FDA Approved Bioidentical Hormones

February 24, 2009

We’ve mentioned that the FDA has approved over 20 bioidentical hormones and now want to share some of the hormones on that list, specifically those meant to treat menopause symptoms.  We’ve also included some synthetic hormones on the list in order to keep you informed on the hormones out there.

Remember that it is never a good idea to take any hormones without first being tested so that you can be sure about which hormones (if any) your body needs to achieve balance and overall wellness.  Once you are on hormone therapy, follow-up tests are also vital to keep track of your progress and the effect of the hormones on your body.  Furthermore, we always suggest bioidentical hormones over the less natural and more dangerous synthetic hormones.  Bioidentical hormones are identical to the hormones in your body and can be completely utilized without the dangerous side effects of synthetic or non-bioidentical hormones.  BodyLogicMD affiliated physicians do prescribe bioidentical hormones from this list.

Always talk with your doctor before starting any hormone replacement therapy.

Read more:

Bioidentical Hormones for Women and Bioidentical Hormone for Men

FDA-approved Hormones for Menopausal Symptoms
Type/source Brand name(s) Form Bioidentical?
Estrogens
Conjugated equine estrogens (CEE)/pregnant mares’ urine Premarin Pill No
Vaginal cream No
Synthetic conjugated estrogens/plants Cenestin, Enjuvia Pill No
Esterified estrogens/plants Menest Pill No
17 beta-estradiol/plants ++Micronized (Particles are made smaller for better absorption)++ Estrace, others Pill Yes*
Alora, Climara, Esclim, Estraderm, Vivelle, others Patch Yes
Estrogel Transdermal gel Yes
Estrasorb Topical cream Yes
Estrace Vaginal cream** Yes
Estring Vaginal ring** Yes
Estropipate (modified estrone)/plants Ortho-Est, Ogen, others Pill No
Ogen Vaginal cream** No
Estradiol acetate Femring Vaginal ring Yes
Estradiol hemihydrate Vagifem Vaginal tablet** Yes
Ethinyl estradiol Estinyl Pill No
Progestins, micronized progesterone
Medroxyprogesterone acetate (MPA) Amen, Cycrin, Provera Pill No
Micronized progesterone USP Prometrium Pill Yes
Prochieve 4% Vaginal gel Yes
Norgestrel Ovrette Pill No
Norethindrone Micronor, Nor-QD, others Pill No
Norethindrone acetate Aygestin, others Pill No
Combined hormones
CEE and MPA Premphase, Prempro Pill No
Ethinyl estradiol and norethindrone acetate Femhrt Pill No
17 beta-estradiol and norethindrone acetate Activella Pill No
Combipatch Patch No~
17 beta-estradiol and norgestimate Prefest Pill No~
17 beta-estradiol and levonorgestrel Climara Pro Patch No~
*Bioidentical estradiol until ingested and converted in the liver to estrone.
**For vaginal symptoms only.
~The estradiol is bioidentical but not the progestin.

17 Responses to FDA Approved Bioidentical Hormones

  1. Pingback: FDA Approved Bioidentical Hormones « BodyLogicMD’s Hormone Therapy … | mydoctorblog

  2. jane crawford says:

    what is major cause of insomnia in post menopausal period?

    • bodylogicmd says:

      Hi Jane,

      Very sorry about the delayed response…

      Insomnia hormone imbalance or sleeplessness is both a cause and effect. Basically, hormone imbalance resulting from perimenopause, menopause, adrenal fatigue or any of its other symptoms, may cause sleeplessness which in turn worsens the hormone imbalance. Sleeplessness also has many other non-hormone related causes. These hormonal and non-hormonal causes of insomnia include:

      Chronic Stress
      Night Sweats
      Adrenal Fatigue
      Anxiety
      Dietary habits

      Insomnia in women causes hormone imbalance and worsens the symptoms of menopause because the body needs sleep for the body’s hormones to do their job properly.

      Read more about insomnia/sleeplessness here: http://www.bodylogicmd.com/for-women/insomnia-hormones-sleeplessness

      In health,
      Barbara at BodyLogicMD

  3. jane crawford says:

    Are non FDA approved bioidentical hormones prescribed by BodyLogicMD phycisians?

