The controversy surrounding bioidentical hormones is not on the effectiveness but on the long-term side effects. However, no one has yet shown that short-term use of bioidentical hormones is harmful. Nevertheless, all women who intend to use bioidentical hormones should protect themselves from risks by taking the following measures.

Always speak to your doctor what you plan to take and for how long. No hormonal therapy is safe when taken for long periods. The time period should be limited to 3-9 months. Bioidentical hormones provide the maximal benefit when taken right after menopause. Thus, if you have symptoms do not wait for a year, but start on a low dose right away. In addition, there is evidence that if you take these hormones soon after menopause, your heart and bones will get maximal protection.

It is vital that one does not take bioidentical hormones in high doses for long periods. Experts recommend starting with the lowest dose for the shortest duration of time. If you do have symptoms that are prolonged, speak to your doctor before you take these hormones for long periods. In the end, you want to derive the benefits and not develop complications.

One of the most difficult aspects of bioidentical hormones is to know how to take them. There are so many formulations and most women have no clue which is the best for them. Bioidentical hormones are available as a pill, patch, gel, suppository and even a cream. If you only have vaginal dryness, then you may be better off with a vaginal cream. This is far safer and more effective than the pill or a skin patch. Only when you have systemic side effects should you take the pill. If you have hot flashes then start with lowest dose of the pill or try a skin patch.

All women should also be aware that when they buy bioidentical hormones it should include both estrogen and progesterone. Just taking estrogen alone is not safe and can induce uterine cancer. Only women who have had a prior hysterectomy should take the only-estrogen formulas. If you are not sure what formula to take, speak to your doctor and start with the delivery method that is safe and convenient Women who have no symptoms of menopause should avoid taking any hormones. These women are better served by making changes in life style, which is safer, cheaper and more fulfilling