Natural Hormone Replacement Therapy FAQ

Hormone replacement therapy (HRT) is treatment used to relieve symptoms caused by declining hormone levels, most commonly during perimenopause and menopause. These symptoms may include hot flashes, night sweats, sleep problems, mood changes, vaginal dryness, low libido, and changes in energy or concentration.

The term “natural” hormone replacement therapy is often used to describe bioidentical hormones. These hormones are chemically identical to the hormones produced by the human body. They may be derived from plant sources and compounded or manufactured in standardized forms.

Bioidentical hormones and traditional hormone therapy contain similar active hormones. Safety depends on proper patient selection, dosing, route of administration, and medical supervision — not simply whether a hormone is labeled natural or bioidentical.

Hormone therapy may help with hot flashes, night sweats, sleep disturbance, vaginal dryness, pain with intercourse, mood changes, brain fog, low libido, and some urinary symptoms. Many women also notice improvement in overall quality of life.

Women experiencing bothersome menopausal or perimenopausal symptoms may be candidates. A thorough medical history, evaluation of symptoms, and discussion of risks and benefits are essential before starting therapy.

Bioidentical hormones may be prescribed as creams, gels, patches, oral medications, vaginal preparations, or pellets. The best option depends on symptoms, medical history, and individual preference.

Hormone pellets often contain bioidentical hormones. They are placed under the skin and release hormones over several months. Pellets may be appropriate for some patients, but they are not the best choice for everyone.

Blood tests may be used as part of the evaluation, but treatment decisions are primarily based on symptoms and clinical response rather than hormone levels alone.

Compounded hormones are prepared by specialty pharmacies and are not FDA approved in the same way as commercially manufactured hormone products. In some cases, compounded therapy may be appropriate when standard options are not suitable.

For many healthy women, hormone therapy is considered safe when started around the time of menopause and appropriately monitored. Risks and benefits vary based on age, health history, type of hormones used, and route of administration.

Hormone therapy can help maintain bone density and may have cardiovascular benefits when started early in menopause. It is not prescribed solely for disease prevention, but these effects may be an added benefit in some patients.

There is no single time limit that applies to everyone. Duration of therapy is individualized and should be reviewed regularly with your physician.

Yes. Women with certain medical conditions, such as a history of hormone-sensitive cancers or unexplained vaginal bleeding, may not be candidates. This is why medical evaluation is important.

Our approach focuses on individualized care. Treatment is based on symptoms, medical history, and goals, with careful attention to safety and ongoing follow-up rather than one-size-fits-all dosing.

You should consider an evaluation if hormonal symptoms are affecting your sleep, work, relationships, or overall well-being.

To schedule a consultation for hormone replacement therapy in the Los Angeles or Glendale area, please contact our office or request an appointment through our website.