Bioidentical hormone therapy: An assessment of provider knowledge

Julia A. Files, Lisa N. Kransdorf, Marcia Ko, Juliana M. Kling, Paru S. David, Sandhya Pruthi, Richa Sood, Douglas Creedon, Yu Hui H. Chang, Anita P. Mayer

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Objectives Bioidentical hormone therapy (BHT) is available in the United States in formulations that have been approved by the Food and Drug Administration (FDA) but also in formulations that have not been so approved. The aim of this study was to evaluate the knowledge, beliefs, and prescribing practices of BHT among healthcare providers. Study design A cross-sectional self-selected responder survey was conducted of health care providers attending primary care Continuing Medical Education (CME) conferences in the United States from May 2012 to April 2013. The questionnaire consisted of 26 items assessing knowledge, beliefs, and current practice around BHT. Results A total of 366 survey responses were analyzed. Though 69.8% of respondents accurately identified the definition of BHT, only 45.3% were aware that BHT is available in FDA-approved products and 34.2% of respondents incorrectly identified that BHT is available only in custom-compounded formulations. Of those who had prescribed CC-BHT, less than half agreed with the statement “I am comfortable prescribing BHT” (45.4%). Conclusions Our study showed that many practitioners are unaware that bioidentical hormones are available in FDA-approved products. Knowledge gaps identified by this survey highlight the need for and importance of education to further dispel misinformation surrounding the topic.

Original languageEnglish (US)
Pages (from-to)46-51
Number of pages6
StatePublished - Dec 1 2016
Externally publishedYes


  • Bioidentical
  • Compounded
  • Hormone therapy
  • Menopause

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology
  • Obstetrics and Gynecology


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