Bioidentical Hormone Therapy Explained FAQ

Welcome to Health Momentum, a leading naturopathic clinic specializing in women’s hormone
al health and integrative care. With advanced training in midlife transitions, we offer personalized Bioidentical Hormone Replacement Therapy (BHRT) to help women navigate perimenopause, menopause, and beyond with confidence and clarity. Our approach combines evidence-based medicine with natural therapies to restore hormonal balance and support long-term wellness.

Q: What is bioidentical hormone replacement therapy (BHRT)?
A: BHRT uses hormones that are structurally identical to those your body naturally produces-such as
estrogen, progesterone, and sometimes testosterone. These hormones are plant-derived and designed for better compatibility and fewer side effects than synthetic versions.

Q: How is BHRT different from conventional hormone replacement therapy (HRT)?
A: Conventional HRT uses synthetic or animal-derived hormones. BHRT uses plant-derived hormones that are chemically identical to human hormones and can be custom-compounded.

Q: Who is a good candidate for BHRT?
A: Women in perimenopause, menopause, or post-menopause experiencing symptoms such as severe PMS, bloating, weight gain, breast tenderness, hot flashes, mood swings, sleep issues, or low libido.

• Those at risk for osteoporosis, cardiovascular disease, or cognitive decline.
• Women under 60 or within 10 years of menopause onset for maximum benefits.

Q: Who Should Be Cautious?
A: Women with a history of hormone-sensitive cancers (e.g., breast cancer).

• Those with a history of blood clots or certain cardiovascular conditions.
• Women who start HRT more than 10 years after menopause (higher risks).

Q: What hormones are typically used in BHRT for women?
A: Estrogen Therapy: Best in transdermal (patch/gel) form to avoid clot risks.

• Progesterone: Required for women with a uterus to protect against endometrial cancer.
• Testosterone: Sometimes used for libido and muscle retention but less common.

Q: What are the benefits of BHRT?
A: Perimenopausal and Menopausal symptom management from hot flashes, insomnia, fatigue, PMS, weight loss and overall well-being.

• Bone Health: Helps prevent osteoporosis and reduces fracture risk.
• Cardiovascular Protection: Estrogen has protective effects on heart health if started early.
• Cognitive Function: May reduce the risk of dementia and cognitive decline.
• Metabolic Health: Helps maintain a healthy weight and insulin sensitivity.
• Muscle Mass & Strength: Supports muscle retention and prevents sarcopenia.
• Mood & Well-being: Can alleviate anxiety, depression, and brain fog associated with menopause.
• Sexual Health: Improves libido, vaginal dryness, and overall sexual function.

Q: Is BHRT safe?
A: When prescribed appropriately and monitored closely, BHRT tends to have a more favorable safety profile compared to synthetic hormones. In some cases, offers protective benefits against conditions such as osteoporosis, cognitive decline, heart disease, and recurrent urinary tract infections. Regular hormone testing and individualized dosing are essential to ensure both safety and effectiveness.

Q: How is BHRT prescribed and monitored?
A: We always use comprehensive hormone testing (blood or DUTCH testing) and symptoms analysis to create a personalized plan with regular monitoring every 3-6 months.

Q: What forms of BHRT are available?
A: Topical creams/gels, oral capsules, and suppositories.

Q: Are bioidentical hormones covered by insurance?
A: Some are covered, especially commercial products like Prometrium®. Some compounded prescriptions may not be covered.

Q: How long do I need to stay on BHRT?
A: This varies; some women use BHRT short-term, others long-term. The plan is regularly reassessed.

Q: Are there any side effects?
A: Most side effects are dose-related and manageable. Rare but serious risks exist and require regular monitoring.

Q: What testing do I need before starting BHRT?
A: Hormone panels, thyroid, cortisol, liver enzymes, lipid profile, and baseline physical markers.

Q: Can I take BHRT if I’ve had breast cancer or a hysterectomy?
A: You can definitely be on HRT if you have had your uterus removed, however, if you have had breast cancer, your risks and benefits would have to be evaluated on a case by case bases.

Q: Is there a ‘natural’ alternative to BHRT?
A: Yes! There are many excellent Herbal and nutraceutical therapies, that help support your bodies natural production of hormones. Lifestyle factors (exercise, nutrition, sleep) should be optimized alongside HRT.

Q: How do I get started?
A: Book a hormone consultation. We’ll review your history, order labs, and develop a custom plan.