Bioidentical Hormone Therapy – Conditions We Treat

Bioidentical Hormone Therapy – Conditions We Treat

Introduction: Why Hormonal Health Needs a Whole-Body Approach

Hormonal imbalances are often misdiagnosed, mistreated, or overlooked altogether—yet they affect everything from mood to metabolism, libido to longevity. At Patients Medical in New York City, we use bioidentical hormone therapy (BHRT) as part of a personalized, integrative plan to restore balance naturally.

Our goal is to treat the root cause, not just the symptoms. BHRT can be life-changing when properly customized to your biochemistry, lifestyle, and long-term wellness goals.

What Are Bioidentical Hormones?

Bioidentical hormones are compounds chemically identical to those your body naturally produces. They can be used to gently correct imbalances in estrogen, progesterone, testosterone, thyroid hormone, DHEA, and more. Unlike synthetic hormones, bioidentical options are better recognized by the body and typically result in fewer side effects.

They can be delivered via:

  • Creams or gels
  • Pellets
  • Injections
  • Capsules or troches

Common Conditions We Treat with BHRT

Menopause & Perimenopause

Symptoms addressed:

  • Hot flashes
  • Night sweats
  • Mood swings
  • Vaginal dryness
  • Sleep disturbances

BHRT supports estrogen and progesterone levels to improve comfort, mood, and aging resilience.

Andropause (Low Testosterone in Men)

Symptoms addressed:

  • Fatigue
  • Decreased libido
  • Weight gain
  • Irritability or brain fog

Testosterone therapy, combined with lifestyle and nutrient support, can restore energy and confidence.

Hypothyroidism

Symptoms addressed:

  • Weight gain
  • Cold intolerance
  • Hair thinning
  • Low energy

We use bioidentical T3/T4 thyroid formulations alongside adrenal and gut support for complete healing.

Adrenal Fatigue / HPA Axis Dysfunction

Symptoms addressed:

  • Burnout
  • Salt/sugar cravings
  • Insomnia
  • Mood instability

BHRT may include pregnenolone or DHEA to restore adrenal rhythm, plus adaptogens and stress detox.

PCOS (Polycystic Ovary Syndrome)

Symptoms addressed:

  • Irregular cycles
  • Acne or hair growth
  • Weight resistance
  • Insulin resistance

A hormonal reset using progesterone, inositol, and metabolic balancing helps improve ovulation and fertility.

PMS and PMDD

Symptoms addressed:

  • Cyclical mood issues
  • Cramps or bloating
  • Irritability or depression

We balance estrogen dominance and luteal phase insufficiencies with gentle bioidentical progesterone and lifestyle medicine

Infertility (Hormone-Related)

Causes addressed:

  • Low progesterone
  • Anovulation
  • Estrogen imbalance

BHRT, combined with detox and reproductive-focused care, can enhance conception outcomes naturally.

Osteoporosis & Bone Loss

Often related to declining estrogen, testosterone, or DHEA. BHRT can be used as part of an integrative bone health protocol with weight-bearing exercises, calcium/magnesium balance, and gut repair.

Cognitive Decline & Mood Disorders

Emerging research links hormone imbalances to early brain aging. Estrogen, testosterone, and thyroid hormone each play key roles in memory, clarity, and mood stability.

Low Libido & Sexual Dysfunction

Whether caused by hormonal shifts, aging, or stress—BHRT can improve blood flow, desire, and arousal.

Common Conditions We Treat with BHRT

Burns can cause a wide range of symptoms and systemic issues, such as:

Root Causes: Beyond the Injury

While burns are typically accidental, certain systemic factors can impair your body’s ability to recover:

  • Nutrient Deficiencies: Especially protein, zinc, and vitamin C
  • Compromised circulation or oxygenation
  • Oxidative stress and free radical damage
  • Pre-existing inflammation or chronic disease
  • Low immune response
  • Toxin buildup from smoke inhalation or chemical exposure

Functional medicine helps uncover these barriers to healing—and correct them.

Diagnostic Testing We Use

We perform comprehensive hormone panels including:

Saliva and serum hormone levels (Estrogen, Progesterone, Testosterone, DHEA, Cortisol)

Thyroid labs (TSH, Free T3/T4, Reverse T3)

Adrenal testing (4-point salivary cortisol)

Neurotransmitter panels

Functional metabolic profiles

DUTCH testing (advanced hormone metabolite analysis)

Our Integrative BHRT Process

In-depth Evaluation

We take a 360° view of your history, symptoms, and current labs.

In-depth Evaluation

Customized Hormone Plan

Your protocol may include bioidentical hormones, herbal support, detox, gut healing, or weight balance therapy.

Monitoring and Adjustment

We retest every 8–12 weeks and adjust as needed to achieve optimal hormone harmony—not just “within range.”

Monitoring and Adjustment

Real Case Study: A 45-Year-Old Woman with Fatigue and Brain Fog

Samantha came in exhausted, anxious, and unable to concentrate. Her labs showed low progesterone, sluggish thyroid, and borderline adrenal burnout.
After 4 months of integrative care with:

  • Bioidentical progesterone cream
  • Thyroid glandular support
  • Adaptogenic adrenal herbs

Evening primrose and B-vitamins
She regained her energy, focus, and monthly rhythm—without antidepressants or stimulants.

A 45-Year-Old Woman with Fatigue and Brain Fog

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

 Yes, when supervised by a physician. Bioidentical hormones mimic your body’s natural chemistry and are often better tolerated than synthetic versions.

 BHRT uses hormones that are molecularly identical to what your body produces—unlike synthetic or animal-derived hormones.

 Not necessarily. Our goal is to restore balance and taper support when appropriate.

 We use both, along with DUTCH testing, depending on your case and hormone type.

 Most patients feel improvement within 4–8 weeks, though optimal balance can take 3–6 months.

 No—both men and women of all ages can benefit when dealing with hormone-related conditions.

 We are an out-of-network provider, but we offer superbills. Lab work may be partially reimbursable.

 Hormonal balance is key to metabolism. Many patients lose weight once hormones stabilize.

 We carefully assess history and use low-risk formulations or alternatives if needed.

 Yes. We often pair hormone therapy with IV nutrients, acupuncture, detox, and more.

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

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