Bio-Identical Hormone Replacement Therapy

BHRT- Bio-Identical Hormone Replacement Therapy- This is a term used to describe hormones that are bio-equivalent or chemically the same as the hormones that are physiologically found in the body. At Stevens Pharmacy we compound BHRT in the form of creams, suppositories, sub-lingual drops, capsules, suspensions or any other dosage form that the physician has a certain preferance to. These hormones include Progesterone, Estrogens, DHEA, Pregnenolone and Testosterone. The Estrogens are comprised of estrone(E1), estradiol(E2), estriol (E3). The most active estrogen is estradiol and the most protective being estriol. Normally the estrogens are dispensed as Triestrogen OR Biestrogen - the TRI being all 3 estrogens E1, E2,E3 in a ratio of 10/10/80. For Biestrogen, the ratio is E2/E3 20/80. Recently more physicians are leaving out the Estrone since it is the most harmful of the three natural estrogenic hormones.