Compounding

Bioidentical Hormone Replacement Therapy (BHRT): A Guide for Men

What Are Bioidentical Hormones?

Bioidentical hormones are compounds that have the same chemical structure as hormones naturally produced by the human body. They are typically derived from plant sources and processed to match human hormone molecules.

Common bioidentical hormones include:

  • Estradiol – A form of estrogen
  • Progesterone – Often called "micronized progesterone" when used in therapy
  • Testosterone – Present in both women and men, though in different amounts
  • DHEA – A precursor hormone

FDA-Approved vs. Compounded Options

Many FDA-approved hormone products contain bioidentical hormones and are available by prescription. Compounded BHRT offers an additional option when:

  • A patient needs a dose not commercially available
  • A patient has allergies to inactive ingredients in commercial products
  • A prescriber recommends a specific combination or delivery method
  • A patient and provider prefer an alternative formulation

Compounded medications are prepared by licensed pharmacies based on a prescriber's order for an individual patient.


 Understanding Your Options

When Men Consider Hormone Therapy

Men also experience natural hormonal changes with age. Testosterone levels typically begin a gradual decline starting around age 30. Some men notice symptoms that prompt them to discuss hormone options with their healthcare providers.

Common Concerns That Lead Men to Explore Options:

  • Fatigue or decreased energy
  • Changes in mood or motivation
  • Decreased muscle mass or strength
  • Changes in libido or sexual function
  • Sleep disturbances
  • General sense of decreased vitality


Testosterone Therapy for Men

Testosterone replacement is the primary hormone therapy for men experiencing symptoms related to low testosterone levels.

Evaluation Is Essential Before starting testosterone therapy, a thorough evaluation by a healthcare provider is necessary, including:

  • Complete health history review
  • Physical examination
  • Laboratory testing to confirm testosterone levels
  • Assessment of potential underlying causes
  • Discussion of benefits, risks, and alternatives

Delivery Methods Compounded testosterone for men is available in various forms:

  • Topical creams and gels
  • Injectable preparations
  • Other formulations as prescribed

Your healthcare provider will recommend the most appropriate delivery method based on your preferences, lifestyle, and health status.



What Men Should Know

Diagnosis Required Testosterone therapy is appropriate for men with confirmed low testosterone levels and related symptoms. It is not appropriate for men with normal testosterone levels seeking performance enhancement.

Monitoring Is Critical Men on testosterone therapy require regular monitoring, including:

  • Periodic blood tests
  • Assessment of response to therapy
  • Screening for potential side effects
  • Ongoing evaluation of appropriateness

Potential Considerations Your healthcare provider will discuss important considerations including effects on fertility, prostate health monitoring, and cardiovascular health evaluation.

Lifestyle Factors Hormone therapy works best as part of an overall wellness approach that includes proper nutrition, regular exercise, adequate sleep, and stress management.


Frequently Asked Questions

What does "bioidentical" mean? Bioidentical refers to hormones that have the same molecular structure as hormones produced by the human body. Both FDA-approved products and compounded preparations can contain bioidentical hormones.

Is BHRT right for me? This is a decision to make with your healthcare provider. They will evaluate your individual health history, symptoms, and goals to determine if hormone therapy is appropriate and, if so, which approach is best for you.

How long does it take to notice changes? Individual responses vary. Your healthcare provider can give you guidance on what to expect based on your specific situation.

Are there risks associated with hormone therapy? Like all therapies, hormone replacement has potential benefits and risks. Your healthcare provider will discuss these with you and help you make an informed decision based on your individual circumstances.

Does insurance cover compounded hormones? Coverage varies by insurance plan. Many compounded prescriptions are not covered by insurance, but pricing is often affordable. Contact us for current pricing information.

How do I get started? Schedule an appointment with your healthcare provider to discuss whether hormone therapy might be appropriate for you. If your provider prescribes a compounded preparation, they can send the prescription to our pharmacy.



If your healthcare provider has prescribed compounded hormone therapy, we're here to fill your prescription and answer questions about your medication.



This content is for general educational and informational purposes only. It is not intended as medical advice, diagnosis, or treatment. The information provided does not create a patient-pharmacist relationship. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Never disregard professional medical advice or delay seeking it because of something you have read here.

Compounded preparations are made based on a prescription for an individual patient. These preparations are not FDA-approved, though the individual ingredients used may be. The effectiveness and safety of compounded preparations depend on proper prescribing, compounding, and use.