What is Compounded Bio Identical Hormone Therapy (BHRT)?”

Navigating hormonal changes can be a complex and often frustrating journey. While conventional Hormone Replacement Therapy (HRT) offers significant relief for many women, it doesn’t always meet the unique needs of every individual. For those seeking a more tailored approach, Compounded Bioidentical Hormone Replacement Therapy (BHRT) has emerged as a respected, informative option.

This article explores what compounded BHRT is, why some women choose it, and the importance of quality and safety in this personalised approach.

In this fact sheet, we’ll explore:

What is Compounded Bioidentical Hormone Replacement Therapy (BHRT)?

BHRT involves using hormones that are chemically identical to those produced naturally by your body. These may include hormones such as:

  • Estradiol
  • Progesterone
  • Dehydroepiandrosterone (DHEA)
  • Testosterone

In a compounding pharmacy, these hormones are used to create customised medications to suit the individual patient. This customisation is based on the patient’s specific symptoms, pathology results, and the guidance of their prescriber.

Compounded BHRT is often explored by women navigating:

  • Perimenopause
  • Menopause
  • Hormonal imbalances that have not responded well to traditional therapies

Compounding allows these hormones to be prepared in various strengths and dosage forms, such as capsules, creams, or troches, to offer a truly personalised treatment plan.

Why Do Women Seek Compounded BHRT?

The decision to explore compounded BHRT is often driven by a desire for better symptom management and a more personalised experience. Reasons include:

  • Intolerance to Standard HRT: Some women experience intolerable side effects with standard HRT, such as headaches, mood swings, bloating, or breast tenderness.
  • Untreated Symptoms: Feeling that symptoms like poor sleep, low libido, brain fog, or chronic fatigue are being dismissed or undertreated by conventional methods.
  • Personalised Care Preference: A desire for a hormone regime that is precisely tailored to their body’s unique needs and test results, rather than a one-size-fits-all product.

It is important to acknowledge that every woman deserves to feel heard and have their health options clearly explained. If compounded BHRT offers symptom relief when other treatments have failed, it is a valid path to explore safely and with expert support.

Safety and Quality in Compounded Hormones

It is important to understand that compounded medications are not registered with the Therapeutic Goods Administration (TGA) in the same way as mass-produced pharmaceuticals. This means that the safety and efficacy of the final product depend entirely on:

  • The quality of the compounding pharmacy
  • The expertise of the prescribing doctor
  • The strength of the prescriber-pharmacist-patient relationship

At National Custom Compounding (NCC), we take this responsibility seriously. Our compounded hormones are prepared under strict quality assurance and oversight, ensuring they are made under appropriate conditions, whether sterile or non-sterile. Transparency and quality control are paramount at every step.

When considering compounded BHRT, look for a compounding pharmacy that prioritises:

  • Strict quality control measures
  • Pharmacist oversight
  • Collaboration with your prescribing doctor

Taking a Proactive Role in Your Health

Have you been told your symptoms are a “normal part of aging”? Have you tried standard hormone therapy only to feel that it didn’t quite fit your needs? You are not alone. More women are proactively seeking answers and exploring personalised hormone care.

Compounded BHRT, supported by a prescribing doctor who understands this space and a compounding pharmacy committed to quality, can be a valuable option. We don’t claim to have a one-size-fits-all answer, but we are committed to providing safe, high-quality, and carefully crafted options.

If you are wondering whether compounded BHRT might help you feel more like yourself again, the first step is to talk to a doctor who is experienced in this area or reach out to a compounding pharmacy for information. We are here to support your journey with respect and quality care.

Video Transcript

Hi, I’m Matt Bellgrove, owner of National Custom Compounding here in Australia. I want to have a respectful, informative conversation today about compounded bioidentical hormone therapy or BHRT, and why some women are exploring it when conventional hormone replacement doesn’t quite meet their needs. This is not about challenging mainstream medicine. It’s about choice, safety and understanding your options.

What is BHRT? It uses hormones that are chemically identical to those produced naturally by your body in a compounded setting. These hormones are customised to suit the individual patient based on symptoms, pathology results, and prescriber guidance. They’re often used to support women going through perimenopause, menopause, or those with hormonal imbalances that haven’t responded well to traditional therapies. You might hear about estradiol, progesterone, DHEA, or testosterone in this space, all of which can be compounded to specific strengths and forms like capsules, creams or troches.

Now, it’s important to acknowledge that not all medical associations endorse compounded BHRT. That’s because compounded medicines aren’t registered with the TGA in the same way that mass-produced pharmaceuticals are, which means their safety and efficacy depend entirely on the quality of the compounder and the strength of the prescriber-pharmacist-patient relationship.

At NCC, we understand this concern and we work hard to ensure our compounded hormones are made under strict, sterile and non-sterile conditions with quality assurance, pharmacist oversight and transparency at every step.

So why do women seek compounded BHRT? Some don’t tolerate standard HRT due to side effects like bloating, breast tenderness, mood swings or headaches. Others feel that their symptoms like fatigue, poor sleep, low libido or brain fog are dismissed or undertreated, and many simply want a more personalised approach.

The truth is, you deserve to feel heard. You deserve to have options explained clearly and, if compounded BHRT offers symptom relief where other treatments haven’t, it’s worth exploring safely and with expert support.

Have you been told your symptoms are just a normal part of aging? Have you tried standard hormone therapy but felt it just didn’t fit? Are you curious about what personalised hormone care might look like with the support of a prescribing doctor and a compounding pharmacy that understands your unique journey? You’re not alone. More women are starting to ask these same questions and taking a proactive role in their health.

At National Custom Compounding, we don’t claim to have a one-size-fits-all answer, but we do believe in giving you safe, high-quality options crafted with care and supported by clinical expertise. If you’re wondering whether BHRT might help you feel more like yourself again, it’s okay to explore that. Talk to a doctor who understands this space or reach out to our team. We’re here to support you with information, quality care and respect for your journey.

Thanks for watching and take care.

Matthew Bellgrove - Managing Director & Compounding Pharmacist

I have been a pharmacist for 15+ years, owned and worked in a variety of Pharmacies including NCC for the last 10 years.

I find compounding pharmacy a rewarding profession because of NCC’s ability to customise medicine for any type of patient or pet. I often find ourselves solving challenges which standard medicine couldn’t and the gratitude from Patients is very humbling.

Feel free to contact me at any time,either on matt@customcompounding.com.au or 1300731755

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