Bioidentical hormone replacement therapy is the therapeutic use of hormones that are artificially manufactured from plant or animal substances and have exactly the same molecular structure (building blocks) as natural hormones found in the human body. Bioidentical hormone replacement can be used in doses custom-made to individual requirement, which aims to replace or correct hormonal imbalances.

Small studies have indicated that bioidentical hormone replacement is safer than and as effective as, non-identical or synthetically manufactured counterparts (Premarin and synthetic Progestins). Emphasis on topical administration of bioidentical hormone replacement avoids the danger of abnormal blood clotting, is more protective against hormone induced cancers and allow for more individualised treatment as opposed to one dose fits all (bioidentical hormone replacement products also comes in pre-packed commercially available forms). 


Bioidentical hormone replacement is used very effectively for the treatment of peri-menopause, menopause and post-menopause, with tailor made doses based on hormone deficiencies measured through the testing of saliva. Saliva test kits for monitoring bioidentical hormone replacement are available online, which should be returned for evaluation of hormone balance and recommendations on treatment. Benefits of saliva testing to monitor bioidentical hormone replacement therapy are:    

- Blood tests are not specific or accurate enough to measure the “active” or bio-available hormone levels.

- The collection is painless (no needles) and can be done anywhere and at your convenience.

A few words on the use of bioidentical hormone replacement and the use of Progesterone: The key lies in achieving/restoring the correct balance in Progesterone and Estrogen levels. Most woman would do well having Progesterone levels within the normal physiological range (levels may differ slightly depending on the lab doing the testing). In a number of situations, much higher concentrations of Progesterone may be necessary. Typical examples are sufferers of Premenstrual syndrome and Endometriosis, where the advise of a sympathetic health professional my be useful in advising on bioidentical hormone replacement.    

Progesterone in a bioidentical cream formulation is safe, effective and easy to use and comes highly recommended        

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