Menopause Hormone Therapy (HRT) in Florissant, MO

Bioidentical hormones in Florissant: what it means

If you are one of the 6,370 women aged 45 to 64 in Florissant 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.

Florissant has fewer OB-GYNs per resident than the country: the federal NPI registry lists 3 with a primary practice address in the city, 5.8 per 100,000 residents against 17.8 nationally and below Missouri's 18.5. With about 6,370 women aged 45 to 64 living in Florissant, that is about 2,120 for each OB-GYN in the city, before counting any younger patients.

Within 25 miles of Florissant there are 618 OB-GYNs for 1,970,092 residents (31.4 per 100,000), well above the national rate; 41 are in the city or within 10 miles. VevaMD is an online option alongside them: a physician licensed in Missouri reviews your intake from Florissant without an office visit, and an OB-GYN you already see stays your doctor.

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.

For women in Florissant, a physician licensed in Missouri 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.

Then there are pellets, implanted under the skin at a clinic; compounded pellets are not FDA-approved. The Endocrine Society cites blood levels well above the expected range in women using compounded pellets. ACOG advises FDA-approved hormone therapy over compounded preparations.

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