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Breakthroughs in Menopause Care: Why Bioidentical Hormone Replacement Therapy is the Gold Standard

  • Catherine Brigger
  • Aug 11
  • 3 min read


“Menopause is a new season—not the end of the story.”

Menopause is not a disease—it’s a natural transition. But for too long, women have been told to “tough it out” or accept symptoms as inevitable. The last five years have brought renewed scientific clarity about how bioidentical hormone replacement therapy (BHRT) can safely restore balance, protect long-term health, and dramatically improve quality of life when used correctly.


At TRUE Rejuv Wellness, we approach menopause from a functional medicine lens—addressing the root causes of symptoms, optimizing overall health, and customizing therapy so it’s as unique as you are.




1) BHRT is the most effective treatment for menopause symptoms—period



Hot flashes, night sweats, mood swings, fatigue, low libido, brain fog—these symptoms stem directly from the decline of estrogen, progesterone, and testosterone during menopause. No other therapy addresses the root cause as directly as replacing those hormones in their bioidentical form—molecularly identical to what your body used to make.


Sidebar – Quick Facts:


  • BHRT = bioidentical hormones that match human hormone structure exactly.

  • Works on root cause, not just symptoms.

  • Tailored dosing = minimal side effects.





2) Starting BHRT early has the best safety profile


“The right timing turns hormone therapy into disease prevention.”

Multiple large-scale analyses confirm: Women who start BHRT within 10 years of their final menstrual period—and before age 60—see the greatest benefits and lowest risks.


Benefits of Early Start:


  • Better symptom control

  • Stronger bone protection

  • Cardiovascular support

  • Cognitive health preservation





3) Bioidentical hormones offer a safer, more natural fit



Not all hormones are created equal. Bioidentical hormones, such as transdermal estradiol and oral micronized progesterone, have a superior safety profile compared to many synthetic or oral conjugated estrogens.


Sidebar – Safer Choices:


  • Transdermal estradiol: no clot risk when compared to oral estrogen

  • Micronized progesterone: breast tissue protection unlike synthetic progestins

  • Individualized dosing: avoids “one-size-fits-all”. This is why labs are so important.





4) BHRT protects long-term health—not just symptoms



“Hormones aren’t just about hot flashes—they’re about protecting your brain, bones, and heart.”

Research-backed benefits:


  • Bone Density: Estrogen and testosterone prevents osteoporosis, muscle wasting, and fractures.

  • Heart Health: Improves cholesterol, blood sugar levels, vascular function, and reduces risk of heart attack and stroke as well as mortality risk when started early.

  • Brain Health: Midlife estrogen and testosterone therapy lowers dementia and Alzheimer’s risk.

  • Urogenital Health: Restores comfort, pH balance, and reduces UTIs.





5) The functional medicine difference: personalization and monitoring



At TRUE Rejuv Wellness, BHRT is never “set it and forget it.” We:


  • Test comprehensively: hormones, thyroid, adrenals, inflammation, nutrients.

  • Adjust dosing: based on labs and symptom feedback.

  • Support the whole picture: nutrition, lifestyle changes, dietary changes, gut health, detox pathways, stress resilience, cellular health.





Myth vs. Fact: BHRT Edition



Myth: Hormone therapy is dangerous for all women.

Fact: Modern research shows BHRT—especially started early, —is safe and beneficial. Risks often cited come from outdated studies using synthetic hormones in older women.


Myth: Estrogen therapy alone is enough in menopause.

Fact:Replacement of Estradiol, progesterone and testosterone are equally important in the menopausal years and may be continued for the lifespan improving health and wellness.


Myth: All hormones are the same.

Fact: Bioidentical hormones match human hormones exactly—synthetic versions do not, and that difference matters for safety, efficacy, and tolerability.




The bottom line



The last five years of research and clinical practice have only reinforced what functional medicine has known for decades: bioidentical hormone replacement therapy, started at the right time, in the right dose, and in the right woman, is safe, effective, and life-changing.

Ready to reclaim your vitality?

Book your Menopause Optimization Consultation with TRUE Rejuv Wellness and start your personalized BHRT plan today.


References:


  1. North American Menopause Society. The 2022 Hormone Therapy Position Statement of The North American Menopause Society. Menopause. 2022;29(7):767–794.

  2. Manson JE, et al. Menopausal hormone therapy and long-term all-cause and cause-specific mortality. JAMA. 2017;318(10):927–938.

  3. Canonico M, et al. Postmenopausal hormone therapy and cardiovascular disease: role of estrogen route and progestogen type. J Am Heart Assoc. 2016;5(1):e002785.

  4. Fournier A, et al. Use of different postmenopausal hormone therapies and invasive breast cancer risk. J Clin Oncol. 2008;26(8):1260–1268.

  5. Whitmer RA, et al. Timing of hormone therapy and dementia risk. Ann Neurol. 2011;69(1):163–169.

 
 
 

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