Menopausal Hormone Therapy (MHT)

Types of MHT

Estrogen MHT

MHT is not a one-size-fits-all treatment. There are several types, depending on the hormones used and how they are delivered.

MHT should be individualized. Talk with your healthcare provider to find the right type, dose, and timing of therapy.

Progesterone MHT

Sometimes used for women with estrogen-sensitive conditions or to manage abnormal uterine bleeding.

Testosterone MHT

Sometimes added to estrogen therapy

Used off-label to address low libido in postmenopausal women. Requires careful monitoring.

Tibolone MHT

Often used in Europe; may help with mood, libido, and bone health. Not typically used in women with a history of breast cancer.

Types of Bioidentical Hormones

Bioidentical hormones can be found in two main forms:

Regulated (FDA-approved) bioidentical hormones
These are standardized formulations that have been tested for safety, efficacy, and purity. Common examples include estradiol and micronized progesterone, available in patches, gels, sprays, and oral tablets.

These products are prescribed by healthcare providers and produced under strict quality controls.

Compounded bioidentical hormones
These are custom-mixed formulations prepared by compounding pharmacies, often marketed as “natural” or “customized” alternatives. They may combine different doses or delivery forms (such as creams, lozenges, or pellets) tailored to individual hormone testing or preferences.

However, compounded bioidentical hormones are not regulated or approved by the FDA, meaning their potency, safety, and consistency can vary.