    • bodylogicmd says:

      Hi again Jane,

      Hormonal imbalances contribute to the risk of stroke, heart attack and even breast cancer and when used properly, bioidentical hormone replacement therapy can reduce this risk. Critics argue that the safety of bioidentical hormones should be confirmed by the FDA, and in fact the FDA has approved over 20 natural bioidentical hormone products including estrogen, progesterone and testosterone.

      Compounding pharmacies that make bioidentical hormones are regulated by state and local government, not the FDA. However, those recommended by BodyLogicMD are regulated by the Professional Compounding Centers of America (PCCA) and accredited by the Pharmacy Compounding Accreditation Board, for high quality assurance.

      For further information, check out: http://www.bodylogicmd.com/research/safety-of-bioidentical-hormones and here is a great video: http://www.youtube.com/watch?v=L638ht1fTMc

      In health,
      Barbara at BodyLogicMD

  4. Pingback: Remember Much? « BodyLogicMD’s Hormone Therapy Blog

  5. Matilda says:

    Wow. bioidenticalhormoneexperts.com rocks.

  6. Rose says:

    I am 60, both menopausal and on thyroid medication due to surgical removal since 54, and have had significant hair loss since. Thyroid levels are perfect with Armour Thyroid. Considering bHRT to try to combat excess hair loss. Conventional Gyno feels that risk of HRT (synthetic) outweighs the possible benefit I might realize and doesn’t recommend any long term use of either. Also feels that if I take either for 5 years (to minimize risk), the hair loss will return when stopped and perhaps be worse. Do you agree?

    • Bioidentical Hormones Expert says:

      Hair loss can be caused by many different hormone abnormalities, which is why testing of your hormone levels is very important. In my practice I am frequently able to identify patients’ hormonal problems with comprehensive testing. Many patients find relief from these hormonal imbalances with treatment. I do not recommend synthetic hormones for patients in my practice, as these have been shown to increase the risk of breast cancer and heart disease in women. Bioidentical hormone replacement has not been shown to increase these risks, since bioidentical hormones are the same exact hormones as what is inside the body. Bioidentical hormone replacement has been shown to be safer and more effective than synthetic hormones.

      Jennifer Landa, M.D.
      Chief Medical Officer, BodyLogicMD
      Medical Director, BodyLogicMD of Orlando

  7. Julia says:

    I’ve been on bi-est natural estrogen – 2.5 MG and 100 progesterone caplets. If I switch to a gel. What dose would I need to match the same?

    • Bioidentical Hormones Expert says:

      Unfortunately, we’re not authorized to provide that type of advice over the internet. I would recommend speaking with the prescribing physician. (S)He will be able to make that type of call, based on your lab results and current medications/supplements.

  8. Sonja says:

    What are the different bases composed of in transdermal bhrt and vaginal bhrt? And what effects does it have on my body if transdermal formula is given to me in a vaginal tube?

  9. Tania says:

    So how effective are bioidentical hormones for surgical menopause, when done under 40, and are doses comparable to traditional ERT? When would you recommend starting the creams after surgery

  10. Deborah says:

    I am nearing 60 and have struggled with menopausal symptoms (primarily hot flashes), and have gained 50 lbs over the last couple of years, all around middle and seen a sharp increase in skin changes. It’s like i am aging overnight. Could my problem be due to high estrogen and not enough progesterone? I am struggling to lose weight and heard belly fat can lead to excess estrogen.

  11. Shelley says:

    are FDA approved bio idetnical hormones similar to compunded? I have started seeing an endocrinolgist in austin Texas who states she does not use sythetics and uses FDA approved, branded products that are bio-identical from plants. the advantage for me is that I have good health, few menapausal symptoms (I take care of myself) AND they are covered by my insurance since they are a prescrition format. compunded are not covered. One blogger on another website who was a doctor suggested that the benefit from customized compunding may not be worth the cost if you can get desired results with a branded form. this doctor I have contacted manages symptoms compared to blood. Being an endocrinologist, she check thyroid and other areas with blood tests. Your thoughts about these “branded” FDA approved bio-identicals. You list them on this web page above. It is very difficult to find inoframtion about them. the arguments seem to rage between synthetic and compunded. but if these “branded” ones are an option, that can be much more affordable to a lot of women.

  12. Pingback: What are bioidentical hormones? | Anita Petruzzelli MD - Connecticut Bioidentical Hormones Expert

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