Bioidentical Hormone Therapy (BHRT): A Naturopathic Perspective
What Is Bioidentical Hormone Therapy?
Bioidentical hormone therapy (BHRT) refers to the use of hormones that are chemically identical to those the human body naturally produces. These include estrogen, progesterone, and thyroid hormones. Unlike synthetic hormones (often found in conventional hormone replacement therapy), bioidentical hormones are typically derived from plant sources like soy and wild yam and designed to match human hormones molecule-for-molecule. The goal of BHRT is to restore hormonal balance with minimal side effects and support whole-body wellness.
People often seek BHRT to help with:
Perimenopause and menopause symptoms, (e.g., hot flashes, night sweats, mood swings, vaginal dryness, low libido)
Adrenal fatigue or chronic stress
Premenstrual Syndrome (PMS) or polycystic ovarian syndrome (PCOS)
Thyroid dysfunction
Fatigue, brain fog, insomnia, or anxiety (related to hormonal imbalance)
Naturopathic Holistic Approach with BHRT: A Whole-Person Approach
Do Comprehensive Testing
Naturopathic Doctors typically begin with a full evaluation of: Sex hormones (estradiol, progesterone, testosterone)/ Adrenal hormones (cortisol, DHEA)/ Thyroid function (TSH, Free T3, Free T4, Reverse T3, antibodies)/ Blood sugar, inflammation markers, and nutrient levels.
Use Individualized Dosing
Bioidentical hormones are often compounded by specialty pharmacies in customized doses and forms. To avoid long-term side effects of hormone therapy (Estrogen/ Progesterone), these are usually prescribed as topical creams and vaginal suppositories.
Integrate Lifestyle and Botanical Medicine
BHRT is rarely used in isolation. Naturopathic treatment often includes Herbal hormone modulators, Adrenal support, Nutritional therapy, Stress management, sleep optimization, and exercise guidance. The goal is to support the body's ability to regulate hormones naturally, with bioidentical hormones used as a supportive therapy.
Is Bioidentical Hormone Therapy Safe?
BHRT are promising in relieving symptoms and improving quality of life. Unlike conventional HRT, which uses synthetic versions or non-human hormones, BHRT is designed to mimic human hormones more closely. To ascertain the safety of hormones, Naturopathic Doctors perform regular follow-up testing, adjust doses carefully, and emphasize the lowest effective dose for symptom relief.
What to Expect from BHRT with a Naturopathic Doctor?
Initial consultation to review your symptoms, health history, goals, possible contraindications.
Testing to understand your unique hormone picture.
A tailored BHRT plan, possibly alongside herbs, diet, and stress support.
Ongoing monitoring every 3–6 months with labs and symptom review.
Before considering Bioidentical Hormone Therapy, please consult with your Naturopathic Doctor, to discuss your health goals, undergo appropriate assessments, and determine whether it is a suitable option for you.
Ready to take the first step? Schedule a consultation with Dr. Naghmeh today!
