Have More Questions?

We help women over the age of 35, identify the root causes of any issues related to perimenopause, menopause, and post menopause. Please schedule an appointment to get your mojo back!

a patient of Dr. Clark asking a question regarding HRT.

FAQ about Hormone Therapy

  • Bioidentical hormone therapy consists of 17 beta estradiol, progesterone, and testosterone. Testosterone supplementation is not traditionally part of hormone therapy in the U.S. but is used more frequently in other countries.
  • There are synthetic forms of hormone therapy, such as ethinyl estradiol (estrogen), norethindrone (progestin), medroxyprogesterone acetate (progestin), and methyltestosterone. Progestins are synthetic products that mimic the action of progesterone.
  • The hormone therapy that has been widely used for many years consists of Premarin (derived from pregnant mares’ urine) and medroxyprogesterone acetate. We do not use medroxyprogesterone acetate because it is a bad synthetic progestin that has numerous side effects, including being a carcinogen for the breast. For many years, however, these were the only products that were available.

Hormone therapies include but are not limited to:

  • Bioidentical estradiol, usually in the form of a patch.
  • Bioidentical oral progesterone at bedtime. Progesterone prevents an increased risk of uterine cancer that occurs when estrogen is used by itself. Progesterone can also help you sleep.
  • Bioidentical transdermal testosterone cream, which enables better absorption of testosterone than an oral form.
  • Low-dose birth control pills for menstrual cycle regulation depending on the circumstances.

Our practice is considered out-of-network by healthcare insurance companies, which gives us the freedom to spend more time with each patient and develop personalized treatment protocols without insurance “approval.” However, you can file insurance claims to recover a portion of the cost.

There are bioidentical hormone therapy products that are covered by insurance plans.  These include estradiol tablets, patches, and gels. There are also progesterone capsules that are covered by insurance plans.  Generally, anything made by major pharmaceutical manufacturers is typically covered, but compounded products are not. 


Today’s bioidentical hormone therapy does not carry the same risks as the hormone therapy available in the past.  The hormone therapy used in the Women’s Health Initiative study is vastly different from bioidentical hormone therapy in use today.
Initially, possible side effects may include mild breast tenderness. Hormone therapy can typically be administered in such a way that doesn’t cause menstrual bleeding.

You should be seen at least annually for hormone therapy, especially if your primary care provider or usual gynecologist declines to refill your prescriptions for estradiol and progesterone. Appointments should be scheduled every six months if you’re using testosterone, a DEA-controlled substance that requires a new prescription every six months and must be compounded. 

Have More Questions?

Schedule an appointment and we’ll be happy to explain hormone therapy, how we do it, why we do it, and how you can benefit. We’re committed to giving you the time and attention you need to understand your condition and how we can help.

Scroll to Top