Hormonal balance. Inside-out optimisation.
Bioidentical Hormone Replacement Therapy (BHRT)
A doctor-led, personalised approach to hormonal optimisation, designed to support skin quality, energy, body composition, and long-term ageing.
Wellness & Longevity · London & Dubai
The Treatment
Bioidentical Hormone Replacement Therapy (BHRT)
BHRT at 23MD is a personalised approach to restoring the hormones your body naturally produces less of with age, using bioidentical molecules, identical in structure to your own. The aim isn't to make you younger; it's to help your body function the way it once did.
So much of how we look and feel, skin thickness, hair density, energy, sleep, body composition, recovery, is governed by hormones. When those hormones decline, no amount of skincare or training fully compensates. BHRT addresses that quietly, from within. It is also the reason aesthetic treatments often perform better in patients whose internal health is supported.
About
What it is, how it works.
How it works
After a thorough consultation and bloodwork, your doctor maps a precise plan: which hormones, in what dose, by which route, usually a cream, patch, or sometimes a small implant. Over the following weeks and months, your levels are gently restored toward an optimal range, and reviewed regularly to keep them balanced.
Why it matters
So much of how we look and feel, skin thickness, hair density, energy, sleep, body composition, recovery, is governed by hormones. When those hormones decline, no amount of skincare or training fully compensates. BHRT addresses that quietly, from within. It is also the reason aesthetic treatments often perform better in patients whose internal health is supported.
Indications
What We Treat
- Perimenopausal and menopausal symptoms
- Andropause and age-related testosterone decline
- PCOS
- Skin thinning, loss of elasticity, reduced collagen
- Hair thinning with hormonal contributors
- Fatigue, sleep disturbance, reduced recovery
- Body composition changes, loss of lean mass, central fat
- Reduced libido and mood changes with hormonal correlation
Results & Expectations
Clinical Expertise. Natural Outcomes.
What may improve
- Symptom relief from hormonal change
- Skin thickness, hydration, elasticity
- Energy, sleep, recovery
- Body composition and metabolic resilience
- Quality and longevity of aesthetic outcomes
Timeline
Symptomatic improvement within weeks; aesthetic, body-composition, and longevity-related effects develop over months of consistent therapy.
BHRT is not a quick aesthetic intervention, it is a long-term optimisation strategy.
Meet the 23MD Digital Team
Doctor-led intelligence, at your fingertips. Explore whether Bioidentical Hormone Replacement Therapy (BHRT) is the right pathway with our BHRT Digital Doctor.
Suitable For
Safety & Suitability
Not suitable for
- Active or recent hormone-sensitive cancer
- Active venous thromboembolic disease
- Pregnancy or active attempts to conceive
- Certain liver, cardiovascular, or endocrine conditions
- Patients unwilling to engage with structured monitoring
Consultation required: A comprehensive medical consultation, full history, and appropriate bloodwork are required before any protocol is initiated.
FAQs
Your Questions, Answered
Medically reviewed by Dr Suha Kersh, MBBS, GMC-registered on April 2026.
