Doctor Steven R. Goldstein MD is a top Hormone Specialist in NYC for female hormone replacement therapy in NYC. This women’s hormone specialist in NYC is co author of the book “The Estrogen Alternative”, the first ever book to address the use of synthetic hormones for menopause symptoms and hormone imbalances. Dr. Goldstein has helped thousands of women over more than two decades of private practice to cope with the symptoms of menopause and perimenopause by using Hormone Replacement Therapy (HRT). He is also a recent past President of the International Menopause Society, and a Certified Menopause Practitioner with the North American Menopause Society.
Here is what one of Dr Goldstein’s patients had to say about Dr Goldstein as an HRT specialist in NYC:
The hormone imbalances caused during Menopause stem from declining levels of estrogen and progesterone when a woman enters Menopause. The unpleasant symptoms of Menopause are primarily due to the declining levels of estrogen. As estrogen levels decline and become negligible hot flashes, night sweats, foggy memory, mood swings, irritability, vaginal dryness and other symptoms occur.
The answer is not simply to flood the body with more estrogen and hope these symptoms go away. Unfortunately, that is what some practitioners do. However, Dr Goldstein, a leading gynecologist and hormone specialist in NYC, takes a different, individualized approach. The answer to relief for the symptoms of menopause and hormone imbalances requires addressing the symptoms a woman is experiencing and not merely the quantity of estrogen.
Please read below for more information.
To schedule an appointment with Dr. Goldstein please CLICK HERE or call 212-717-5554.
Selective Estrogen Receptor Modulators (SERMs) have gone through clinical trials showing safety and efficacy and are FDA approved. These SERMs are prepared to address specific symptoms. An experienced, knowledgeable Hormone Specialist like Dr Goldstein is able to tailor the SERM to the patient’s needs.
Hormone Replacement Therapy (HRT) is more than just writing a prescription. The specialist has to know how to tailor the prescription to the patient’s needs and has to understand the patient’s symptoms. This is why Dr Goldstein spends at least an hour with patients who come in for HRT to discuss their symptoms, health history, family history and more.
The proper use of SERMs can help reduce bone loss, hot flashes, night sweats, vaginal dryness, and more. Patients need not suffer in frustration when going through menopause or perimenopause. Schedule an appointment with Dr Goldstein for a consultation.
No he does NOT. “Natural” is not always safer. These “natural” therapies do not undergo any clinical trials, nor are they FDA approved. The term bioidentical hormone therapy is actually very misleading because these are compounded bioidentical hormones that are made by a pharmacist. There is no package insert regarding what these compounds contain. Patients who use these bioidentical “natural therapies” need to know that there have been reports of uterine cancers occurring because of inadequate progesterone to protect the uterus. You can read more about this here
By contrast, Selective Estrogen Receptor Modulators (SERMS) used by Dr Goldstein are developed by major pharmaceutical companies, are FDA regulated, tested on thousands of women, and successful with millions of patients. Please take the aforementioned into consideration if you are thinking of choosing “natural” remedies over SERMS for relief from menopausal symptoms.
Hormone Replacement Therapy (HRT) is prescribed based on the type and severity of symptoms. HRT can take the form of pills, patches, or creams that will give you estrogen synthetically. The amount of estrogen prescribed is not really full replacement; it is usually only a fraction of the amount of estrogen that the ovaries usually produce. But it is enough to relieve you of the major symptoms of lack of estrogen women come to see their gynecologists about: hot flashes, vaginal dryness, loss of libido & more.
Feel free to review our FAQ section below on Hormone Replacement Therapy to get answers to all your HRT questions. Alternatively, you can schedule an appointment.
To schedule an appointment with Dr. Goldstein please CLICK HERE or call 212-717-5554.
Female Hormone Replacement Therapy (HRT) generally means replacing both estrogen and progesterone that the body is no longer producing through prescription drugs. Hormone Replacement has become a popular option for those seeking relief from symptoms of menopause. These natural stages of life cause a dramatic dip in a woman’s hormone levels, which is why HRT seeks to supplement this need for hormones with a variety of treatment options.
The type of HRT used by Dr Goldstein is Selective Estrogen Receptor Modulators (SERMs). This class of drugs has undergone clinical trials, is FDA approved and used by millions of women across the world. All SERMs are estrogen-like in the bone to help prevent osteoporosis and they are estrogen blockers in the breast to guard against breast cancer. Estrogen helps the heart by keeping LDL cholesterol lower as well as keeping HDL cholesterol levels higher.
While there are common symptoms associated with menopause, each woman has a unique experience as she goes through this change of life. The decline in hormone production that occurs as a woman ages can cause unwanted symptoms. A woman may experience:
Yes. The goal of HRT during menopause is to reduce or alleviate the symptoms associated with hormone loss during menopause. However, it is important to remember that each woman is different. There is no one fits all approach. Which is why Dr Goldstein listens carefully to each patient about the symptoms they are experiencing and assesses their overall gynecological health before proceeding with any hormone replacement therapy (HRT).
For 85 percent of women in menopause, the symptoms of no longer making estrogen will stop within one year of their final period regardless of what they do. However the symptoms of estrogen deprivation such as sagging breasts, vaginal dryness etc. do not go away. Also realize that all of your most important body tissues contain receptors for estrogen. When the secretion of estrogen changes, your overall health and well being reflect those changes.
Your breasts, skin and blood vessels depend on estrogen to stay flexible and toned. Estrogen keeps the uterus, vagina and bladder moist. There are also many sites in the brain where estrogen receptors are found. This may explain forgetfulness, memory loss, and other annoying symptoms prior to menopause.
Hormone Replacement Therapy (HRT) will improve all of these conditions, help prevent heart disease and high cholesterol, and be good for preventing bone loss (menopausal women suffer bone loss due to a lack of estrogen).
Yes, it certainly can. Heart disease is the number one cause of death for women in the United States. In 2020 alone, heart disease was the cause of death for 314,186 women. Total cholesterol levels of postmenopausal women are about twelve to twenty four percent higher than those of premenopausal women. Elevated levels of cholesterol can lead to heart disease.
Estrogen is vital to heart health and the loss of it due to menopause can cause an increase in bad cholesterol (LDL) and a decrease in good cholesterol (HDL) levels. HRT (hormone replacement therapy) can help correct this. Total cholesterol levels fall between 10 to 18% in post-menopausal women who take estrogen.
To schedule an appointment with Dr. Goldstein, a leading hormone specialist in NYC, please CLICK HERE or call 212-717-5554.
Female Hormone replacement therapy is a very individual decision. It depends on one’s own symptoms, family history, personal history, etc. It must be practiced one patient at a time and it is certainly not a case of one size fits all.
Check out Dr Goldstein’s interview with Dr Marla Shapiro on Tissue Specific Estrogen Complexes (TSECs) in female horomone replacement therapy (HRT)
Are you considering female hormone therapy in New York? Please click on the button below or contact our office to schedule an appointment with Dr. Goldstein, the #1 women’s hormone specialist in NYC, for an evaluation of your female hormone replacement therapy needs.
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