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To "Bioidentical"or not Bioidentical?

Bioidentical hormones are not all FDA approved. In fact, the compounded Bioidentical hormones probably never will be FDA approved because of what makes them appealing to people. It seems like very personalized care, but there is no way to research people’s responses to these compounded hormones because everyone is on different doses/regimens/etc. It is nice that these options are available for people who cannot tolerate the other types of hormone replacement therapies, but this would not be my first choice. These compounded options are not safer or “more natural” and the North American Menopause Society cautions against using them. If something sounds too good to be true, it probably is.


That said, I think there would be almost no market for the compounded bioidentical hormones if women were able to readily and easily access hormone replacement therapy for perimenopause. Clearly, we have a long way to go when it comes to addressing women’s health and I certainly appreciate women advocating for themselves to get the care and support they need! One of the routes of accessing hormone replacement therapy my patients have had luck with is Gennev (https://www.gennev.com/).


Would you believe that you actually don't need your hormones checked? The internet would have you think it's a standard of care to "get your hormones checked," but in fact perimenopause is a clinical diagnosis and you manage it symptomatically (regardless of hormone levels). One of the reasons why you don't need your hormones checked is because they are likely normal (if you are experiencing perimenopause). The levels that is are probably within normal ranges, but how they are changing relative to each other are dysregulated and that's what's causing symptoms.



Various contraceptives on a blue background: an applicator, two rods, an IUD, and a ring, arranged in a row.
A selection of contraceptive devices displayed against a blue background, featuring an injection, contraceptive implants, an IUD, and a vaginal ring.




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