Bio-identical Hormone Replacement Therapy (BHRT) consists of hormones such as estrogens, progesterone, and testosterone. It may also consist of thyroid support. BHRT is non-synthetic medication which is created to match the natural hormone structure that the body produces utilizing natural products such as yams. What this means is, when the body sees those hormones they react to them as if the patient is producing their own hormones. It also utilizes the safest route to administer the medication such as through the skin instead of orally which passes through the liver causing increased risk for complications. No one method is practical, feasible, or appropriate for every woman. We work with you to find the best method of hormone replacement such as oral troches, topical creams and patches or inserted long acting pellets. Non-hormonal supplements are also an option.