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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