BHRT Treatment Options

Natural Hormone Replacment

While any form of BHRT is a step in the right direction when your hormones are imbalanced, certain methods may work better for you than others. There are various delivery methods for bioidentical hormones which may include hormone creams, gels, patches, sublingual tablets, injections and pellet insertion. Each person is different and their needs may change over time. This is why it is important to have an individualized program designed for each woman suffering from perimenopause or menopause and each man suffering from andropause.

Below is a list of different types of delivery methods for bioidentical hormone replacment therapy. We have listed the known pro's and con's for each type of treatment.

Pros and Cons of each Treatment Option
Bioidentical Hormone Creams & Gels (Transdermal Method)
Pro's
  • Bypasses the GI tract where stomach acid can interfere with the absorption.
Bypasses the liver initially so more hormone reaches the target tissue.

Con's
Patient can't shower or swim for several hours after applying the cream or gel.
Patient needs to apply cream/gel at same time each day to avoid hormonal fluctuations.
To be effective, creams & gels are often given twice daily. The body takes in excess medicine so that it will have enough hormones for the duration required.
Bioidentical Hormone Skin Patches (Transdermal Method)
Pro's
Bypasses liver initially so more hormones reach the target tissue.
Bypasses the GI tract where stomach acid can interfere with the absorption.
Convenience of applying hormonal patch only once weekly.
Offers a more even release of medication than with oral dose and creams.
Con's
Many people find they have an allergy to the skin patch.
Once patches fall off they can't be reapplied easily.
Bioidentical Hormone Troches (Sublingual Method)
Pro's
Bypasses the GI tract where stomach acid can interfere with the absorption.
Bypasses the liver initially so more hormone reaches the target tissue.
Con's
Some hormones have a bitter taste making patient compliance less.
Some can take awhile to dissolve in the mouth also effecting patient compliance.
Bioidentical Hormone Pellets (Subcutaneous Method)
Pro's
Bypasses the liver initially so more hormones reach the target tissue.
Bypasses the GI tract where stomach acid can interefere with the absorption.
Convenience of delivering hormones for 3 to 6 months with only one application.
Con's
Temporary soreness at implantation site.
Please visit our pellet therapy page to learn more about this procedure.
There are other ways that bioidentical hormones can be administered, but these are the most well known methods.

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