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What Is BHRT? Bioidentical Hormone Therapy in Plain Language

September 2026·4 min read

BHRT, or bioidentical hormone therapy, uses hormones with the same chemical structure as the estrogen and progesterone your body makes. It is a type of menopause hormone therapy, and a licensed clinician decides whether any hormone therapy is right for you.

Bioidentical vs compounded

The terms often get mixed up. Many FDA-approved estradiol and progesterone products are bioidentical. Compounded hormones are made by a pharmacy for one person after a prescription. Compounded preparations, such as Bi-Est, are not FDA-approved, and being compounded does not make a hormone more natural or safer. See is compounded estradiol the same as brand.

Who considers hormone therapy?

Women with menopause or perimenopause symptoms such as hot flashes, night sweats, sleep problems or vaginal dryness often ask about it. Some health histories, such as blood clots, stroke or certain cancers, need careful review or rule it out.

What VevaMD’s clinician network may prescribe

Options may include estradiol (pill, patch, cream or vaginal), Bi-Est, progesterone, testosterone cream. Your clinician decides what, if anything, is appropriate. An online intake reviewed by a licensed clinician. Testosterone cream requires a live video visit.

Menopause HRT through VevaMD: Available in all 50 states (testosterone cream for women: 30 states plus DC). Pricing will be announced at launch, and we contact you before anything is charged.

VevaMD is a technology company, not a medical provider. Licensed clinicians in the Beluga Health network review every intake and decide whether a prescription is right for you.

Learn more on the menopause HRT page, or get started with a private intake.

VevaMD is a technology company, not a medical provider. Educational content only, not medical advice. A licensed clinician decides whether any treatment is right for you.

Quick answers

Is BHRT the same as HRT?
BHRT is a kind of hormone therapy that uses hormones with the same chemical structure as the ones your body makes. Many FDA-approved estradiol and progesterone products are bioidentical. Compounded BHRT is a separate category and is not FDA-approved.
Is bioidentical safer than other hormone therapy?
Being bioidentical does not by itself make a hormone safer. A clinician weighs your history and the form and type of hormone when deciding what, if anything, fits you.

Care near you

Online care in all 50 states

There is no office to visit. A clinician licensed in your state reviews your health answers and decides if treatment is right for you.

Do I need a clinic near me?
No. The visit is online. You answer a short health assessment, and a clinician licensed in your state reviews it. They may follow up by message or video.
Who prescribes?
A licensed clinician in the Beluga Health network decides if treatment is right for you. VevaMD is a technology and marketing company, not a medical provider.
How does medication get to me?
If a clinician prescribes it, it is prepared by a licensed pharmacy and shipped to your home.

Questions about Menopause Hormone Therapy (HRT)?

Get started →

A private online intake. A licensed clinician reviews it and decides.

VevaMD is a technology platform, not a medical provider. The information in this article is educational and does not constitute medical advice. Licensed clinicians in the Beluga Health network review every intake and write any prescription. Individual results vary.