Medically reviewed by Catherine Hansen, MD, OBGYN & Menopause specialist

As women navigate the intricate phases from perimenopause and menopause, the quest for health and vitality becomes a paramount concern. Bioidentical Hormone Therapy (BHT) or more specifically Bioidentical Menopausal Hormone Therapy (BmHT) emerges as a powerful tool in this journey that can offer a personalized approach. In this guide, we will explore the essence of bioidentical hormones, debunk misconceptions, and highlight how Pandia Health’s expert doctors in menopause are at the forefront of updated guidelines and research to tailor Bioidentical Menopausal Hormone Therapy to meet your needs. Because each woman has her own unique journey in menopause! Let’s delve into the world of Bioidentical Menopausal Hormone Therapy – where unlocking vitality is not just a possibility but a reality.

What are Bioidentical Hormones?

Bioidentical hormones are molecularly identical to the hormones naturally produced by the body. These bioidentical hormones, derived from plant sources, such as yams and soy, are designed to replicate the structure and function of hormones like estrogen, progesterone. The goal of Bioidentical Menopause Hormone Therapy is to address hormonal imbalances that occur during perimenopause, menopause, and postmenopause, providing relief from symptoms and promoting overall well-being.

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Is Bioidentical Hormone Replacement Therapy the same as Bioidentical Hormone Therapy?

Bioidentical Hormone Replacement Therapy (BHRT), and Bioidentical Hormone Therapy generally refer to similar concepts, but there might be nuances in how these terms are used by different practitioners or in various contexts. Is easy to get confused, but be aware they are not the same thing. Let’s delve into the distinctions.

Bioidentical Hormone Replacement Therapy (BHRT)

BHRT involves the use of hormones that are structurally identical to the hormones naturally produced by the body. These hormones are derived from plant sources and are often customized to match an individual’s specific hormonal needs. BHRT is a broader term that encompasses hormone replacement for various conditions, not limited to menopause. It can be prescribed for both men and women to address hormonal imbalances associated with aging or other health conditions and, in general, has differing levels of scientific evidence for its safety and efficacy depending on how it is used and who is prescribing it.

Regardless, this term has been used to name the menopause treatment to address hormonal changes and symptoms associated with menopause. Since Hormone Replacement Therapy (HRT) was the correct term to use for menopause treatment, then BHRT has been used ever since to refer to the treatment that menopausal women with symptom benefits using bioidentical hormones. Nowadays, the most up to date term for menopause treatment with hormones is Menopausal Hormone Therapy (MHT). As so, the most accurate term to refer to the treatment that specifically focuses on the use of bioidentical hormones to address hormonal changes and symptoms associated with menopause is Bioidentical Menopausal Hormone Therapy (BMHT). This tailors hormone replacement to address the specific needs of women going through perimenopause, menopause, and postmenopause.

Bioidentical Hormone Therapy

Bioidentical Hormone Therapy refers to the use of bioidentical hormones to replace or supplement hormones that the body may not be producing in sufficient amounts. Similar to BHRT, Bioidentical Hormone Therapy can be applied in various situations where hormone replacement is deemed necessary, not exclusively for menopause.

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So, is BmHT The Same as MHT?

As seen before Bioidentical Hormone Replacement Therapy, Bioidentical Menopausal Hormone Therapy (BMHT), mostly known as BHRT, and Menopausal Hormone Therapy (MHT) share similarities, but they are not precisely the same. Both aim to address hormonal imbalances in the body, especially during menopause, by supplementing hormones.

MHT is an inclusive term that encompasses various hormone replacement approaches, which may include synthetic hormones, while BMHT specifically involves the use of hormones that are structurally identical to those naturally produced by the body. The molecular structure of bioidentical hormones mirrors the body’s own hormones, making BMHT a more attractive option for many women. Always consult with a doctor to determine the most suitable hormone therapy for individual needs and health considerations.

