Overview
- Learn common bioidentical hormone replacement therapy (BHRT) myths and where they come from.
- Understand the correct, evidence-based information that weighs both the pros and cons of BHRT.
- Discover the benefits of BHRT and how it helps both women and men, especially with age-related symptoms like menopause.
- Learn any risk factors involved and how to get hormonal imbalance relief naturally.
Understanding BHRT Myths
For the past 20 years, since a study was put out by the Women’s Health Initiative (WHI) in 2002, individuals have been told that hormone replacement therapy is dangerous and has alarming side effects (like breast cancer or stroke). The study has since been stated as flawed, and it only reflected traditional synthetic hormone replacement therapy, not bioidentical hormone replacement therapy. We’re here to explain everything and dispel those myths so you can understand what’s true and what’s false.
Bioidentical hormone replacement therapy is a natural version of traditional hormone replacement therapy that’s used to help perimenopausal and menopausal women, and men experiencing andropause or low testosterone. Instead of using synthetic ingredients found in traditional hormone replacement therapy, bioidentical hormone therapy uses natural ingredients found in plants that exactly replicate the hormones found in the human body.
For women going through menopause, it delivers hormones, and helps the body function properly without the struggles of chronic hot flashes, vaginal dryness, fatigue, moodiness, sleep issues, irregular periods, and other hormone-related symptoms. In essence, it’s giving the body what it needs to function properly – and naturally.
Meanwhile, BHRT helps men by restoring optimal testosterone levels, improving energy, libido, and muscle mass, as well as reducing the risk of heart disease, and cognitive decline, leading to enhanced overall health and quality of life.
Common BHRT Myths
Here, we’ve rounded up the most common myths surrounding bioidentical hormone replacement therapy and the studied truths so you can make informed decisions regarding your hormonal health.
Myth 1 - BHRT Causes Cancer
It appears that only one in 10 women who are menopausal would consider taking hormone replacement therapy (even if they need it). This is likely due to the fear-based narrative that’s still alive. When it comes to BHRT specifically, there is no increased risk of breast cancer for the first five years of taking it. After five years, the risk is so low that not exercising, drinking alcohol, or being overweight far exceeds any risk associated with hormone therapy.
Myth 2 - BHRT is Only for Women
Bioidentical hormone replacement therapy is not only reserved for menopausal women – it’s highly beneficial for men who are deficient in testosterone. As women go through menopause, men go through andropause or “low T,” a steady decline in testosterone levels, which begins between ages 40-50. Restoring adequate testosterone levels helps boost libido, improve erectile dysfunction, improve muscle and bone health, and boost energy levels.
Myth 3 - Natural Remedies are Safer than BHRT
There are some natural supplements out there that claim to solve all your hormone issues. Firstly, many of these “natural” supplements are not regulated or researched, and they may not provide the customized hormonal support your body needs. Out of the two (synthetic hormone therapy and BHRT), BHRT provides a more natural option with less side effects. It’s important to talk to your healthcare provider about the best options for your body.
Myth 4 - BHRT Leads to Weight Gain
Many people believe that taking BHRT will inevitably lead to weight gain, but this couldn’t be further from the truth. This study reveals that there was no difference in weight between a group who was on HRT vs. those who were not and that weight gain has more to do with aging. During this time of life, metabolism slows down, and it’s easier to collect weight, especially around the gut.
Myth 5 - BHRT Causes Blood Clots
Many people worry that hormone therapy causes blood clots. While the tablet form of BHRT can increase your risk of developing blood clots, especially if you are obese or are a smoker, taking other forms of BHRT as a patch or gel significantly reduces that risk.
Benefits and Risks of BHRT
Benefits
The benefits of BHRT are many: those who use bioidentical hormone replacement therapy as a treatment for their symptoms see relief from hot flashes, low testosterone and the symptoms that accompany it, sleep disturbances, mood swings, anxiety, fatigue, and osteoporosis, among many others. Women report feeling more like “themselves” with less worry, fatigue, and frustrating symptoms. In addition, BHRT can improve cardiovascular health as well as cognitive function, avoiding early mortality.
Risks
Because BHRT is newer to the scene than traditional HRT, many people worry about its safety and efficacy. Rest assured that when monitored in clinical settings, BHRT is safe. Risk factors of taking BHRT reside in taking tablets, which could slightly increase your chance of blood clots or stroke. This risk is far less than those who are obese or who drink more than two alcoholic drinks per night, however. There may be other health risks involved depending on your health history, so make sure you talk to your qualified healthcare provider to assess the benefits and risks.
