Authored by Dr. Aleksandra Raykher
Dr. Aleksandra Raykher, M.D., is a hormone health and clinical nutrition specialist at Aligned Modern Health with decades of experience in internal medicine, metabolic health, and bioidentical hormone therapy (BHRT). She helps patients restore balance and vitality through personalized, integrative care rooted in evidence-based medicine.
What is Compounded Bioidentical Hormone Therapy?
Hormone balance is essential for overall well-being, yet many women going through perimenopause or menopause struggle to find effective relief. Traditional hormone replacement therapy (HRT) often relies on standardized doses that may not align with an individual’s unique needs.
Compounded Bioidentical Hormone Therapy (BHRT) offers a customized approach by tailoring hormone dosages and formulations based on a patient’s specific lab results, symptoms, and health profile. These customized treatments are created in specialized compounding pharmacies, allowing for more precise and adaptable hormone therapy.
At Aligned Modern Health, we prioritize compounded bioidentical hormones because they provide a more personalized, patient-centered solution to hormone imbalances—especially for women seeking relief from perimenopause and menopause symptoms.
The Alternative to Compounded Bioidentical Hormone Therapy
While compounded BHRT offers a tailored approach, the most common alternative is commercially available, FDA-approved hormone therapy, which comes in standardized doses and forms. These mass-manufactured options include:
- Synthetic hormone medications (e.g., traditional HRT)
- Commercially available bioidentical hormones (e.g., pre-packaged estradiol patches, progesterone capsules)
Although some FDA-approved bioidentical hormones exist—such as estradiol patches and micronized progesterone capsules—they lack the personalized dosing and flexibility of compounded BHRT. Additionally, commercial products are often limited to specific delivery methods, making it harder to fine-tune treatment to a woman’s unique hormonal needs.
Why Compounded BHRT is the Better Choice for Women
For many women, the lack of personalization in conventional hormone therapy can lead to incomplete symptom relief or unwanted side effects. Compounded BHRT provides several key advantages:
1. Precise Dosing for Individual Needs
Standard commercial hormone therapy is available in fixed doses (e.g., 0.5mg or 1mg of estradiol), which may not match a woman’s specific needs. Compounded BHRT allows for fine-tuned dosing adjustments, ensuring optimal hormone levels for each patient.
2. More Delivery Options
Most commercial HRT is limited to pills, patches, or gels, which may not be the best option for every woman. Compounded BHRT offers a variety of formulations, including:
- Creams for easy application and absorption
- Lozenges or sublingual drops for direct absorption into the bloodstream
- Injections for controlled dosing
- Vaginal applications for localized relief
3. Better Hormone Balance
Many women require a precise combination of estrogen, progesterone, and testosterone to feel their best. With commercial products, adjusting one hormone often requires changing the entire prescription, whereas compounded BHRT allows individual hormone levels to be modified independently.
4. Fewer Unwanted Ingredients
Mass-produced hormone medications often contain fillers, preservatives, or allergens that some women may not tolerate well. Compounded BHRT eliminates unnecessary additives as they are derived from all natural ingredients, making it a cleaner option for all, especially for those sensitive to synthetic ingredients.
5. Combination Formulas
Some women need multiple hormones (e.g., estradiol + progesterone) in one formulation. Compounded BHRT allows for combination therapies, simplifying treatment and improving adherence.
Choosing the Right Hormone Therapy for You
Menopause and perimenopause symptoms can be disruptive, but not all hormone therapy solutions are created equal. Choosing a personalized, compounded approach can make a significant difference in achieving hormone balance and long-term wellness.
At Aligned Modern Health, we take a holistic, patient-first approach to Bioidentical Hormone Replacement Therapy (BHRT) and Testosterone Replacement Therapy (TRT) for men. Our expert-led care focuses on restoring hormonal balance safely and effectively, helping you feel like yourself again.
Here’s what sets Aligned Modern Health’s approach apart:
Expert Clinical Care Team: Our team of Medical Doctors, Nurse Practitioners, and Clinical Care Team collaborate to deliver impactful, science-backed hormone therapy with ongoing support.
Comprehensive Testing: We conduct advanced hormone analysis and full diagnostic panels, including bloodwork, to assess hormone levels and overall hormonal health.
Personalized Treatment Plans: Every patient receives a customized BHRT or TRT plan, designed to meet their unique needs and adjusted over time through regular monitoring.
Whole-Body Wellness Integration: We go beyond hormone therapy by incorporating nutrition, stress management, sleep optimization, and movement strategies to enhance treatment effectiveness and support long-term health.
If you’re exploring hormone therapy and want a treatment plan tailored specifically for your needs, contact Aligned Modern Health today. Your hormones are unique—your treatment should be too.
