Understanding Bio-identical and Body-identical Hormones
In this context of fear and misconception, bio-identical hormones have been marketed as a more “natural” solution. Let’s unpack what these terms really mean:
Body-identical Hormones
These are hormones that are chemically identical to those produced by our bodies. Many standard, pharmaceutical-grade MHT medications already use body-identical hormones. They’re regulated, tested, and proven effective through rigorous clinical trials.
Compounded Bio-identical Hormones
These are often marketed as a more natural alternative, customised to individual hormone levels through saliva or blood testing. While this sounds appealing, here’s what you need to know:
- Despite being derived from plants like soybeans and yams, these hormones undergo extensive laboratory processing – there’s nothing particularly “natural” about the end product
- The customisation process, often involving expensive hormone testing, isn’t supported by scientific evidence
- These products lack regulatory oversight, meaning their purity, dosage, and safety can be inconsistent
- No large-scale clinical studies support claims that they’re safer or more effective than standard MHT
- They often come with significant out-of-pocket expenses compared to TGA-approved medications
Making Informed Choices
The desire to approach menopause “naturally” is understandable, but we need to examine what we mean by “natural” and whether that approach best serves our health and wellbeing. Consider that:
- Managing menopause symptoms effectively isn’t “unnatural” – it’s healthcare
- Evidence-based MHT options are well-researched, regulated, and often more affordable than alternatives
- Regular pharmaceutical MHT products are often body-identical already, providing the benefits without the risks of compounded alternatives
If you’re considering hormone therapy for menopause symptoms, speak with a healthcare provider who specialises in menopause care. They can guide you toward evidence-based treatments that are both safe and effective. Look for medications that are investigated and approved by the Australian Therapeutic Goods Administration (TGA) and may be funded by the Pharmaceutical Benefits Scheme.
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