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Bio-identical HRT prescription confusion

30 replies

Helenahandkart · 31/12/2021 08:37

Is anyone else taking bio-identical or body-identical HRT and can tell me what their prescription consists of please?
I’m desperate to start mine, but there have been delays and now my doctor has gone away for a month leaving me with ambiguous instructions.

My original prescription was estriol and testosterone cream, applied once a day every day.
Plus progesterone cream applied twice a day from day 11 to 23 (I have 23 day cycles)

While I’ve been waiting to start treatment my periods have completely stopped.
She has therefore left instructions to say that I should now use the progesterone every day at a reduced dose, but says confusing things about the Estriol/testosterone cream, as if I no longer need to take that at all, but it isn’t at all clear.

So my question is - if you’re taking similar HRT to me, are you using Oestrogen after your periods have stopped?
I’m really surprised that her suggestion seems to be that I only need progesterone now, so I think I’m misunderstanding her email.
Thanks

OP posts:
JinglingHellsBells · 31/12/2021 15:09

all of which purport to be giving the most accurate information about HRT, many of which recommend bio-identical HRT

Around 10 years ago, body-identical HRT was called bio-identical. I used to call mine that until my dr corrected me and said they were trying to stop people saying bio for what I have , and use 'body-identical.'

Bio was a marketing term, which evolved in the US.

Menopause specialists 'corrected' this term to 'body identical' for HRT that is licensed and available on the NHS.

Some of the sites you have read may still be using the term 'bio' when they ought to have changed it to 'body'.

This is another ongoing gripe of specialist drs who are trying to get rid of the term 'bio' and make sure it's only used for the unregulated type.

Helenahandkart · 31/12/2021 15:55

No wonder I’m confused! As if the menopausal brain fog wasn’t enough to contend with Grin

OP posts:
NikkiintheUk · 02/09/2022 01:20

Hi. I am really interested where you get your bio identical HRT. My DR cannot prescribe bio identical HRT, only body identical and can I ask how much it costs monthly. I am really keen to only have bio identical. Has it made a huge difference to you? Thank you

Remainiac · 02/09/2022 19:54

I’m on bio-identical. PM me if you like.

JinglingHellsBells · 02/09/2022 20:58

NikkiintheUk · 02/09/2022 01:20

Hi. I am really interested where you get your bio identical HRT. My DR cannot prescribe bio identical HRT, only body identical and can I ask how much it costs monthly. I am really keen to only have bio identical. Has it made a huge difference to you? Thank you

Bio identical is exactly the same hormones as body identical. The difference is that bio identical is made in small labs, not always properly licensed, and the doses are based on blood or saliva tests.
There are no reputable private/ NHS consultants who advise this type because it carries risks about doses not being accurate.

The British Menopause Society has a very long explanation on their website about it, as does Menopause Matters under Dr Currie's blog.

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