Bioidentical Hormone Replacement Therapy (BHRT)
Hormone therapy using compounds marketed as chemically identical to endogenous hormones, often as custom-compounded pellets, creams, or troches dosed via saliva or blood testing.
Hormone therapy using compounds marketed as chemically identical to endogenous hormones, often as custom-compounded pellets, creams, or troches dosed via saliva or blood testing. Heavily promoted by wellness and anti-aging clinics as a natural, personalized alternative to conventional HRT.
Evidence
FDA-approved bioidentical formulations work like standard HRT, but custom-compounded BHRT and saliva-guided dosing lack rigorous evidence, and the anti-aging/longevity positioning is unproven and flagged as potentially misleading by regulators.
Regulatory notes
- European Union
- Compounded/bioidentical hormones fall outside standard EMA marketing authorization and are prescription-only; Spanish authorities treat compounded formulas as pharmacy-prepared prescriptions, not licensed products.
- United States
- Compounded BHRT is not FDA-approved; the FDA and a 2020 NASEM report warn against routine compounded use and marketing claims, though the underlying hormones are prescription-only.
- United Arab Emirates
- Compounded hormone products are prescription-only and require DHA/DoH-licensed prescribing; unregistered compounded formulations face restrictions under MoHAP rules.
- United Kingdom
- Compounded BHRT is not a licensed medicine; prescription-only and not recommended over regulated HRT by UK menopause guidance.
General information, not medical or legal advice. See our disclaimer.
Also known as
BHRT, bioidentical hormones, compounded hormone therapy, cBHT, bioidentical HRT, pellet therapy, hormone pellets, BioTE
Where to find it
33 clinics in the directory offer bioidentical hormone replacement therapy (bhrt). Prices shown are the cheapest for this treatment where published; always confirm with the venue.
London
- Centre for Men's Healthfrom GBP 0
- The Autoimmune Clinicfrom GBP 40
- Optimalefrom GBP 60
- The Forbes Clinic of Integrative Medicinefrom GBP 60
- Menopause Carefrom GBP 99
- Omniya Clinicfrom GBP 100
- Reborne Longevity Londonfrom GBP 108
- London Hormone Clinicfrom GBP 109
- Newson Clinic (Newson Health) Londonfrom GBP 110
- Marylebone Diagnostic Centrefrom GBP 124
- The Natural Doctorfrom GBP 130
- Medical Express Clinicfrom GBP 150
- Harpal Clinicfrom GBP 185
- Cloud Twelvefrom GBP 249
- Wimpole Aestheticsfrom GBP 250
- Dr Monica Lascarfrom GBP 265
- PHI Clinicfrom GBP 280
- UKALM Health (Wellness, Longevity & Aesthetics)from GBP 299
- Effect Doctorsfrom GBP 350
- The WellMan Clinicfrom GBP 395
- Nuffield Healthfrom GBP 529
- Harley Street MDfrom GBP 800
- Aestha Clinic
- Chelsea Pharmacy Medical Clinic
- Cleveland Clinic London
- Dr Gayetri & Associates
- Dr Theodora Mantzourani (London Functional Clinic)
- EGA Clinic (London Longevity Hub)
- Laser Medicine
- Levitas Clinic London
- Optimise Health
- The Hale Clinic
- The Longevity Doctor