashes and Night Sweats
BHRT can be highly effective for those experiencing hot flashes and night sweats due to menopause or andropause. These symptoms often improve within a few weeks of starting treatment, greatly increasing your comfort and confidence.
Increased Vitality
Hormone imbalances often lead to fatigue and low energy levels. After starting BHRT, you might find yourself feeling more energetic and less tired throughout the day, which can be particularly beneficial if you've been struggling with fatigue.
However, keep in mind that everyone’s body responds differently. You might not see all these changes within the first month. It can take many months for your hormones to fully balance and for symptoms to improve.
When to Consult a Healthcare Provider During BHRT
Monitoring is a key component of successful BHRT—symptoms such as persistent headaches, severe mood swings, or unusual physical changes should prompt a consultation with your healthcare provider. Don't take regular follow-up appointments for granted as they ensure that the therapy is working as intended and allow for any necessary adjustments. If you have any concerns, it’s essential to talk to your healthcare provider so you know what to do.
Misconceptions and FAQs
Misconceptions About Compounded vs. Standardized Formulations
Misunderstandings about BHRT often arise from confusion between compounded and standardized formulations. Compounded BHRT is tailored to individual needs, but it lacks FDA approval, leading to misconceptions about its safety.
Differences Between HRT and BHRT
HRT is a broad term for hormone therapy used during menopause or perimenopause. BHRT refers to hormones that are chemically identical to those naturally produced in the body, often preferred for their natural alignment with the body's own hormones.
Safety of Bioidentical Hormones
BHRT is generally safe when used correctly. The hormones used are identical to those in your body, reducing the risk of adverse reactions compared to synthetic hormones.
Effectiveness of BHRT
BHRT effectively manages menopause symptoms like hot flashes, night sweats, fatigue, achiness, brain fog, slow metabolism, and low libido. Individual responses vary, but many patients report significant relief.
Bioidentical Hormones Cost
Bioidentical Hormone Replacement Therapy (BHRT) is an affordable option for addressing hormone imbalance symptoms due to aging or disease. The exact price will depend on your specific treatment plan and insurance coverage.
Typically, BHRT involves the use of pills, gels, creams, and patches. The cost of these hormones can vary between $45 and $150 per month.
Conclusion
Bioidentical hormone replacement therapy (BHRT) offers a promising solution for those struggling with hormonal imbalances, particularly during menopause.
Consult with a knowledgeable healthcare professional like Dr. Stracks to ensure that BHRT is customized to your specific needs and monitored appropriately. For more personalized advice, visit Cormendi Health.
Learn More About BHRT
Interested in exploring BHRT further? Consulting a healthcare provider can provide personalized insights and recommendations. Visit Cormendi Health to learn more and take the first step towards balanced hormone health!