TRT vs BHRT — which is right for me?
TRT is for men with confirmed low testosterone; BHRT is for women with peri/menopausal symptoms and matching biomarkers. The decision follows physiology and assessment, not preference. Provider review confirms candidacy.
Full answer
TRT (Testosterone Optimization) addresses confirmed low testosterone with matching symptoms in men. BHRT (Bioidentical Hormone Optimization) addresses peri/menopausal symptoms with matching estradiol, progesterone, and FSH/LH patterns in women. The pathways are not interchangeable. The decision flows from physiology and the biomarker baseline, validated by a synchronous provider video review. Candidacy, contraindications, modality (transdermal, oral, injection, cream), and progesterone strategy are addressed in the same conversation.
Educational. Not a substitute for individualized provider review.
- Testosterone Optimization pathway — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-06-03