Body identical hormones

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I am considering HRT but I want body identical hormones.

I know that 17 beta oestrogel (oestrogen) & ustrogestan (progesterone) are body identical. Does anyone know if they are available on the NHS

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  • Posted

    Hello 😊

    Yes they are available on the NHS. I was on them last year but have recently swapped to hrt. I was on Sandrena, utrogestan and tostran and they were great for a while and then I had difficulty getting the absorption right with the gels, which is why I changed. I think you can discuss with your doctor and they can definitely prescribe, but I had the prescription originally from a private consultation which the NHS then took over. The only thing to bear in mind, is that GPs can find it quite difficult to advise on bhrt, or at least mine did. They were inexperienced, and so when I needed advice I had to go to the menopause society. Hope that helps, but best of luck xx

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    • Posted


      thank you, it does. My GP is finding it difficult to advise. Since she cannot find anything in her guidelines about BHRT she is only offering the traditional medication shown on her decision tree!

      What is tostran? testosterone?

      Was the utrogestan tablet or vaginal?

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    • Posted

      Hi love,

      You can see its a bit of a challenge already. You could ask for a referral to gynaecology, I think they may have a better clue, or think about finding a private specialist gp like I did. Yes tostran is testosterone. My doses were: 1 utrogestan capsule (oral), 1mg Sandrena gel (applied inner thigh) and a pea size amount of tostran ( inner thigh). If it helps to get my background, I'm 43 with primary ovarian failure so no periods, with womb /ovaries intact. No history of cancers , blood pressure etc. If you DM me, happy to provide the details of the specialist nurse at the menopause society. For a small donation, you can get some useful advice xx

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  • Posted

    HI Sassy,

    Is Sandrena gel a bio? I haven't tried this so may look into it.

    Has anyone heard of an alternative bio to utrogestan as this gave me terrible side effects and sadly I had to stop using it?

    Thank you!


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    • Posted

      Hello AJ

      Yes it's bio. It comes in 1mg and 0.5mg sachets. I was just on 1 mg but think you could use 1.5mg per day. It was fine, no side effects for me anyway. I stopped because I wanted to try hrt with a constant dose so I'm on kliofem now. It's the same dose of progesterone and estrogen but it I'm hoping it won't fluctuate so much. I don't know of an alternative I'm sorry, utrogestan seems to the the main bio used xx

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