Menopause Hormone Therapy (HRT) in San Leandro, CA

Bioidentical hormones in San Leandro: what it means

If you are one of the 12,904 women aged 45 to 64 in San Leandro and have searched for "bioidentical" hormones: the word means a hormone whose structure matches one the body makes. Estradiol, the main estrogen the ovaries make before menopause, and micronized progesterone both fit that description. Both come in FDA-approved prescription forms, from estradiol pills, patches, gels and vaginal forms to progesterone capsules.

Many products sold as "bioidentical hormones" or "BHRT" are compounded instead: mixed by a pharmacy for one prescription, often as a custom cream or a pellet. They are not FDA-approved, which means the FDA cannot assure their safety or effectiveness. In the FDA's words, it has no evidence that compounded "bioidentical hormones" are safe and effective. A 2020 National Academies review found no rigorous evidence of their safety and effectiveness.

21 OB-GYNs in the federal NPI registry give a primary practice address in San Leandro: 23.7 per 100,000 residents, above the US rate of 17.8 and above California's 16.9, and more per resident than 59% of the 924 cities VevaMD covers. Set against the city's 12,904 women aged 45 to 64, that is one OB-GYN for roughly every 610.

Within 25 miles of San Leandro there are 1,216 OB-GYNs for 4,572,547 residents (26.6 per 100,000), well above the national rate; 182 are in the city or within 10 miles. Whether or not you have an OB-GYN, you can ask a physician licensed in California about menopause hormone therapy online from San Leandro, with no waiting room.

For women in San Leandro, a physician licensed in California can prescribe estradiol (pill, patch, cream or vaginal) and progesterone when they fit your history. VevaMD does not offer pellets. Because the dispensing pharmacy also compounds, you can ask whether your estradiol or progesterone is an FDA-approved product. Testosterone cream for women and Bi-Est are compounded and not FDA-approved.

BHRT pellet clinics work differently: they place a hormone pellet under the skin in the office, and compounded pellets are not FDA-approved. The Endocrine Society cites blood levels well above the expected range in women using compounded pellets. ACOG's guidance is to prefer FDA-approved menopause hormone therapy to compounded hormones.

Sources: FDA: Menopause · FDA: National Academies study of compounded bioidentical hormones (2020) · Endocrine Society position statement on compounded bioidentical hormones (2019) · ACOG Clinical Consensus No. 6, compounded bioidentical menopausal hormone therapy (2023) · CMS NPPES NPI full file, 2026-10-11