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Bioidentical Hormones

Posted on Septmber 17th, 2025 by Optimal Health and Wellness

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Understanding Bioidentical Hormone Replacement Therapy (BHRT)

Are you experiencing low energy, irritability, reduced libido, mood swings, or even night sweats and unexplained weight gain? It’s not your imagination—your hormones may be to blame.

Hormonal decline and imbalances are part of the aging process and can even begin in early adulthood, but they don’t have to undo the life you’re used to. Hormone replacement has an array of benefits that can renew one’s zest for living.

The word “bioidentical” refers to substances that are structurally and chemically identical to what the body produces naturally. In the case of BHRT, these are derived from a plant base, typically soy or yam.

BHRT will primarily consist of specified doses of testosterone, estradiol (estrogen), and progesterone (for female patients). Since both males and females produce these three hormones naturally, it is essential that they are treated with varying doses based on their symptoms and their current hormone levels indicated in a blood test result.

How BHRT Can Elevate Quality of Life

  • Alleviate symptoms of menopause and andropause: May reduce hot flashes and night sweats, mood swings and aggression, headaches and migraines, and help with unwanted weight gain, bone loss, sleep problems, vaginal dryness, erectile dysfunction (ED), and more.
  • Enhance cardiovascular health: May help lower the risk of heart disease and stroke; ED can be an indicator of blood-flow issues and a precursor to cardiovascular problems.
  • Improve metabolic health: Can help regulate blood sugar levels and improve insulin sensitivity, reducing the risk of type 2 diabetes.
  • Increase muscle mass and strength: Testosterone supports muscle building and maintaining strength; BHRT can help restore declining production in men and women.
  • Improve bone health: Estrogen plays a crucial role in maintaining bone density; BHRT helps reduce fracture risk and prevent osteoporosis.
  • Support cognitive function: Estrogen and testosterone aid brain health; BHRT has been known to improve memory, focus, and mood.
  • Enhance sexual function: Restores hormone levels to support increased libido; can be used to treat couples and help align desire levels.
  • Reduce fatigue and boost energy: Helps regulate hormone levels affecting metabolism and energy output.
  • Improve overall wellness: By restoring hormones to proper balance, BHRT may improve mood, sleep, and quality of life.

Forms of BHRT & Monitoring

The hormone medications used in BHRT are available in topical creams, injections, pills, patches, and pellets inserted into the hip or flank area. Dosing and frequency vary by form and individual response. Periodic bloodwork is recommended to monitor levels and determine treatment frequency.

Consultation, Costs & Considerations

A visit with a Medical Practitioner trained in hormone replacement therapy is essential to discover the best options for each individual. One potential drawback is cost: BHRT is typically not covered by medical insurance as it’s considered non-essential. Provider visits, lab work, and medications are separate expenses. HSA/FSA funds and interest-free financing may help. Other personal factors—such as fertility—should be discussed with a qualified Medical Provider.

Who Should Consider BHRT?

BHRT presents many benefits and can be considered by anyone experiencing the symptoms listed above, regardless of age. Many people in their 20s and 30s have reported improved quality of life after treatment.

Care at Optimal Health and Wellness Center

At Optimal Health and Wellness Center, our caring and experienced Providers—including Biote-certified specialists—are available to address BHRT for both males and females.

Biote Certified