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

Dr. Steven R. Goldstein MD- The importance of Gynecological Exams for Every Woman

Dr. Steven R. Goldstein MD is a top gynecologist in NYC in practice for over 25 years, committed to providing individualized care to his patients and is the only medical personnel you will see on your visit from beginning to end.

The annual gynecological exam for a woman is much more than just a pap test and review of the results. In fact, that is only a small part of the exam performed by Dr. Goldstein. While checking the cervix for abnormalities is important, Dr. Goldstein believes that for menopausal women bone health, breast health, and vaginal health are of the utmost importance.

For women closer to menopause the uterus and ovaries should also be checked by non-invasive transvaginal ultrasounds to prevent issues like abnormal uterine bleeding, painful periods, pelvic pain, vaginitis, urinary tract issues and more from arising.

The key is prevention. For instance, pre-cancerous lesions should be detected early before they become advanced and require a hysterectomy. The goal is to prevent the development of lesions that cannot be easily taken care of in an office setting with something as simple as an outpatient laser treatment.

Dr. Goldstein still believes that patients should be cared for one patient at a time with their individual risk factors, personal history, and family history taken into account regardless of the medical situation under discussion.

Dr. Goldstein, a gynecologist in NYC,  is a Professor of Obstetrics and Gynecology at New York University School Of Medicine. He is also a Past Chairman of the American College of Obstetrics and Gynecology, New York section, Past President American Institute of Ultrasound in Medicine and is currently the Director of Gynecologic Ultrasound at NYU Langone Medical Center.

To schedule an appointment with this highly regarded gynecologist in NYC visit his website at www.goldsteinmd.com

Bioidentical Hormones – Are They Safer: Dr. Steven R. Goldstein MD

Dr Steven R Goldstein MD is an expert on female hormone replacement therapy. He has worked with thousands of women in menopause to explain the symptoms and changes their body is going through and the effect of a lack of estrogen on their bodies. Dr Goldstein does not recommend the use of bioidentical hormones for several reasons.

 

The problem with most bioidentical hormones is that it is compounded or made up by a pharmacist with the guise that it will be special for you, sometimes doing salivary testing for your levels. Unlike thyroid disease, this is really not based on levels it is based on symptoms.

When something is produced pharmaceutically the FDA has control over its manufacture. If people truly want bioidentical hormones, in other words the hormones that were made before they were menopausal, these can be prescribed pharmaceutically and quality controlled. But there are different kinds of estrogens. Some of these estrogens are safer than others. The Bioidentical movement doesn’t come with any package insert and it is not any safer than traditional hormones.

Bioidentical hormone therapy, sometimes called BHT, is really a misnomer. It’s really sad there are so many patients who believe that this is a safer way to get hormone therapy. Many of the doctors who promote this are also involved in the anti-aging movement.

All of us who are leaders in the menopause field and familiar with female hormone replacement therapy have had a handful of patients who have developed uterine cancers on these bioidentical hormones because there wasn’t enough progesterone to protect the uterus. 

If you are already experiencing the symptoms of menopause such as hot flashes, foggy memory, vaginal dryness and so on and are interested in learning how female hormone replacement therapy can help you then arrange for a consultation with Dr Goldstein by contacting his office in New York City or visiting www.goldsteinmd.com