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Menopause
Hormone Based Solutions
Body identical HRT

Body identical HRT

Body identical hormone replacement therapy (HRT) is the recommended treatment for menopause in the UK. It's the lowest risk, and most well regulated form of HRT. We briefly explain what it is, how it's different and what to look out for when you get your prescription.

Recap: What is Hormone Replacement therapy (HRT)?

HRT is when you take a form of medication to replace your body's natural hormones. This is because our female hormones - estrogen and progesterone - drop during perimenopause and menopause. This drop causes many women to have menopause symptoms. For a better recap, have a look at our Hormone Replacement Therapy - explained article.

Body identical HRT

Body identical HRT has the same chemical structure as the hormones in your body. That means that when you take it, you're literally topping up your own hormones. Body identical HRT is regulated medication that can be prescribed on the NHS and privately.

For estrogen: almost all forms of HRT prescribed in the UK are now body identical estrogen. Look out for the term estradiol (often made from the yam plant).

For progesterone: the only body identical progesterone is a tablet called Utrogestan. It's an oral treatment, though it can also be taken vaginally. Look out for the term micronised progesterone. The other way to get body identical progesterone is through the mirena coil, which slowly releases micronised progesterone into the cervix and surrounding area. If you have the mirena coil you do not usually need additional progesterone.

'Bio-identical' HRT

Bio-identical hormones, sometimes called compounded HRT, are are precise duplicates of hormones that are made in the human ovary, adrenal and thyroid. The estrogen bio-identical hormones (E1,E2,E3) are usually compounded with some progesterone and testosterone and/or DHEA.

Bio-identical hormones are not regulated medications, so they need to be approached with some caution. Bio-identical HRT is not available on the NHS, and not all private menopause clinics will prescribe it.

What are the brands of body identical HRT?

  • Evorel
  • Sandrena gel
  • Oestrogel
  • Estradot patches
  • Elleste Solo patches

Is Body Identical HRT available on the NHS?

Yes - Body Identical HRT is available on the NHS. However, it cannot be guaranteed that this will be the first type of HRT that will be offered to you. You need to ask for it specifically to ensure that you get it.

Bio-Identical HRT, however, is not available on the NHS, as they are not regulated. You would need to go to a private clinic in order to get this form of HRT.

What are the side effects of Body Identical HRT?

All medications have some potential side effects, but not all women will get side effects. Body identical HRT has fewer side effects than more synthetic, or older, versions of HRT. With body identical HRT the side effects should subside within 3 months, if they do not then your dose might need to be adjusted. Some side effects of hormonal medications include:

  • Breast tenderness
  • Mood swings
  • Nausea
  • Weight gain
  • Acne
  • Bloating

Alva and Body Identical HRT

At Alva, we recommend only body identical HRT. Seeking treatment options, however, can be difficult. Our assessment can be used to assess your menopausal status and recommend the lowest risk treatment options based on your individual menopausal needs.

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Take our free consultation and get access to treatment, or speak to one of our doctors to discuss your options.
References
  1. nhs.uk. n.d. Hormone Replacement Therapy (HRT). [online] Available at: https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/.

  2. Hillard, T., Abernathy, K., Hamoda, H., Shaw, I., Everett, M., Ayres, J. and Currie, H., 2017. Management Of The Menopause. 6th ed. British Menopause Society.

  3. British Menopause Society. n.d. Bioidentical HRT | British Menopause Society. [online] Available at: https://thebms.org.uk/publications/consensus-statements/bioidentical-hrt/ [Accessed 20 March 2020].