Verbatim response from Claude
Bioidentical Hormones vs. Standard HRT
Standard HRT
These are FDA-approved hormone medications that may include:
- Synthetic hormones (like medroxyprogesterone acetate) or animal-derived hormones
- Brands like Premarin (derived from horse urine), Provera, or Prempro
- Consistent, tested dosing with established safety data
Bioidentical Hormones
These have the same molecular structure as hormones your body produces. They come in two forms:
FDA-Approved Bioidentical Options:
- Estrace (estradiol) - widely prescribed
- Prometrium (micronized progesterone) - often preferred over synthetic progestins
- Vivelle-Dot or Climara (estradiol patches)
- Bijuva - combined oral option
Compounded Bioidentical Hormones:
- Custom-made by compounding pharmacies like Belmar Pharmacy or Women's International Pharmacy
- Not FDA-approved for safety/efficacy
- Often marketed aggressively with unproven claims
Key Takeaway
FDA-approved bioidentical hormones give you the best of both worlds - molecular similarity to natural hormones plus safety testing.
Most mainstream doctors recommend Prometrium + an estradiol patch as a well-supported starting point.
Always consult a menopause specialist (look for NAMS-certified providers) for personalized guidance.