How It Is Given
Getting Started
Most Common
Bioidentical hormones
Bioidentical means the molecule is structurally identical to the one your body made. That describes FDA-approved estradiol and micronized progesterone, which are regulated, dose-tested and prescribed every day. Prescribed for women across Austin.
The distinction
The word bioidentical covers two very different products, and the one a Austin clinic hands you determines whether anyone has verified the dose. FDA-approved body-identical hormones are manufactured to a verified specification. Every patch contains what the label says, within a tight tolerance, and the products have been through efficacy and safety review.
Compounded bioidentical preparations are mixed by a pharmacy to a prescriber's recipe. They are not FDA-approved, batch consistency is not independently verified, and testing has repeatedly found doses that differ substantially from what was ordered.
Compounding has legitimate uses, chiefly where an allergy to a filler rules out every approved product, or where a needed dose is not commercially available. Marketing it as inherently more natural than an approved estradiol patch is not one of them, because both contain the same molecule. Related reading: treatment options, estradiol and progesterone go further into it. Where a compounded formula is recommended in Austin, ask which of those two reasons applies and expect a specific answer rather than a philosophy.
Questions to ask
A straight question with a straight answer. If the answer involves an explanation rather than a yes or no, that is informative.
For an approved product, the manufacturer under regulatory oversight. For a compounded one, often nobody outside the pharmacy that mixed it.
There are legitimate answers, such as a filler allergy. Preference for the compounding pharmacy is not one of them.
Approved products usually are. Compounded ones usually are not, and that gap is a reasonable proxy for regulatory status.
Saliva testing
Compounded programs rarely arrive alone, and the test bundled with them is the part worth questioning before you pay for it in Austin. Compounded hormone programs are frequently sold alongside saliva hormone testing and repeated level monitoring. Saliva testing is not validated for guiding menopause hormone therapy and no professional body recommends it for that purpose.
Dosing hormone therapy to a target number rather than to symptom control is not standard practice. The dose that controls your symptoms is the right dose, whatever a saliva panel reports. The detail sits in hormone pellets, hormone replacement therapy and dosing and adjusting for the rest of it. Ask what a repeat test would actually change before you pay for it, and apply that question to anything a Austin clinic bills separately.
Related treatments
Every treatment below uses an FDA-approved product, most of them body-identical.
The systemic overview: what it treats and how well.
Learn moreThe estrogen most often prescribed, and why a patch usually comes first.
Learn moreWhy it is added, who needs it and the sleep effect.
Learn moreLocal treatment for dryness and urinary symptoms.
Learn moreCommon questions
What the word means, what is regulated and what is not.
Patient reviews
I had been waking three or four times a night for two years and had been told it was just stress. The consultation actually went through my cycle history. Six weeks on a patch and I am sleeping through.
What I wanted was someone who would talk about the risks honestly rather than sell me something. They walked through the clot data and why a patch suited me better than tablets.
The brain fog was the part nobody warned me about. Having a clinician tell me it was a recognized symptom and not early dementia was worth the appointment on its own.
It took two dose changes before things settled, which they had told me upfront might happen. The three-month review was booked before I left the first appointment.
From the blog
Next step
Bring the label, the pharmacy name and what you are paying. That is usually enough to tell you whether you are on an approved product and whether there is a cheaper equivalent.
Consultations are by appointment. Prescriptions are issued only where clinically appropriate.