OT2R,
Some gynecologists and GPs will administer BHRT, but I think that most do not. You might have better luck with an endocrinologist, though not all endocrinologists administer BHRT. Check their websites. Your gynecologist might have a recommendation if he/she doesn't administer them. Many doctors seem to be opinionated about BHRT. My wife’s gynecologist does not endorse them, though other doctors do.
You can probably find some clinics in town that explicitly advertise BHRT treatments, but many of them charge a LOT for the service. Clinics will also be more likely to coerce their patients to buy expensive propriety supplements that can only be purchased through them.
My wife and I (and some others in this forum) use Defy Medical for BHRT. The prices are reasonable, and the doctor seems to know what he’s doing. We get our labs done locally at a Labcorp, and we do phone consultations with the doctor at Defy. We get most of our meds mailed to us, though I get one through my local pharmacy.
When looking for a doctor, you can rule some of them by asking how much to expect to pay for the first and second years of treatment. The first year will likely cost more because of additional initial labwork. They might say that “it depends,” but I would run away if they won’t give you a estimated range for the following items:
- Consultation
- Labwork
- Medications
My wife uses a cream with progesterone and testosterone in the morning, and she also takes an oral progesterone at night. She was originally estrogen dominant, but I suspect that her natural estrogen has been dropping this year.
Some synthetic hormones such as Premarin and Progestin were similar to bioidentical hormones, but not quite the same. They were patentable, which made them profitable. I think that it was Premarin that had an affinity for breast tissue and I understand that this is why is was suspected to be responsible for a slightly elevated risk of breast cancer.
before I see my gynecologist in a few weeks so I know what I’m talking about when I go in.
