Verbatim response from Perplexity
If you’re asking what to request, the most evidence-based choice to ask for is traditional, FDA-approved HRT that uses bioidentical hormones when appropriate—for example estradiol and micronized progesterone—rather than compounded BHRT.[2][10] Mayo Clinic says “bioidentical” or “natural” hormones are not proven safer or more effective than standard hormone therapy, and compounded versions have no proven benefit over commercially made medicines.[10]
If you’re asking where to get it, start with a gynecologist, menopause specialist, endocrinologist, or a primary care clinician who routinely manages menopause care.[4][10] Ask specifically whether they prescribe FDA-approved menopausal hormone therapy and whether they can tailor dose/formulation to your symptoms, risks, and preferences.[2][4][10]
A practical way to frame your request is:
- “I want to discuss menopause hormone therapy.”
- “Do you recommend FDA-approved HRT with bioidentical hormones like estradiol or micronized progesterone?”
- “Do I actually need compounded BHRT, or is there an approved option that fits my situation?”[2][10]
What to avoid asking for first is a vague “bioidentical hormones” prescription from a clinic that mainly sells compounded pellets or custom blends without clear oversight, because compounded BHRT is less standardized and not proven superior.[2][10]
A good rule of thumb:
| Option | What it usually means | Best place to ask |
|---|---|---|
| FDA-approved HRT | Standard estrogen/progesterone products, including some bioidentical forms | Gynecologist, PCP, menopause clinic |
| Compounded BHRT | Custom-mixed hormones from a compounding pharmacy | Only if a clinician says you truly need a nonstandard formulation |
If you want, I can help you with a short script for your doctor visit or help you decide based on your age, symptoms, and whether you still have a uterus.