Verbatim response from Claude
BHRT vs Traditional HRT: A Quick Guide
Understanding the Difference
Traditional HRT uses synthetic hormones (like Premarin, Provera) that are standardized and FDA-approved.
BHRT (Bio-identical HRT) uses hormones chemically identical to what your body produces - available in both FDA-approved and custom-compounded forms.
My Recommendation: Start with FDA-Approved BHRT
These give you the "bio-identical" benefit with proven safety data:
- Estradiol patches: Vivelle-Dot, Climara, Minivera
- Estradiol gel: Divigel, Estrogel
- Progesterone: Prometrium (body-identical, oral)
- Testosterone: Bijuva (combined option)
Where to Go
- Menopause Society-certified physicians (find one at menopause.org)
- Midi Health (telehealth, very hormone-literate providers)
- Gennev (telehealth, menopause specialists)
- Winona (telehealth, focuses on bio-identical options)
Be Cautious About
Custom-compounded BHRT from compounding pharmacies - less regulated, inconsistent dosing, though sometimes appropriate for specific needs.
Bottom line: Ask specifically for FDA-approved bio-identical hormones and seek a menopause specialist, not just a general practitioner. The difference in expertise is significant.