Hormonal balance. Tailored to you.
Women's BHRT
Doctor-led bioidentical hormone replacement for perimenopause, menopause, and hormonal imbalance, beginning with comprehensive blood panels and tailored to your physiology.
Wellness & Longevity · London & Dubai
The Treatment
Women's BHRT
Bioidentical hormone replacement therapy (BHRT) prescribes hormones, typically oestrogen, progesterone, and testosterone, that have an identical molecular structure to those your body makes naturally. At 23MD, BHRT is delivered as a fully bespoke programme. There is no standard dose, every prescription is designed from your specific blood results, symptoms, and risk profile, with delivery via creams, gels, patches, or oral capsules.
BHRT does not stop ageing, but it does address the symptoms of hormonal decline that ageing accelerates. Most women describe the change as feeling like themselves again, clearer, calmer, more capable. Long-term, BHRT is also associated with better bone density and cardiovascular protection when prescribed appropriately.
About
What it is, how it works.
How it works
As ovarian function declines from the late 30s through menopause, the body produces less oestrogen, progesterone, and testosterone. The drop affects mood, sleep, energy, libido, weight, bone density, cognition, skin and hair. BHRT restores those hormones to levels that match a healthy younger physiology. Improvements typically begin within 4–6 weeks and consolidate over 3–6 months.
Why it matters
BHRT does not stop ageing, but it does address the symptoms of hormonal decline that ageing accelerates. Most women describe the change as feeling like themselves again, clearer, calmer, more capable. Long-term, BHRT is also associated with better bone density and cardiovascular protection when prescribed appropriately.
Indications
What We Treat
- Perimenopausal or menopausal symptoms
- Unexplained fatigue, low mood, or weight change
- Reduced libido and sleep disturbance
- Cognitive fog and mood instability
- Skin thinning and hair changes with hormonal contributors
Results & Expectations
Clinical Expertise. Natural Outcomes.
What may improve
- Energy, sleep, and mood
- Cognitive sharpness and libido
- Skin, hair, and nail quality
- Weight responsiveness
- Long-term bone and cardiovascular protection
Timeline
Sleep and mood improvements within 4–6 weeks; energy, weight responsiveness, and cognitive sharpness consolidate over 3–6 months.
BHRT addresses symptoms of hormonal decline, it does not stop ageing.
Meet our 23MD Digital Team
Doctor-led intelligence, at your fingertips. Explore whether Women's 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
- Personal history of hormone-sensitive cancer (without specialist clearance)
- Undiagnosed vaginal bleeding
- Active liver disease or untreated thromboembolic risk
- Pregnancy or active attempts to conceive
- Patients seeking a quick fix without ongoing monitoring
Consultation required: Comprehensive consultation, full history, and appropriate bloodwork are required before any prescription is initiated.
Related concerns
Concerns this treatment may address
FAQs
Your Questions, Answered
Bioidentical means the hormone has an identical molecular structure to the one your body produces. Synthetic HRT uses chemically modified versions. Bioidentical hormones are sourced from plant precursors and processed in regulated pharmacies.
When prescribed by a qualified physician following comprehensive testing and monitored regularly, BHRT is well-tolerated and effective for appropriate candidates. Risk is individualised and discussed in detail before any prescription.
Often yes, but it requires careful risk assessment and may involve routes (such as transdermal oestrogen plus micronised progesterone) associated with lower risk. We collaborate with breast specialists where appropriate.
Most women report sleep and mood improvements within 4–6 weeks, with energy, weight responsiveness, and cognitive sharpness consolidating over 3–6 months.
Generally no, progesterone's primary role is protecting the uterine lining. However, some women benefit symptomatically. Your physician will advise based on your case.
BHRT alone is not a weight-loss programme, but for women whose weight gain is hormonally driven, restoring hormonal balance often makes weight loss possible again where it previously was not.
Yes. Many 23MD patients combine BHRT with aesthetic and skin treatments. Hormonal optimisation often improves skin and hair quality, complementing aesthetic work.
Through a regulated UK or UAE specialist pharmacy with which 23MD has compliance arrangements. Medication is shipped to your home or collected from the pharmacy.
Pricing depends on your protocol, blood panel, and follow-up frequency. We provide a clear written quote after your initial consultation.
Yes. 23MD coordinates BHRT continuity for patients who travel between our clinics. Your records and prescriptions transfer seamlessly.
Medically reviewed by Dr Martin Galy, MB BCh BAO LRCP&SI, GMC-registered since 2001.
