Wednesday, July 26, 2023

A Paradigm for delivering Hormone Replacement Therapy

 


 Dr Steven R. Goldstein is a leading menopause specialist in NYC in private practice for over 25 years in NYC. He is a past President of the International Menopause Society, past President of the North American Menopause Society and a Certified Menopause Practitioner. He is considered one of the nation’s top gynecologists, his research having changed the way gynecology is practiced and recognized by the ACOG. In the field of hormone replacement therapy (HRT), Dr Goldstein, a hormone specialist in NYC, is the co author of The Estrogen Alternative.

 

Dr Goldstein speaks of a new paradigm for delivering hormone replacement therapy in a much safer fashion than previously thought. The product, Duavee, is estrogen with a SERM rather than an estrogen with progesterone.

What are SERMs? SERM stands for Selective Estrogen Receptor Modulator, which are pharmaceutical drugs that act like estrogen on some tissues but blocks the effect of estrogen on other tissues. They can be used to treat the symptoms of menopause / perimenopause, osteoporosis and more. For delivering hormone replacement therapy, both the estrogen in Duavee (Premarin) and SERMs, in general, have been shown to reduce breast cancer.

Thus, this new combination is a much better form of delivering the benefits of the estrogen (relief of any night sweats and hot flashes, prevention of bone loss, and promoting lean body mass, not to mention prevention of vaginal atrophy) than traditional estrogen plus progesterone. So many of Dr Goldstein’s patients who are on Duavee for hormone replacement therapy come to him and say that their friends all tell them, “you are crazy to be on HRT.” His comment to these patients is to tell their friends that, “this is not your mother’s HRT.”

Pfizer released this on June 5th 2023 - Pfizer Inc. today announced that DUAVEE® (conjugated estrogens/bazedoxifene), an estrogen-based menopause hormone therapy, is now back in stock in the United States, with improved packaging, following a voluntary recall. The recall was due to an issue with the packaging and was not based on any efficacy or safety concerns with the product itself.

 

If you are a menopausal woman struggling with the effects of menopause and the loss of estrogen, then contact the office of Dr Steven R Goldstein MD, a hormone specialist in NYC for a consultation to see if Hormone Replacement Therapy is suitable for you.

 

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