Bioidentical hormone replacement therapy (BHRT) is a type of hormone therapy that uses hormones that are identical on a molecular level to the hormones naturally produced by the body. BHRT treats hormone imbalances related to menopause and other conditions in both men and women. 

BHRT may be used to treat symptoms of menopause, such as hot flashes, night sweats, vaginal dryness, and mood swings. It can also treat other conditions, such as hypothyroidism, adrenal fatigue, and polycystic ovarian syndrome. BHRT can be used in both men and women for hormone replacement therapy and may be used to treat symptoms of andropause (male menopause) and low libido in men.

What Are Bioidentical Hormones?  

Bioidentical hormone replacement therapy (BHRT) is a form of hormone treatment that uses hormones identical to the hormones that naturally occur in the human body. These hormones are derived from plants such as yams and soy and are formulated into different formats, such as pills, powders, creams, or patches. 

Research suggests that the human body may better metabolize, recognize, and use bioidenticals, particularly concerning conditions such as menopause. Unlike synthetic hormones, bioidenticals are exactly the same as your body’s hormones, making them a more suitable choice.

Bioidentical Hormones vs Synthetic Hormones

Bioidentical hormones have a molecular structure nearly identical to the hormones naturally produced by the body, while synthetic hormones have a slightly different structure. This difference can cause the body to metabolize and use the substance differently. Depending on your condition, treatment response, and desired outcomes, one type of hormone may be better suited to your needs than the other. It may take some experimentation to find the best balance, which may take multiple weeks.

Bioidentical Hormone Replacement Therapy

Bioidentical hormone replacement therapy is an option for supplementation and treatment of hormones. This approach is considered a safe and successful option when monitored and prescribed by a medical professional. Additionally, research suggests that the risks associated with BHRT may be lower than those of synthetic hormones. 

Taking BHRT has potential risks and side effects, such as certain cancers, strokes, heart attacks, and other cardiovascular issues. It is important to note that these risks are associated with hormone therapy, not just BHRT. As such, individuals taking BHRT should expect to have their condition, and hormone levels checked regularly.

BHRT Potential Side Effects

BHRT carries the possibility of some adverse effects. Tiredness, headaches, and enlarged breasts are the most prevalent. In addition, some people experience changes in their mood, sexual drive, perspiration, hot flashes, and temperature changes. Memory problems, mental fog, and other minor mental issues may also arise. Generally, these symptoms diminish over a short period as the body adapts to the hormonal treatment.


Bioidentical Hormone Replacement Therapy (BHRT) is an effective and safe treatment option that can address hormone imbalances. BHRT can be tailored to each individual’s needs, and the monitoring of hormone levels is necessary for maximum effectiveness and safety. Before starting treatment, it is important to understand BHRT’s risks and benefits and consult a qualified healthcare professional for advice. With the right combination of therapy and lifestyle modifications, BHRT can help to achieve a better quality of life.

At Melinda Silva, MD is a San Diego-based anti-aging and wellness medical spa in Chula Vista specializing in bioidentical hormones, weight loss, and CoolSculpting. If you’re looking for a bioidentical doctor in San Diego, look no further! Get in touch with us to schedule a consultation.