Making the Case for Compounding HRT

Why compound bio-identical hormones? Are there no similar commercial products? What is unique about the options compounding pharmacists offer compared with what is out in the marketplace? As the use of compounded hormone replacement therapy has grown and become well-established, questions like these are being asked in various places, and discussed in such forums as the online journal for the American Medical Association and publications from the North American Menopause Society (NAMS). What we do in compounding now — offering topical estrogen therapy, for example — has become commonplace. Patients may need a compounded topical cream or gel if they are having a skin reaction to a commercial