FDA-approved bioidentical hormones for menopausal symptoms

FDA-approved bioidentical hormones for menopausal symptoms Type/source Brand name(s) Preparations Bioidentical? Estrogens Estradiol Estrace, Gynodiol, Innofem Pill Yes* Estrace Vaginal cream+ Yes Alora, Climara, Esclim, Estraderm, FemPatch, Menostar, Vivelle, generic Transdermal patch Yes Estrogel, Elestrin, Divigel Topical gel Yes Evamist Topical spray Yes Estring Vaginal ring+ Yes Estradiol acetate Femring Vaginal ring Yes++ Estradiol hemihydrate Vagifem Vaginal tablet+ Yes Estrasorb Topical lotion Yes Progesterone Progesterone Prometrium Pill Yes Crinone 4% Vaginal gel Yes Combined hormones Estradiol and norethindrone acetate Combipatch Patch The estradiol is bioidentical but not the progestin. Estradiol and norgestimate Prefest Pill The estradiol is bioidentical but not the progestin. Estradiol and levonorgestrel Climara Pro Patch The estradiol is bioidentical but not the progestin. * Bioidentical estradiol until ingested and converted in the liver to estrone.+ For vaginal symptoms only.++ Converts to bioidentical estradiol in the bloodstream.
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