Bioidentical Hormone Therapy (BHRT) replaces hormones the body no longer produces in sufficient amounts, most commonly to relieve menopause symptoms. Estrogen and progesterone are used to reduce hot flashes, night sweats, vaginal dryness, and to help protect against osteoporosis. BHRT uses plant-derived hormones that are chemically identical to human hormones. They are available both as Health Canada approved products and as custom-compounded versions prepared by specialized pharmacies.
Menopause is the point when a person has gone 12 consecutive months without a menstrual period,
marking the end of reproductive years. It follows perimenopause and is characterized by a sustained
decrease in ovarian hormone production (particularly estrogen). Common long-term effects include
persistent hot flashes, vaginal atrophy/dryness, changes in mood or sleep, and an increased risk of
osteoporosis and cardiovascular changes. Management focuses on symptom relief (including HRT when
appropriate), bone health, cardiovascular risk reduction, and overall quality of life, tailored to the
individual’s health profile and preferences.
Perimenopause is the transition phase leading up to menopause which typically occurs between ages 40-50, during which hormone levels rise and fall unpredictably. This stage can last several years and may bring irregular periods, hot flashes, mood changes, sleep issues, and vaginal dryness. It reflects the ovaries slowly reducing hormone production (particularly progesterone) until menstruation stops completely.
Andropause, or late-onset hypogonadism, refers to the gradual decline in testosterone that can occur in men as they age, often becoming noticeable between ages 45 and 55. It’s sometimes called “male menopause” because many of the symptoms mirror those experienced during menopause in women, though the hormonal shift happens much more slowly. As testosterone levels fall over time, men may experience changes in sexual function alongside physical symptoms like fatigue, weight gain, increased body fat, loss of muscle mass, and reduced strength. Emotional and psychological changes can also occur, including irritability, low mood, difficulty concentrating, and sleep disturbances.