Dr. Steven R. Goldstein MD- NYC Gyn Advises on Bioidentical Hormone Therapy

Patients seeking a NYC Gyn for advice on whether bioidentical hormone therapy is suitable for them should see Dr Steven R Goldstein, one of the nation’s most highly regarded Gynecologists and an expert on hormone replacement therapy. Dr Goldstein has been in private practice for over 25 years and has helped thousands of patients with hormone replacement therapy, especially for relief of the symptoms of menopause. 

First of all, 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. This is why Dr Goldstein, a top NYC Gyn, does not recommend them. Traditional HRT is FDA approved, having gone through clinical trials showing safety and efficacy. 

Furthermore, these bioidentical compounds made by pharmacists are prepared based on the levels of hormones. However, these levels of hormones vary even during the course of the day. Bioidentical hormone therapy does nothing to address the symptoms. Traditional hormone replacement therapy and SERMs (Selective Estrogen Receptor Modulators) address specific symptoms the patient is experiencing so she finds relief from them. 

Patients who use these bioidenticals need to know that there have been reports of uterine cancers occurring because of inadequate progesterone to protect the uterus. SERMs and traditional HRT are FDA approved with proven uterine safety. 

Dr Goldstein, a top NYC Gyn co author of the book “The Estrogen Alternative”, advises that if patients want hormones that are produced by the ovaries before menopause, these can be prescribed pharmaceutically and quality controlled. However, each patient is different, so Dr Goldstein personally sits with each patient to examine them and understand their history and medical situations before prescribing anyting. 

If you are interested in hormone replacement therapy, schedule an appointment with Dr Goldstein by visiting his website at  www.goldsteinmd.com