Which is Better – HRT or Bioidentical Hormones?


There are many ways to deal with hormonal imbalances and symptoms of menopause. Hormone replacement therapy (HRT) and bioidentical hormones (BH) are equally popular.

But to determine the proper treatment, there are things to consider. This blog post will help you understand what you need to know about these two popular therapies.

Understanding HRT and Bioidentical Hormones

What is HRT?

  • HRT relieves symptoms of menopause
  • It may also correct hormonal imbalances (through supplementing what the body can no longer produce in enough amounts)
  • HRT includes synthetic hormones (ones created in laboratories) that are slightly different in chemical structure from the naturally-occurring hormones

What is BHRT?

  • BHRT is derived from plant sources
  • These are chemically identical to the hormones found in the body
  • This hormone is easily recognized and utilized by the body
  • BHRT will lead to fewer side effects and more effective treatment

Comparing the Benefits

HRT and bioidentical hormones can relieve menopause symptoms and help improve overall well-being. Some of the benefits shared by both treatments include:

  1. Relief from hot flashes, night sweats, and mood swings
  2. Improved sleep quality
  3. Increased libido
  4. Better bone health

While these benefits are common to both treatment options, bioidentical hormones may offer additional advantages due to their natural origins and closer resemblance to the body’s hormones. 

These additional advantages may include the following:

  1. Customized treatment: Bioidentical hormones can be tailored to your specific hormonal needs, ensuring a more targeted and effective treatment plan.
  2. Fewer side effects: Bioidentical hormones are generally better tolerated and have fewer side effects than synthetic hormones.

Weighing the Risks

What are the risks for HRT?

As with any medical treatment, HRT and bioidentical hormones have potential risks (no matter how small). Some risks associated with HRT include the following:

  • May increase the risk of certain health conditions (although there is no evidence backing up this claim yet)
  • The risks vary depending on factors like overall health status at the start of therapy, age, and type and duration of HRT.

What are the risks for BHRT?

Even when BHRT is generally considered a safer alternative, it is not without risks

  • This may increase the risk of hormone imbalances
  • Allergic reactions

Regardless of what you choose as therapy, you need to work closely with a qualified healthcare provider (qualified and certified) to monitor your progress and adjust the plan accordingly, depending on your needs.

Making the Right Choice for You

When deciding between HRT and bioidentical hormones, it’s crucial to consider your individual needs, preferences, and overall health. While bioidentical hormones may offer a more natural and personalized approach to hormone replacement, they may not suit everyone. Discussing your options with a healthcare professional who can help you determine which treatment best suits your needs is essential.


In conclusion, HRT and bioidentical hormones can relieve menopause symptoms and improve hormonal health. However, your best choice depends on your needs and circumstances. By working closely with your healthcare provider, you can make an informed decision and find the treatment option that best supports your hormonal health and well-being.

Medical professionals who want to get trained and licensed to administer BHRT can check out Replenish MD Training. We offer comprehensive courses meant to advance your career or widen your knowledge. So you can keep providing your patients with top-quality care.

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