Why BHRT for Women Must Be Personalised 

Many women seek BHRT for women after feeling unheard or under-treated. This often happens because hormone therapy is still delivered using standardised protocols. 

But hormones do not behave the same way in every woman. 

Your response to women’s hormone replacement therapy is shaped by: 

• Genetics and epigenetics 

• Stress and adrenal load 

• Sleep quality and circadian rhythm 

• Gut and liver function 

• Inflammation and nutrient status 

• Life stage, workload, and family demands 

This is why bioidentical hormone therapy for women must be tailored — not copied from population averages. 

Beyond Prescribing: A Whole-System Approach 

Hormones do not work in isolation. 

At Levitas, BHRT for women always considers the wider system, including: 

• Brain–hormone communication 

• Gut–liver detox pathways 

• Blood sugar balance 

• Mitochondrial energy production 

• Nervous system regulation 

Hormones are the conductor — but the orchestra must be tuned. 

This approach improves outcomes and reduces side effects, particularly during perimenopause and menopause. 

Bioidentical Hormones for Perimenopause and Menopause 

Perimenopause BHRT 

Perimenopause can begin years before periods stop and is often overlooked. 

Common signs you may need BHRT include: 

• Anxiety or low mood 

• Poor sleep or night waking 

• Weight gain despite healthy habits 

• Brain fog and reduced focus 

• Worsening PMS or cycle changes 

• Reduced resilience to stress 

Perimenopause BHRT focuses on stabilising fluctuating hormones — not suppressing them. 

Menopause BHRT 

During menopause, declining estrogen, progesterone, and testosterone affect far more than hot flushes. 

Bioidentical hormones for menopause may support: 

• Bone and muscle health 

• Brain clarity and mood stability 

• Sleep quality 

• Cardiovascular resilience 

• Libido and tissue health 

Menopause BHRT is about quality of life now — and health protection for the future. 

Precision Matters: Dose, Delivery, and Timing 

When hormones are prescribed, precision is essential. 

Individual Dosing 

There is no “standard dose” in BHRT for women. Small dose changes can significantly alter how you feel. 

How Hormones Are Taken 

We assess the most appropriate delivery method: 

• Sublingual vs oral 

• Transdermal vs mucosal 

• Sustained release vs rapid onset 

Timing 

Hormones follow circadian rhythms. Correct timing improves benefit and reduces side effects. 

This is what separates true personalised hormone therapy from basic prescribing. 

How Long Does BHRT Take to Work for Women? 

A common question is: how long does BHRT take to work for women? 

• Some women notice improvements within 2–4 weeks 

• Others take 8–12 weeks to stabilise 

• Full optimisation is a process, not a quick fix 

Response time depends on starting hormone levels, stress load, gut health, sleep, and overall physiology. 

Monitoring: The Key to Safe and Effective BHRT 

Hormone therapy without monitoring is incomplete. 

At Levitas, we regularly review: 

• Blood markers 

• Symptom response 

• Energy, sleep, mood, and cognition 

• Metabolic and inflammatory indicators 

This ensures bioidentical hormone therapy for women remains safe, effective, and responsive over time. 

Trusted Compounded Pharmacies 

We work with specialist compounded pharmacies to provide: 

• Precise dosing 

• Clean, bioidentical formulations 

• Flexible delivery options 

This level of control supports truly individual medicine.