Bio-Equivalent Hormone Replacement Therapy (BHRT) is a prescription alternative to conventional hormone replacement therapy. Bio-equivalent medications are plant-derived, and chemically changed in a laboratory until they are identical to what your body would naturally produce. BHRT is customized for each individual and their personal needs. This therapy has been around for the past 70 years and there are many medical articles in medical journals supporting the safety and efficacy of estradiol and testosterone implants. Unfortunately in spite of the fact that they represent by far the most physiologic, natural form of hormone replacement yet devised, many gynecologists never consider them for their patients . Because these hormones are not patented, there is no financial incentive for pharmaceutical companies to manufacture or market them. Pharmaceutical companies greatly influence medical education which would explain why many physicians do no incorporate it into their practice. Because it is so effective, I believe it will be the preferred method of hormone replacement in the future.
Bio-Identical Hormone Pellets
These hormones are inserted in a simple, nearly painless procedure that takes less than 5 minutes right in the office. The advantage of pellets over pills, patches, creams, gels, and injections is that they are more convenient (they are inserted only 3-4 times a year) and they provide a much more even, consistent level of hormone in the blood. In addition because unlike oral estrogen, the pellets do not pass through the liver and have no effect on blood clotting factors.
Major side effects of pellet implants are minimal . Minor side effects are not common however are reported from time to time. An example would be tender breasts or nipples or unwanted hair growth. But these occur in a very small percentage of women and can be remedied.