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Research

How Does BHRT Differ for Men and Women?

By: Dr. James D. Fontaine

5/23/2025

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It's common for people to experience an imbalance of hormones as they age, leading to a wide range of symptoms. Bioidentical hormone replacement therapy (BHRT) may help restore balance so you can feel better. But what is BHRT, and how does it differ for men and women? 

For women, BHRT focuses on addressing declining estrogen and progesterone levels, especially during perimenopause and menopause. For men, BHRT focuses on optimizing testosterone levels, which naturally decline during andropause. 

Are you dealing with hot flashes at night, poor quality sleep, or a decrease in sex drive? If so, it's time to work with a trusted professional like Dr. James D. Fontaine to develop a BHRT plan in San Diego, CA. Call Fontaine MD Aesthetics and Anti-Aging Medicine to book an appointment. 

What is BHRT? 

First, what is BHRT? Bioidentical hormone replacement therapy involves hormones that are identical in structure to the ones made by your body. They are derived from plant sources and are often referred to as natural or plant-based hormones. Medical professionals prescribe BHRT when a patient experiences a drop in certain hormones due to age or other factors. 

BHRT can be administered in a few different ways, including:  

  • Creams 
  • Patches 
  • Pellets 
  • Pills 
  • Injections 

How BHRT differs for men and women 

While both men and women can benefit from BHRT, the specific hormones used and dosages may differ based on gender:  

  • In women, BHRT focuses on estrogen and progesterone. These hormones regulate the menstrual cycle and alleviate perimenopause or menopause symptoms, such as hot flashes at night and a decrease in sex drive. BHRT may also help with bone health and prevent osteoporosis. 
  • In men, BHRT focuses on testosterone, which is responsible for maintaining sexual function and muscle mass. BHRT may alleviate symptoms of low testosterone, such as low libido, and can also improve overall physical performance. 

The benefits of BHRT 

BHRT offers many benefits for both men and women in San Diego, CA, including:  

  • Natural treatment: BHRT uses hormones that are identical to the ones made in your body, making it a natural approach. 
  • Personalized treatment: BHRT is tailored to your specific needs and hormone levels, ensuring that you receive the right dosage for your body. 
  • Reduced risk of chronic diseases: Hormone imbalances increase your risk of heart disease and osteoporosis. BHRT can help balance hormones and reduce this risk. 
  • Relief from symptoms: BHRT can alleviate uncomfortable symptoms like poor quality sleep that interfere with your overall quality of life. 

Is hormone replacement therapy safe? 

We want to invest in treatments that are safe and effective. But is hormone replacement therapy safe? When performed under the supervision of a qualified healthcare provider, BHRT is generally considered safe. However, like any medical treatment, there are risks and side effects that should be discussed with Dr. Fontaine. Side effects are usually temporary and should subside within a short period. 

Achieve optimal health with BHRT 

So, is hormone replacement therapy safe, and how does it work? If you have questions or concerns about BHRT, contact Fontaine MD Aesthetics and Anti-Aging Medicine to speak with a specialist. Dr. James D. Fontaine has helped countless patients achieve optimal health through personalized solutions in San Diego, CA. 

Hot flashes at night, poor quality sleep, or a decrease in sex drive should not interfere with your life. Our patients can get back to living their best life with the help of hormone replacement therapy.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.