BHRT; four letters, real impact
Bioidentical Hormone Replacement Therapy (BHRT) is a treatment that uses hormones identical in molecular structure to those naturally produced by the body to help restore hormonal balance. Often used to alleviate symptoms of menopause, perimenopause, and andropause, BHRT can address issues like hot flashes, mood swings, fatigue, low libido, and sleep disturbances. By replacing or supplementing declining hormones such as estrogen, progesterone, and testosterone, BHRT may improve energy levels, promote better sleep, enhance mood, and support overall well-being, helping to lessen the physical and emotional effects of hormone imbalance.
BHRT: what to expect
In Office Consultation
You will meet with Kait, NP and discuss your symptoms that could be related to hormone deficiency. She will walk you through the process of assessing lab values, hormone formulations, supplements, and routine follow up.
Labs and Lab Interpretation
After you meet with Kait, she will order lab testing either via a blood draw or salivary testing. Once she has the results, you will return to the office to discuss the outcome and decide together how to optimize your hormones to improve symptoms.
Prescription for BHRT
Your prescriptions for BHRT will then go to a pharmacy. When you pick up your prescription, the pharmacist will be another supporter of your hormone journey and will discuss further the day to day use. Kait will then have you come in periodically to ensure your symptoms are improving along with reassessing lab values to ensure you are in the optimal range for the hormone level.
Contraindications for BHRT
BHRT is not appropriate for everyone, and it should only be used under the guidance of a qualified healthcare provider. Contraindications may include:
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History of hormone-sensitive cancers, such as breast, ovarian, or uterine cancer
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Unexplained vaginal bleeding
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History of stroke or significant cardiovascular disease
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Active liver disease or impaired liver function
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Known or suspected pregnancy
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Allergy or sensitivity to any component of the prescribed hormone formulation
Because hormone therapy can affect multiple body systems, individuals with high risk factors—such as uncontrolled hypertension, severe migraines with aura, or significant family history of hormone-related cancers—require careful evaluation. Always consult a healthcare provider to determine whether BHRT is safe and appropriate for your specific health needs.