What are the pros and cons of BHRT?
Pros
Bioidentical hormone replacement therapy carries many benefits, including providing relief from perimenopause and menopause symptoms, helping restore natural energy levels and optimal testosterone levels. Unlike synthetic HRT, BHRT can be compounded to match an individual’s specific hormone levels, offering a customized and more accurate approach to hormone therapy. Study reports that out of a large group, 52% demonstrated a significant improvement in their quality of life after receiving BHRT treatment. Importantly, some studies suggest that BHRT may not only stop but also reverse osteoporosis, offering hope for a healthier future.
Cons
There may be some minor side effects involved, including blood clots and stroke for those at-risk or who are taking tablets, gallbladder or heart disease, or breast cancer – but again, these risks are minimal and typically only involve specific methods (like tablets) or individual health histories. Lastly, BHRT is newer than traditional synthetic HRT, so there isn’t as much research.
How long after starting BHRT do you feel a difference?
Generally, people start to feel symptom relief from BHRT within a few weeks and up to 2-3 months after they begin treatment. Several factors come into play, including the severity of symptoms to start with (the more mild, the quicker it takes to notice relief), the degree of your hormone imbalance levels, the delivery method (pills, creams, patches, or injections) can have varying absorption rates, as well as individual responses – every individual responds to the treatment differently. Talking to your healthcare provider about which method works best for you and your symptoms is essential.
Integrative and Holistic Approaches to BHRT
We know that BHRT is effective for hormonal imbalances, but it’s even more effective when combined with lifestyle changes and holistic therapies. Managing stress is one of the most important things to do when dealing with changes in your body. Try yoga, meditation, or tai chi to help cultivate stress-reducing practices you can rely on regularly. Various herbal supplements such as Black Cohosh, Awhwagandha, or Dong Quai are some of the many remedies that can help. However, speaking to your doctor first is essential, as some herbal supplements may interact with other medications or have unique purposes. Prioritizing sleep and practicing sleep hygiene is crucial for hormonal imbalances, especially when experiencing sleep disruption.
Working with an integrative or functional medicine provider can help personalize your treatment plan with the use of advanced hormone testing. Providers can help with symptom management, reduce your reliance on medications, provide nutrition coaching and offer pharmacy-grade nutraceuticals to support you on your hormone journey.
How We Can Help with BHRT
Are you ready to balance your hormones safely and naturally through holistic, integrative 1:1 support? We offer custom BHRT products: pills, creams, troches, and pellets with integrative medicine support for both men and women. For those who are considering BHRT or are currently on BHRT, our functional medicine staff is highly trained in delivering customized treatment for you so you can feel vibrant, energetic, and symptom-free once again.
Frequently Asked Questions (FAQ)
Can you stay on BHRT for life?
The decision on how long to stay on BHRT is a personal one. Many people stay on it for a few years to manage symptoms, while others remain on them much longer. There is no health risk associated with long-term use, but it’s best to consult with a healthcare provider and to check in regularly on your process. As long as the benefits outweigh the risks, you can remain on BHRT for life.
Is BHRT safe?
Generally, bioidentical hormones are safe for most people and often come with less risk than traditional HRT. Unlike synthetic hormones, bioidentical hormones fit perfectly into the hormonal receptors in your body. Found in plants, these bioidentical hormones generate the same physiologic responses as your body’s natural hormones. The molecular structure in bioidentical hormones is identical to hormones found naturally in the body. It’s important to talk to a healthcare provider about your medical history to assess any risks.
Is BHRT covered by insurance?
Some insurance companies may cover BHRT, especially if it’s through your primary care doctor. However, some may not, especially if it’s prescribed in an alternative medical facility. Some insurance companies may just cover labs and not the medication itself. Talk to your doctor and insurance company to learn more and see what’s covered for you.
Why am I gaining weight on BHRT?
BHRT is not associated with weight gain. However, those in the aging part of life may notice weight gain due to a slowed down metabolism, which can contribute to excess weight in the belly area. If you’re concerned, talk to a healthcare provider about ways to avoid this issue.
Conclusion
Now you know the benefits far outweigh the risks regarding BHRT. Most BHRT myths are not accurate and are not rooted in evidence-based research. It’s vital to dispel those myths and make informed decisions by discussing your hormonal therapy options with a qualified healthcare provider.
If you’re ready to explore what’s possible for your hormonal health, talk to one of our functional medical staff. They will take the time to understand your unique needs and see if BHRT, tailored specifically for you, is the right choice.
