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 - oestrogen 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
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 oestrogen: almost all forms of HRT prescribed in the UK are now body identical oestrogen. 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 hormones, sometimes called compounded HRT, are are precise duplicates of hormones that are made in the human ovary, adrenal and thyroid. The oestrogen 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?
- Sandrena gel
- 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 , 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
- Weight gain
Alva and Body Identical HRT
At Alva, we recommend only body identical HRT. Seeking treatment options, however, can be difficult. can be used to assess your menopausal status and recommend the lowest risk treatment options based on your individual menopausal needs.
- . n.d. Hormone Replacement Therapy (HRT). [online] Available at: .
- 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.
- British Menopause Society. n.d. Bioidentical HRT | British Menopause Society. [online] Available at: [Accessed 20 March 2020].