BHRT vs. Traditional HRT

Hormone therapy is a common treatment for hormonal imbalance, particularly for those experiencing menopause, andropause, or other conditions related to declining hormone levels. While traditional hormone replacement therapy (HRT) has been the standard treatment for some time, bioidentical hormone replacement therapy (BHRT) has gained popularity recently as a more personalized and “natural” alternative.

If you're considering treatment, you may be wondering how these two approaches differ.

Below, we provide an unbiased comparison of BHRT and traditional HRT to help you understand their effectiveness, safety, and potential side effects. This will give you a clearer view of their key differences, allowing you to choose the best option for your body and well-being.

How Hormone Therapy Works

As you age, hormone levels naturally decline, leading to a range of symptoms that can affect daily life. This includes symptoms like hot flashes, low libido, mood swings, fatigue, brain fog, weight gain, and osteoporosis.

Hormone therapy is a medical treatment designed to supplement declining hormone levels, particularly estrogen, progesterone, and testosterone. It is commonly used to alleviate symptoms of menopause as well as hormonal deficiencies.

There are two primary approaches to hormone therapy, each with distinct characteristics:

Traditional HRT: Traditional HRT uses synthetic or animal-derived hormones available to supplement declining hormone levels in the body. It balances estrogen and progesterone levels in women and testosterone in men.
Bioidentical HRT (BHRT): BHRT is derived from plant sources and chemically modified to be identical to the hormones naturally produced by the body. Unlike traditional HRT, BHRT is suitable for people looking for a personalized approach.

Both traditional HRT and BHRT can be effective treatment options. However, the best choice for you depends on factors like symptom severity, personal health history, and treatment goals.

Key Differences between BHRT & Traditional HRT

While both aim to restore declining hormone levels, understanding the differences between BHRT and traditional HRT can help you make an informed decision about your treatment approach.

1. Composition

The biggest difference between BHRT and traditional HRT is how the hormones are sourced and structured.

BHRT is made from plant-based sources like yams or soy and is chemically processed to be molecularly identical to the hormones naturally produced by the human body. This structural similarity allows for better compatibility, potentially leading to fewer side effects.

Traditional HRT, on the other hand, often uses synthetic hormones or hormones derived from animal sources, such as conjugated equine estrogens (CEE), which are extracted from pregnant mares. While effective, these hormones may not be an exact match to human hormones, which could increase the likelihood of side effects.

2. Customization & Delivery

Hormonal imbalances vary in severity from person to person, making personalized treatment an important factor in achieving optimal results. BHRT is designed to allow for customized hormone dosage. Compounded BHRT is a custom-mix of hormones prepared by a pharmacist to meet your specific hormonal needs.

This personalized approach allows for greater flexibility in balancing hormone levels more precisely. In contrast, traditional HRT typically relies on standardized dosing.

3. Regulation

Traditional HRT is FDA-approved and has been extensively studied in large-scale clinical trials, ensuring that its safety and effectiveness have been rigorously tested.

BHRT, on the other hand, is available in both FDA-approved options and compounded formulations. At Inception Telehealth & Wellness, we use a pharmacy that is regulated under Section 503A of the FDA to provide BHRT formulations.

4. Effectiveness

Both BHRT and traditional HRT have shown to treat hormonal imbalance symptoms effectively. Both therapies work by supplementing declining hormone levels, with their success largely depending on individual response, proper dosing, and continuous monitoring.

Some common improvements seen with both therapies include:

Reduced hot flashes and night sweats
Improved mood, mental clarity, and cognitive function
Better bone density and a reduced risk of osteoporosis
Enhanced libido and sexual function

While both treatments are effective, there are some differences to note. Since BHRT is often compounded, it can be tailored to your specific hormonal needs, which may offer more precise relief for certain symptoms. In contrast, traditional HRT relies on standardized dosing.

5. Safety & Side Effects

Regardless of the type of hormone replacement therapy, proper medical supervision is crucial to minimize potential risks and ensure the treatment remains effective.

Both BHRT and traditional HRT can cause:

Bloating and fluid retention
Mood swings or anxiety
Breast tenderness
Headaches

These side effects are common during the initial stages of therapy and typically subside as your body adapts to the new hormone levels. Regular follow-up appointments, lab tests to measure hormone levels, and symptom tracking are crucial for adjusting your dosage to meet your specific needs and minimize avoidable side effects.

While BHRT is designed to closely mimic your body's natural hormones, research on its long-term safety compared to traditional HRT is still evolving. Many patients report bioidentical hormones to be more natural and well-tolerated, but individual responses can vary.

Because BHRT is highly personalized, experienced and expert care is needed to monitor your progress for optimal results. At Inception Telehealth & Wellness, our team specializes in BHRT, offering expert guidance and personalized care to help you achieve balanced hormones and improved well-being.

When to Consider BHRT Over Traditional HRT

While both BHRT and traditional HRT are effective for addressing hormonal imbalances, there are certain situations where BHRT may be a better fit for you.

BHRT may be the right choice if you :

Experience adverse reactions to synthetic hormones.
Prefer a treatment that can be customized to your specific hormone levels.
Prefer plant-derived hormone sources that closely mimic naturally produced hormones in the body.

Is BHRT the right choice for you?

Deciding between BHRT and traditional HRT depends on your health needs and personal preferences. At Inception Telehealth & Wellness, we offer personalized BHRT therapy for your unique health profile, helping you achieve balance and relief from symptoms of hormonal imbalance.

Contact Inception Telehealth & Wellness at +1 866-603-2760 or request a consultation online to learn how we can help you manage symptoms of hormonal imbalance.