Menopause & Women’s Hormonal Health
Bioidentical Hormone Replacement Therapy (BHRT)
Hormonal balance is essential for everything from mood and memory to metabolism, skin, libido, and sleep. As women transition through perimenopause and menopause — or struggle with PMS or hormonal irregularities — hormone levels begin to decline or fluctuate, leading to a wide range of disruptive symptoms.
Bioidentical Hormone Replacement Therapy (BHRT) offers a tailored approach to restoring balance. Unlike standardised hormone replacement, BHRT uses plant-derived hormones that are chemically identical to those produced naturally by your body, and are prescribed based on your individual blood test results, symptoms, and needs.
At our clinic, BHRT is part of a holistic hormonal care plan, often combined with lifestyle strategies, supplements, wellness therapies, and skin support.
Who Is BHRT For?
BHRT may be suitable if you are:
In perimenopause with fluctuating or dropping progesterone
In menopause, either natural or surgical
Experiencing PMS or PMDD with luteal phase deficiency
Struggling with hormone-related mood, sleep, or energy issues
Intolerant of or not responding well to standard HRT
Interested in a more personalised, integrative approach to hormone therapy
Common Symptoms That BHRT Can Address
Hot flushes and night sweats
Low libido and vaginal dryness
Fatigue, brain fog, or poor sleep
Mood swings or low mood
Anxiety, overwhelm, or nervous tension
Irregular cycles or worsening PMS
Skin ageing, collagen loss, dryness or acne
Weight changes, bloating, and metabolic slowdown
How BHRT Works
We begin with a full clinical consultation and blood test panel, assessing hormones such as:
Oestradiol (oestrogen)
Progesterone
Testosterone
DHEA
Thyroid function
Cortisol (optional)
FSH and LH if menopausal transition is unclear
Your prescription is then custom-compounded through a specialist pharmacy to match your needs, symptoms, and hormone ratios. BHRT can be delivered via:
Transdermal creams or gels
Sublingual troches (lozenges)
Oral capsules
Vaginal preparations (for dryness or urogenital support)
All plans are monitored and adjusted regularly to ensure safety and effectiveness.
We offer both BHRT and standard HRT, and guide you toward the option that aligns with your goals, values, and health history.
The Benefits of BHRT
Relief from menopausal and hormonal symptoms
Enhanced mood, focus, and energy
Improved sleep and stress resilience
Increased libido and sexual comfort
Skin vitality and collagen support
Protection against bone loss and cardiovascular decline
Empowerment through personalised, integrative care
Our BHRT Process
1. Consultation – We take a detailed medical and lifestyle history, explore your symptoms, cycle, and goals
2. Blood Testing – Comprehensive hormone panel with optional thyroid and adrenal markers
3. Prescription – If BHRT is appropriate, we arrange custom formulation via a specialist compounding pharmacy
4. Review – Dosing is reviewed every 3–6 months, with follow-up testing and symptom tracking
5. Support – We also offer supplement advice, NESA therapy, skin treatments, and nutrition support as part of your care
FAQs
BHRT is not inherently safer, but for some women it may be better tolerated and easier to personalise. All hormone therapy carries risks and benefits — which we’ll discuss fully during consultation.
Yes. BHRT often works well alongside nutritional support, NESA therapy, skincare, and body treatments, especially when addressing fatigue, skin ageing, or hormone-related changes.
Not necessarily. Many women use BHRT for a few years during transition, then reassess. Our aim is to help you feel well with the lowest effective dose and a sustainable plan.
Yes — we often work with women who begin on HRT and transition to BHRT if symptoms persist or they seek a more tailored approach. We manage this safely and gradually.
Some bioidentical hormones (like estradiol and micronised progesterone) are available as regulated prescriptions. Compounded BHRT is formulated to your individual needs but made outside the standard licensing system. We use only trusted UK-based compounding pharmacies for quality and safety.
