Introduction: Why Gynecology Exams Need a New Approach
Gynecology is more than Pap smears and pelvic exams—it’s the cornerstone of lifelong health for every woman. At Patients Medical in New York City, we believe that true gynecologic care should go beyond symptom relief.
We use an integrative model—blending conventional gynecology with functional medicine and holistic therapies—to uncover the root causes of reproductive and hormonal issues. Whether you’re managing PMS, perimenopause, infertility, or PCOS, we’re here to support you from the inside out.
We treat the whole woman, not just her reproductive system.
What Is Gynecology?
Gynecology is the branch of medicine that focuses on the health of the female reproductive system. This includes the uterus, ovaries, fallopian tubes, cervix, vagina, and breasts. Gynecologic care addresses everything from menstrual issues and fertility to menopause and preventive screenings.
Core Areas of Gynecology:
- Menstrual health and cycle regulation
- Sexual wellness and libido
- Fertility and conception
- Pregnancy and postpartum care
- Menopause and perimenopause
- STD screening and treatment
- Breast health and cancer screening
- Pelvic pain and endometriosis
- Hormonal balance
At Patients Medical, we build on these foundations with personalized, root-cause diagnostics and holistic treatment plans.
Common Symptoms Women Shouldn’t Ignore
Many symptoms that seem “normal” may actually be signs of hormonal or metabolic imbalances. Seek a gynecology consultation if you’re experiencing:
- Irregular or painful periods
- Heavy bleeding or clotting
- Bloating or breast tenderness
- Fatigue, mood swings, or anxiety linked to your cycle
- Vaginal dryness or low libido
- Difficulty conceiving
- Hot flashes or night sweats
- Recurrent infections (yeast, UTI, BV)
Root Causes of Gynecological Health Issues
Functional medicine looks beyond symptoms to discover why imbalances develop. Common contributors include:
- Hormonal imbalances: Estrogen dominance, low progesterone, thyroid dysfunction
- Gut dysbiosis: Impacts estrogen detox and immune balance
- Toxic load: Exposure to endocrine-disrupting chemicals in food, water, and personal care
- Blood sugar instability: Can affect ovulation and menstruation (especially in PCOS)
- Adrenal stress: Alters the HPA axis and disrupts cortisol and sex hormone rhythms
- Nutrient deficiencies: Magnesium, B6, zinc, and vitamin D are often low in women with PMS or fatigue
- Mitochondrial dysfunction: Affects energy production and ovarian function
Diagnostic Testing We Offer
We go beyond routine labs to get a full picture of your health:
- Comprehensive hormone panels (saliva, blood, and urine)
- Vaginal microbiome analysis
- DUTCH test for hormone metabolism
- Gut health testing (stool analysis, leaky gut, candida)
- Heavy metal and toxin screening
- Nutrient and mitochondrial function labs
- Autoimmune antibody screening (e.g., for thyroid or endometriosis)
Integrative Treatments for Presyncope
Nutritional Therapy
- Seed cycling for hormonal support
- PCOS- or perimenopause-specific diets
- Gut-healing nutrition protocols
- Gluten- and dairy-free plans (if indicated by testing)
IV Vitamin Therapy
- B vitamins, vitamin C, magnesium, glutathione
- Reproductive wellness blends for fertility or PMS relief
Herbal & Nutraceutical Support
- Vitex (chasteberry) for PMS and cycle regulation
- DIM and calcium-D-glucarate for estrogen detox
- Ashwagandha and maca for adrenal support
- Evening primrose oil for breast tenderness and mood
Hormone Balancing
- Bioidentical hormone therapy (BHRT)
- Thyroid optimization protocols
- Natural progesterone support for luteal phase defects
Stress and Emotional Wellness
- Mind-body medicine and coaching
- Meditation and breathwork sessions
- Acupuncture for menstrual regulation and fertility
Real Case Study: Riya's Hormonal Reset
Riya, 36, struggled with irregular periods, intense PMS, and fatigue for years. Bloodwork from her OB-GYN showed “normal” hormone levels, but her symptoms persisted.
Our functional testing revealed:
- Estrogen dominance
- Low progesterone
- Impaired liver detox pathways
- Gut dysbiosis
We developed a 3-month plan with:
- DIM and calcium-D-glucarate for estrogen detox
- Seed cycling and liver support foods
- Herbal adrenal support
- Gut repair supplements
After 90 days, Ayesha’s cycles normalized, PMS symptoms eased, and her energy returned—without synthetic hormones.
Testimonials
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Frequently Asked Questions
What’s the difference between your gynecology services and a typical OB-GYN?
We integrate functional testing, holistic nutrition, and natural therapies with conventional care to address root causes—not just symptoms
Do you offer bioidentical hormone therapy (BHRT)?
Yes, we use BHRT as part of individualized hormone-balancing programs based on advanced lab testing.
Can integrative gynecology help with PCOS or endometriosis?
Absolutely. We treat PCOS, endometriosis, fibroids, and other conditions through anti-inflammatory protocols, detox support, and hormone balancing.
Do I still need annual exams and Pap smears?
Yes. Routine screenings remain essential. We offer enhanced versions that include a broader view of your hormonal and metabolic health.
Can this approach help with fertility?
Yes. We identify and address underlying causes of infertility—such as nutrient deficiencies, hormone imbalance, and gut issues—to support natural conception.
What’s included in a first visit?
A full intake, physical exam, initial lab work, and a personalized wellness roadmap.
Is this approach safe during pregnancy or menopause?
Yes. Our therapies are customized to your life stage. We offer pregnancy-safe solutions and menopause-specific protocols.
What insurance do you accept?
We are out-of-network, but we provide superbills for reimbursement. Many lab tests may be partially covered.
Do you work with women who are not sexually active or post-menopausal?
Yes. We treat women across all ages and phases, whether or not they are sexually active.
How soon will I see results?
Some women feel better within weeks. More complex cases may take 2–3 months for full rebalancing.
Begin Your Journey with Patients Medical
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
Request your consultation today!
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Our medical center in New York City.
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128