Hormonal balance. Inside-out optimisation.
Bioidentical Hormone Replacement Therapy (BHRT)
A doctor-led, personalised approach to hormonal optimisation, tailored to your symptoms, blood results and medical history.
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 hormone levels decline, skincare and training alone may not address the changes people notice. For suitable patients, BHRT may help, following a full medical assessment.
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 hormone levels decline, skincare and training alone may not address the changes people notice. For suitable patients, BHRT may help, following a full medical assessment.
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
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.
Individual responses vary. BHRT is only prescribed following consultation, blood tests and medical suitability assessment, with ongoing monitoring.
Meet our 23MD Digital Team
Doctor-led intelligence, at your fingertips. Explore whether Bioidentical Hormone Replacement Therapy (BHRT) is the right pathway with our BHRT Expert.
23MD Digital tools provide general information only and do not replace a consultation with a doctor. In an emergency, contact your local emergency services.
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.
Related concerns
Concerns this treatment may address
FAQs
Your Questions, Answered
BHRT replaces hormones your body produces less of with age, using bioidentical formulations identical in structure to your own. Doses are personalised to your symptoms, bloodwork, and goals.
Bioidentical HRT uses hormone molecules identical to your own, dosed and formulated individually. The clinical principles overlap with conventional HRT, with strong emphasis on personalisation and monitoring.
It requires individual assessment and ongoing monitoring. With appropriate selection, dosing, and follow-up, it is supported by a substantial body of clinical evidence in suitable patients.
Hormones underpin skin quality, collagen production, hair health, body composition, and recovery. Where clinically relevant, it supports and prolongs the outcomes of aesthetic and regenerative treatments.
Symptomatic improvement is sometimes noted within weeks; aesthetic and body-composition effects develop progressively over months. Optimal benefits across 3–12 months.
Yes. BHRT is delivered as a long-term, monitored programme with structured reviews and repeat bloodwork, fundamental to safe, effective therapy.
Medically reviewed by Dr Martin Galy, MB BCh BAO LRCP&SI, GMC-registered since 2001.