A Word about “Synthetic” and “Natural”

“Synthetic” refers to the fact that a compound or medication is made in a laboratory. There is nothing inherently unsafe about synthetic it just depending on the level of science that has been done to ensure safety and efficacy. And, everything called “natural” is not automatically safe. For example, heavy metals are natural but the body cannot manage them in high levels (eg. arsenic is a natural element). Historically, people would grind up female ovaries and use the material as a natural form of hormones but, thankfully, we don’t do that anymore. All prescriptions, whether bioidentical or not, are produced in a laboratory and some alterations are made to allow the medication certain properties that make it conducive to use, such as shelf life, dosage regulation or mode of delivery in a pill, patch or cream.

Compounded Bioidentical Hormones

Compounded Bioidentical Hormones refer to hormone preparations that are customized or compounded by a pharmacist based on a specific prescription from a healthcare provider. These hormones are derived from natural sources such as plants and are designed to be structurally identical to the hormones produced naturally within the human body.

However, the FDA lacks evidence confirming the safety and effectiveness of compounded “bioidentical hormones” or establishing their superiority in terms of safety or efficacy over FDA-approved hormone therapy. Which means, compounded treatments for menopause are not FDA approved.

This is why it is so important to consult a doctor that has been trained in menopause when wanting to start any kind of menopausal hormone therapy. At Pandia Health our menopause society trained doctors only prescribe FDA-approved medications which are considered the safest for each unique woman’s needs.

Benefits of Bioidentical Menopausal Hormone Therapy

BmHT, as one option in the multiple regimes for menopausal care, offers a spectrum of benefits tailored to address the unique needs of women during and after menopause. As women approach menopause, estrogen hormone levels start to drop and the fluctuation in hormones brings some symptoms with it. These include hot flashes, mood swings, vaginal dryness, and sleep disturbances among others. Bioidentical Menopausal Hormone Therapy can alleviate those and enhance energy levels, while improving cognitive function, and contributing to overall vitality.

Pandia Health’s expert doctors in menopause play a pivotal role in customizing BMHT plans. Dr. Hansen notes, “Our approach is centered around understanding each woman’s specific symptoms and goals. Bioidentical Menopausal Hormone Therapy is one option that allows us to tailor treatment plans, optimize dosage and ensure each woman feels her best.”

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Can I Get Bioidentical Hormone Therapy?

Bioidentical Menopausal Hormone Therapy is a viable option for many women experiencing menopausal symptoms but a doctor must prescribe it. Pandia Health’s telemedicine service makes accessing BMHT convenient and accessible. An online health assessment, reviewed by a physician will enable women to share their symptoms, medical history, and preferences from the comfort of their homes to get the best menopause treatment for their needs.

Do I Need a Test to Get Bioidentical Hormone Menopausal Therapy?

While laboratory tests can provide valuable insights into hormone levels, they are not a prerequisite for starting Bioidentical Menopausal Hormone Therapy. Pandia Health’s expert doctors in menopause approach the consultation with a holistic understanding of each woman’s symptoms and medical history.

How Much Does Bioidentical Menopausal Hormone Therapy Cost?

The cost of bioidentical menopausal hormone therapy can vary based on factors such as the type of hormones used, the method of administration, and individualized treatment plans. You may be wanting to know an exact price but this will depend on the specific prescription you get. Same as many medications, there are generics brands available which will make the treatment more cost effective in some cases.

Where Can I Get Bioidentical Menopausal Hormone Therapy?

Bioidentical menopausal hormone therapy can be discussed at a doctor’s office. At Pandia Health we are a trusted provider of bioidentical hormone therapy, offering the convenience of telemedicine by Menopause Society Certified Doctors to women that are in AL, AZ, CA, CO, FL, GO, IL, MI, MN, NV, NY, OH, OR, PN, TX, or WY. Through asynchronous, virtual consultations, expert doctors collaborate with women to develop personalized menopausal plans. Medications are then delivered FREE to your doorstep. This streamlined approach reduces the need for in-person visits and empowers you to take control of your hormonal health from the comfort and privacy of your home (or wherever you have a device and internet connection!).


As we unravel the transformative potential of Bioidentical Menopausal Hormone Therapy, it becomes clear that easing perimenopause or menopause symptoms is not just an aspiration but a tangible reality. Talk to your doctor to discuss starting bioidentical menopausal hormone therapy or sign up with Pandia Health today! Our expert doctors are happy to be guides on this journey, offering personalized solutions that address your unique needs.