
Menopause
Menopause and compounded bioidentical hormones, prescribed by your prescriber
Last updated: 2025
Understanding Menopause
Menopause is a natural biological process that marks the end of a woman's menstrual cycles. It's diagnosed after you've gone 12 months without a menstrual period and typically occurs in your late 40s to early 50s.
During menopause, your body experiences significant hormonal changes as the ovaries gradually decrease production of estrogen and progesterone. These hormonal shifts can cause a range of physical and emotional symptoms that vary in intensity and duration.
Common Symptoms
Hot flashes, night sweats, mood changes, sleep problems, vaginal dryness and bone loss are common around menopause. Your prescriber can explain the treatment options, including hormone therapy.

Compounded bioidentical hormone preparations
Compounded Bioidentical Hormones
When a prescriber orders compounded bioidentical hormone therapy (BHRT), compounding can change:
- The dose, written for one patient
- The ratio, such as estradiol to estriol
- The form: cream, capsule or vaginal cream
- The base, leaving out additives you react to
