Hormonal imbalances can have a big impact on an individual’s quality of life, leading to symptoms like fatigue, mood swings, and low libido.

Two popular approaches for managing hormonal imbalances are Bioidentical Hormone Replacement Therapy (BHRT) and Hormone Replacement Therapy (HRT) – but which one is better for you?

In this article, we’ll explore BHRT vs HRT in detail, checking out their benefits, differences, and specific advantages for men and women.

Let’s jump in!

What is BHRT?

Bioidentical Hormone Replacement Therapy (BHRT) involves using hormones that are chemically identical to those produced by the human body.

These hormones are taken from plant sources and are designed to match the molecular structure of endogenous hormones.

BHRT aims to restore hormonal balance by taking care of deficiencies and imbalances that can occur with aging or other health conditions.

Benefits of BHRT

BHRT offers several benefits, particularly for those seeking a more natural approach to hormone therapy:

  • Personalized Treatment: BHRT is customized to each patient’s hormonal profile, ensuring that they receive the exact hormones they need in the correct dosages.
  • Fewer Side Effects: Because BHRT uses hormones identical to those naturally produced by the body, patients often experience fewer side effects compared to synthetic hormones.
  • Improved Symptom Relief: BHRT can effectively alleviate symptoms such as hot flashes, night sweats, mood swings, and fatigue.
  • Enhanced Well-being: Many patients report improved energy levels, better sleep, and an overall sense of well-being.

What is HRT?

Hormone Replacement Therapy (HRT) involves the use of synthetic hormones to supplement or replace the body’s natural hormones that it doesn’t produce enough of.

HRT is commonly prescribed for menopausal women to alleviate symptoms like hot flashes, night sweats, and vaginal dryness.

It can also be used to prevent bone loss and address hormonal deficiencies in men.

Benefits of HRT

HRT has been widely used for decades and offers several benefits:

  • Proven Efficacy: HRT has a long history of use and is well-documented in scientific literature for its effectiveness in treating menopausal symptoms.
  • Symptom Relief: HRT is effective in reducing menopausal symptoms, making it a popular choice for many women.
  • Bone Health: HRT can help maintain bone density and reduce the risk of osteoporosis.
  • Heart Health: Some studies suggest that HRT may have cardiovascular benefits, particularly when started early in menopause.

Difference Between HRT and BHRT

While both HRT and BHRT are used to address hormonal imbalances, there are some key differences between the two:

  • Source of Hormones: BHRT uses hormones derived from plant sources that are chemically identical to human hormones. HRT typically uses synthetic hormones.
  • Customization: BHRT is highly personalized, with dosages tailored to an individual’s specific hormonal needs. HRT often uses standard dosages and formulations.
  • Side Effects: BHRT is associated with fewer side effects due to its bioidentical nature, while HRT may carry a higher risk of side effects and complications.

BHRT Benefits for Women

BHRT for women is perfect for those experiencing hormonal imbalances, especially during menopause:

  • Menopausal Symptom Relief: BHRT can effectively reduce symptoms such as hot flashes, night sweats, and vaginal dryness.
  • Mood Stabilization: Hormonal imbalances can lead to mood swings and depression. BHRT can help stabilize mood and improve emotional well-being.
  • Improved Libido: Many women experience a decline in libido during menopause. BHRT can help restore sexual desire and function.
  • Bone Health: BHRT supports bone density, reducing the risk of osteoporosis and fractures.

BHRT Benefits for Men

Men can also experience hormonal imbalances, particularly as they age.

BHRT for men offers several benefits:

  • Increased Energy Levels: BHRT can help combat fatigue and improve overall energy levels.
  • Enhanced Muscle Mass: Hormonal imbalances can lead to a loss of muscle mass. BHRT can help maintain and even increase muscle mass.
  • Improved Mood: BHRT can help alleviate symptoms of depression and anxiety, improving overall mental health.
  • Better Sexual Health: BHRT can address issues like erectile dysfunction and low libido, improving sexual health and performance.

BHRT vs HRT: Final Thoughts

Understanding the differences between BHRT vs HRT, and the unique benefits each offers, can help you make an informed decision about your hormone therapy options.

Whether you are considering BHRT for its natural, customizable approach or HRT for its proven efficacy, our team, led by Dr. Kayla Milano, is here to guide you through every step of your health journey.

By focusing on the whole person, rather than just a single ailment, we aim to empower our patients to take control of their health and achieve long-term wellness.

For more information on how BHRT and HRT can benefit you, send us a message or give us a call!


Are bioidentical hormones better than HRT?

Bioidentical hormones are designed to be chemically identical to the hormones naturally produced by your body, which can lead to better compatibility and fewer side effects for some individuals. Traditional Hormone Replacement Therapy (HRT) uses synthetic hormones that may not be as closely matched to your body’s natural hormones. Both BHRT vs HRT have their benefits and risks, and the best choice depends on your individual health needs and medical history.

What is the safest hormone replacement therapy?

The safest hormone replacement therapy is one that is personalized to your individual health needs and monitored regularly by a healthcare provider. Both bioidentical and synthetic hormone therapies have their advantages and potential risks. It’s important to work with a knowledgeable physician to find the most appropriate and safe treatment for you.

Who is not a candidate for bioidentical hormones?

Individuals with a history of certain cancers, blood clots, stroke, or liver disease may not be suitable candidates for bioidentical hormones. It’s important to undergo a comprehensive health assessment to determine if this therapy is appropriate for you.

At what age should a woman stop taking bioidentical hormones?

There is no one-size-fits-all answer. The decision to stop taking bioidentical hormones should be based on individual health status, symptom control, and risks. Many women can safely continue therapy into their 60s and 70s, but this should be regularly reviewed with your healthcare provider.

Can a 70-year-old woman take bioidentical hormones?

Yes, a 70-year-old woman can take bioidentical hormones if her healthcare provider determines that the benefits outweigh the risks for her particular situation. Regular monitoring is essential to ensure safety and effectiveness.

Do you age slower with HRT?

HRT can help alleviate some symptoms of aging, such as bone density loss and skin elasticity. However, it is not a fountain of youth. A holistic approach to health, including diet, exercise, and stress management, is key for healthy aging.