How are hormones transferred to a person during bioidentical hormone therapy?

Question:

How are hormones transferred to a person during bioidentical hormone therapy?

Answer:

There are many ways to take bioidentical hormones. Some are more preferable than others. In general, I favor the transdermal route because this avoids some of the metabolism of the hormones and it avoids some of the side effects you can get from taking hormones orally. I use every hormone transdermally, however, in some patients I will use oral sustained release progesterone as the metabolites of this can be very helpful in treating some of the symptoms of PMS and menopause. However, in general, I prefer the transdermal route; it is consistent, it is stable and very easy for the patients to do. Injections on a weekly basis or subdermal implants or sublingual troches are other ways to transmit bioidentical hormones however there are downsides to these approaches such as irregular amounts of hormone in the system at any given time, possibly poor absorption and metabolization. So, again, in general I prefer the transdermal route however there are many different ways to take bioidentical hormones.