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Understanding How Bioidentical Hormone Therapy Can Be Administered

Jul 08, 2025
Understanding How Bioidentical Hormone Therapy Can Be Administered
Considering your options for bioidentical hormone therapy? Here, we explain the different administration methods and help you choose the one most suited to your body and lifestyle, restoring balance and ensuring you feel your best.

Hormones play a huge role in how you feel throughout each day. They help regulate your energy levels, mood, sleep patterns, weight, and even memory. But as we get older, hormone levels often decline or become unbalanced, especially during menopause. That’s where bioidentical hormone replacement therapy (BHRT) can help.

In a recent survey, almost 67% of women reported that their experience of menopause was difficult or very difficult. At Creekside Family Practice, we use bioidentical hormones to help patients regain their sense of well-being.

Custom-made to match the structure of the hormones your body naturally produces, these hormones can be a powerful option for people struggling with symptoms like:

  • Fatigue
  • Weight gain
  • Brain fog
  • Low sex drive
  • Hot flashes

Studies show that hormone replacement is the single most valuable treatment for hot flashes and other menopause symptoms.

One of the most common questions patients ask is: How is BHRT administered? Let’s walk through the primary methods we use to administer this therapy, along with each one’s pros and cons.

1. Creams and gels

You rub these into your skin, usually on your arms, thighs, or belly. You absorb the hormones through your skin, and they pass into your bloodstream.

Creams and gels are simple to apply at home, it’s easy to adjust the dose, and they’re ideal for people who prefer a noninvasive option.

You must apply them daily, wash your hands after applying, and avoid skin-to-skin contact with others right after.

2. Patches

Hormone patches go directly on your skin and deliver a steady dose throughout the day. You usually change them every few days.

Providing consistent hormone levels, patches are easy to use. They’re low maintenance with no daily dosing required.

Some people may get skin irritation from patches, and you need to rotate patch sites to avoid rashes. Patches are also visible, whereas other options ensure your privacy.

3. Pellet therapy

Pellets are small, rice-sized implants we place under your skin, usually near the hip. We need to perform a minor in-office procedure to insert the pellet, which gradually releases hormones over three to six months.

BHRT pellets deliver long-lasting relief and consistent hormone levels for long periods without your having to do anything. Pellet therapy is one of the most popular ways to use BHRT.

4. Pills or capsules

Some bioidentical hormones are available as oral pills. You take them just like any other daily medication.

Pills are simple, familiar, and easy to travel with, but the body doesn’t absorb all hormones well this way. Pills (especially those containing estrogen) may increase the risk of blood clots in some individuals.

5. Vaginal creams, tablets, or rings

You can use vaginal hormone therapy to treat symptoms like vaginal dryness or discomfort during sex. They provide targeted relief for local symptoms while presenting a lower risk of side effects elsewhere in the body. However, they don’t help as much with full-body symptoms like hot flashes and mood swings.

Choosing your BHRT option

There’s no one-size-fits-all answer to which is the best BHRT delivery method. At Creekside Family Practice, we tailor treatment to your specific symptoms, test results, and individual goals.

We also regularly monitor your hormone levels to ensure your body is responding well and make adjustments when needed. Your comfort and safety are always our top priority.

When prescribed and monitored by experienced professionals, BHRT is safe for most people. Because BHRT matches your body’s own hormones, many patients find they feel more natural and experience fewer side effects than those experienced with traditional hormone therapy.

However, BHRT may not be right for everyone. That’s why we begin with a comprehensive evaluation and discuss your health history before recommending any treatment. We also stay up-to-date with the latest research to ensure you receive the most effective, evidence-based care available.

If you’re tired of dealing with symptoms like hot flashes, low energy, poor sleep, or mood swings, bioidentical hormone therapy might be the answer. Contact Creekside Family Practice today to schedule your consultation and discover if BHRT is the right option for you.