Bioidentical Hormones: Transforming Women’s Health During Perimenopause and Menopause

Dianna O'Neill 

ARNP, FNP-BC , Women's Health

Book with Dianna

As a provider in Integrative Family Medicine, I’ve witnessed the powerful impact that bioidentical hormones can have on women’s health. In this post, I will explain what bioidentical hormones are, how they differ from synthetic hormones, and the conditions they address. Ultimately, I’ll discuss how bioidentical hormones align with a holistic, patient-centered approach to care.

What Are Bioidentical Hormones and How Do They Work?
Bioidentical hormones are compounds that are chemically identical to the hormones naturally produced by the human body. Derived from plant sources, these hormones mimic the molecular structure of endogenous hormones, making them more compatible with the body’s hormone receptors. Common bioidentical hormones include estrogen, progesterone, and testosterone.
​
In contrast, synthetic hormones can have different molecular structures, which may lead to varying effects and side effects in the body. For example, synthetic progestins, which are commonly used in hormonal contraceptives, can act differently than bioidentical progesterone.

How Bioidentical Hormones Help with Hormonal Imbalances
Bioidentical hormones can be a game changer for a variety of conditions, including symptoms related to hormonal imbalance during perimenopause and menopause. Many women experience a range of symptoms, such as

• Hot flashes
• Night sweats
• Mood swings
• Joint pain
• Weight challenges
• Vaginal Dryness

Bioidentical hormone replacement therapy (BHRT) can help alleviate these symptoms by restoring hormonal balance.
​
BHRT is highly customizable and can be tailored to meet individual needs, addressing specific symptoms and promoting overall well-being. The goal is to improve hormonal balance, energy levels, metabolism, and mood.

The Perimenopausal Journey: Know Your Options
Perimenopause typically lasts 10 years, so it is important to understand your options as you approach or enter this stage of life. Perimenopausal hormonal fluctuations can start 10 years before menopause, which is defined as no menstrual period for one full year. In the United States, the average age of menopause is between 45 and 55, meaning perimenopausal symptoms could start as early as age 35.
​
At Integrative Family Medicine, we are committed to discussing your symptoms, options, and both short- and long-term goals. BHRT may not always be an appropriate option, but it’s essential to establish a trusted relationship with a knowledgeable provider. We will work together to consider your symptoms and develop a plan that best suits your needs.

Holistic, Patient-Centered Care for Optimal Health
Hormonal imbalances can happen at any age, and BHRT is just one of many options for managing women’s health. We also focus on lifestyle, detoxing, environmental factors, mental health, and spiritual health—all of which play important roles in achieving optimal health.

Bioidentical hormones align perfectly with a holistic and patient-centered approach to care. At Integrative Family Medicine, we see each patient as unique, tailoring treatments to reflect individual needs. By considering the whole person—mind, body, and spirit—we can create a comprehensive approach to your health and well-being.

Collaborative Care: Working Together for Your Health
At Integrative Family Medicine, collaboration and open communication are key. We work closely with patients to identify the root causes of health issues and develop treatment plans that include lifestyle modifications, nutritional support, stress management, and BHRT, among other tools.

If you’re interested in exploring bioidentical hormones or other aspects of hormonal balance, we invite you to reach out to our practice. Together, we can create a personalized plan to help you thrive!