Menopause Hormone Therapy (HRT) in Davenport, IA

Bioidentical hormones in Davenport: what it means

"Bioidentical" describes a hormone whose chemical structure matches one the body makes. Two hormones used in menopause care fit it exactly, estradiol and micronized progesterone. 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. None of these is FDA-approved, and the FDA has not reviewed them for safety, effectiveness or quality before sale. In the FDA's words, it has no evidence that compounded "bioidentical hormones" are safe and effective. When the National Academies reviewed them in 2020, the evidence was mostly low quality, such as anecdotes and patient reports.

You do not choose a "bioidentical" product from a menu: after a private intake, a physician licensed in Iowa decides what, if anything, fits, and the form. VevaMD does not offer pellets. The pharmacy that fills VevaMD prescriptions also compounds, so ask your physician whether yours is an FDA-approved product or compounded. Two options are compounded for certain: testosterone cream for women and Bi-Est are not FDA-approved.

At 16.8 OB-GYNs per 100,000 residents (17 listed in the NPI registry), Davenport sits near the national 17.8 and above Iowa's 13.1; 42% of the cities VevaMD covers have a lower rate. Set against the city's 12,399 women aged 45 to 64, that is one OB-GYN for roughly every 730.

Supply stays thin beyond the city line: 41 OB-GYNs within 10 miles and 46 within 25, only 12.2 per 100,000 of the 377,553 people who live in that radius, under the US 17.8. VevaMD is an online option alongside them: a physician licensed in Iowa reviews your intake from Davenport without an office visit, and an OB-GYN you already see stays your doctor.

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 points to a study that found hormone levels well above the expected range in women using them. 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