Bioidentical Hormone Replacement Therapy (BHRT) for Women: What It Is and How It Works

What Are Bioidentical Hormones?

Bioidentical hormones are compounds that are chemically identical to the hormones your body produces — estradiol, progesterone, and testosterone. Because they match your own hormones molecule for molecule, they bind to the same receptors and act the same way.

This is different from some older synthetic formulations. Bioidentical estradiol and micronized progesterone are FDA-approved and widely used.

How BHRT Works

BHRT replaces the hormones that decline during perimenopause and menopause, bringing levels back toward a healthy range. Estradiol addresses hot flashes, night sweats, vaginal dryness, and bone loss; progesterone supports sleep and protects the uterine lining; a small amount of testosterone can restore libido, energy, and mental clarity.

Treatment is dosed to your labs and symptoms and adjusted over time — it is not one-size-fits-all.

Delivery Methods

Bioidentical hormones can be delivered as creams, patches, oral capsules, or pellets. The right route depends on your symptoms, preferences, and medical history.

A physician will review your bloodwork and health history to choose the safest, most effective option for you.

Is BHRT Right for You?

If you have menopausal symptoms that affect daily life — and no contraindications — BHRT is worth discussing with a provider. The only way to know is an evaluation with labs.

Frequently Asked Questions

Are bioidentical hormones safer than synthetic ones?

Bioidentical estradiol and micronized progesterone are well studied and FDA-approved. A physician weighs your personal risk factors when recommending any hormone therapy.

Do I need bloodwork for BHRT?

Yes. Dosing is guided by lab values and symptoms, then adjusted over time for the best result.

Can I get BHRT online?

Yes — telehealth evaluation, local labs, and prescriptions shipped to your door.

Talk to a licensed provider. MultiGen Wellness offers physician-led women’s hormone therapy by telehealth in all 50 states — new patients start for $247 (regularly $497).