Bioidentical Hormone Replacement Therapy

Hormones control every function of the body. A hormone imbalance or decline can impact on every major system and organ in the body.

Women now potentially spend more years in the post-menopausal state than in their reproductive years – and this is not biologically supposed to happen. 

After the menopause, these hormonal changes are linked to increased risk of disorders such as heart disease, osteoporosis and cognitive decline – as well as poor quality of life due to hot flushes, night sweats, low mood, anxiety, muscle and joint pain, decreased sex drive, vaginal dryness and urinary incontinence.

Bioidentical Hormone Replacement Therapy can help to improve these symptoms with a prescription specifically made to suit your naturally occurring hormone levels.

Doctor Helen in the clinic

How Bioidentical Hormone Replacement Therapy Works

Bioidentical Hormone Replacement Therapy (BHRT) involves the use of hormones derived from plant oestrogens which have the same chemical molecular structure as the naturally occurring hormones produced by the body. Synthetic hormones on the other hand – such as those used in conventional HRT – have slight structural differences, which mean they can act differently in the body and therefore produce substantially different effects.

Not only that, but with BHRT, ALL of your hormones are measured individually using blood tests, and the doses of your BHRT prescription are tailored specifically to the needs of YOUR body. This not only includes oestrogen, but also progesterone, testosterone, DHEA and vitamin D.

Bioidentical Hormone Replacement Therapy helps to:

• Protect against cardiovascular disease
• Protect against osteoporosis
• Improve quality of life

Patient Pathway

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Introductory consultation

An introductory consultation is ideal for those who would like to receive more information on what BHRT is, and would like to ask more questions before proceeding with treatment. This is a 15-minute “fact finding” appointment and is priced at £75. If you decide to go ahead with treatment the £75 introductory consultation fee will be deducted from the price of the full consultation which will follow.

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BHRT Full Consultation

During a full consultation, Dr Helen will spend considerable time discussing and understanding your medical history and symptoms, and will make an initial assessment of your requirements. Blood will be taken for lab testing at this consultation so that we can measure your current hormone levels. We can then determine the appropriate individual prescription for you.

The price for this consultation is £285.

BHRT Blood Test

Blood tests are required during your first consultation and will need to be repeated at certain intervals during your treatment pathway to ensure your prescription remains accurate to your current hormone levels. Blood tests are priced at £210.

BHRT Blood Test Results

1-2 weeks after your initial consultation you will come back to the clinic for a review with Dr Helen to discuss the findings from your blood tests and a tailormade personal prescription will be devised for you, This will be at a cost of £50. Dr Helen will then send your prescription to the specialist pharmacy in order to compound your medication. It will then be your responsibility to contact the pharmacy, pay for your prescription and arrange delivery of the medication. The average cost of monthly medication is around £70-£80.

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BHRT follow up appointments

Further review appointments with Dr Helen are priced at £95, and on occasion blood tests will be required during the course of treatment at decreasing frequency over time, so that hormone prescriptions remain tailored to your requirements.

Consultations with Doctor Helen

Frequently Asked Questions on Bioidentical Hormone Replacement Therapy:

We aim to answer all your questions before your treatment.  If you have any further questions, please do not hesitate to contact us or book a consultation to discuss your personalised treatment.

What hormones are involved?

OESTROGEN
Oestrogen levels fall dramatically at the menopause, and this is associated with hot flushes, night sweats, higher risk of cardiac disease and increased bone loss (resulting in osteoporosis). Oestrogen supplementation can enhance mood, revive libido and relieve hot flushes, night sweats, vaginal dryness and urinary incontinence.

PROGESTERONE
Progesterone levels decline faster than oestrogen levels during the peri-menopause and menopause, which results in irregular and heavy periods, headaches and mood swings. There is a misconception that women who have had a hysterectomy do not need progesterone – however, oestrogen and progesterone have a complimentary effect and so in BHRT they are always prescribed together.

Natural progesterone has very different effects to the synthetic progestins used in standard HRT. It is a calming soothing hormone which promotes sleep, improves mood, helps the use of fat for energy, stimulates bone building, improves energy levels and stamina and is a natural diuretic.

TESTOSTERONE
Although typically considered a male hormone, women also produce testosterone but in smaller amounts. Testosterone should be considered the ‘forgotten’ female hormone. Low levels of testosterone can cause fatigue, depression, aches and pains in joints, thin dry and saggy skin, osteoporosis and increased risk of cardiovascular disease.

Benefits of testosterone include:-
Increased energy and libido
Boosted muscle mass and strength
Increased self-confidence and vitality
Increased bone density
Improved memory

DEHYDROEPIANDROSTERONE (DHEA)
DHEA is a hormone precursor for oestrogen and testosterone, produced in the adrenal gland and brain. It increases energy levels and enhances wellbeing. It can alleviate symptoms of fatigue, reduces body fat and has anti-ageing pro

Why is BHRT better than “standard” HRT provided on the NHS?

BHRT uses hormones which are structurally identical to your own hormones, and your prescription is tailor made just for you.

For how long can I or should I take BHRT?

The menopause can be considered to be “ovarian failure” and BHRT should be considered a life-long treatment.

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