Hormonal Imbalance Treatment in NYC

Medically reviewed by Rashmi Gulati, MD — Last updated: September 26, 2026

Personalized, physician-supervised treatment for women and men. We test thoroughly, find what is driving your symptoms, and build a plan that may include bioidentical hormones, thyroid support, nutrition and lifestyle care.

50+ years

Integrative care since 1974

MD-supervised

Testing, dosing & follow-up

Women & men

Menopause, low T, thyroid

WHAT WE TREAT

Estrogen, progesterone, testosterone, thyroid, cortisol and insulin imbalances

HOW

Advanced lab testing, then BHRT, thyroid care, nutrition and lifestyle support as needed

WHO IT'S FOR

Adults with fatigue, weight changes, menopause symptoms, low libido or thyroid issues

TIMELINE

Many patients notice changes within weeks; full optimization can take several months

IS THIS TREATMENT RIGHT FOR YOU?

Who we help with hormone treatment

If several of these symptoms have lasted for weeks or months, a hormone evaluation is a sensible next step. Your first visit tells us which hormones to test and where to start.

Want to understand the causes first? Read our guide to hormonal imbalance.

HOW TREATMENT WORKS

Our hormone treatment process

We look at the whole endocrine system, not one hormone in isolation. Every step is supervised by a physician.

01

Consultation

A detailed review of your
symptoms, cycle or life stage, medications, sleep, stress and health history.

02

Advanced testing

Blood, saliva or urine testing as appropriate: estrogen, progesterone, testosterone, DHEA, cortisol, full thyroid panel (TSH, Free T3, Free T4), insulin, glucose, inflammatory markers and nutrients.
About hormone testing

03

Personalized plan

Your physician explains your results and recommends a plan, which may combine hormone therapy, thyroid care, supplements, nutrition and stress support.

04

Monitoring & follow-up

Follow-up visits and repeat labs let us adjust doses and track how you feel, so treatment stays safe and effective over time.

HOW TREATMENT WORKS

Hormone treatments we offer

Most plans combine two or more of these. Your physician recommends only what your results and symptoms support.

Bioidentical Hormone Therapy (BHRT)

Hormones chemically identical to those your body makes, prescribed when clinically appropriate. BHRT may ease menopausal symptoms, improve libido, steady mood and support bone density.

Thyroid Optimization

Full thyroid panel testing, nutritional support, gut health and medication optimization when needed, to support metabolism, energy and weight.

Menopause & Perimenopause Care

Support for hot flashes, night sweats, mood swings, vaginal dryness and sleep disturbances through the transition.

Low Testosterone & Andropause

For men with low energy, reduced muscle strength, low libido or brain fog. Treatment may improve energy, strength and focus under close monitoring.

Stress & Cortisol Support

Ongoing stress can disrupt thyroid and sex hormones. We use testing, targeted nutrients and mind-body approaches such as acupuncture and meditation to support healthy cortisol rhythms.

Nutrition, Supplements & Lifestyle

Anti-inflammatory nutrition, blood sugar balance, gut health, sleep and targeted supplements such as magnesium, B vitamins and omega-3s, chosen from your results.

What to expect

Results patients often report

Individual results vary. Your physician will set realistic goals with you at your first visit.

How long does hormone treatment take?

Weeks 1–2
Consultation, testing and your personalized plan
First few weeks
Some patients begin to notice changes in sleep, energy or mood
Several months
Full optimization, with repeat labs and dose adjustments

Timelines depend on the severity of the imbalance, your age, other health conditions and the treatment approach.

Why Patients Medical

Why patients choose us for hormone care

50+ years of integrative care

Serving New York patients since 1974.

Board-certified physicians

Every plan is prescribed and monitored by an MD.

Functional medicine expertise

We look for root causes, not just symptoms.

Advanced diagnostic testing

Deeper panels than a routine check-up.

Personalized plans

No one-size-fits-all protocols.

Flexible payment

Superbills for reimbursement and CareCredit financing.

Why Patients Medical

Sarah's hormone reset

Sarah, 48, came to us with PMS, weight gain, insomnia and brain fog. Testing showed estrogen dominance, low progesterone, suboptimal thyroid function and gut imbalance. Over four months her plan combined low-dose BHRT, thyroid optimization, gut support, anti-inflammatory nutrition and stress-focused mind-body practices. Sarah reported regular cycles, better sleep, improved mood and a 15-pound weight loss, with follow-up labs confirming her progress.

“After struggling with mood swings and fatigue for years, getting my hormones balanced changed everything.”

S.N., 32 Brooklyn

“The testing and treatment were so thorough. My sleep, energy, and focus have all improved dramatically.”

M.K., 50 Manhattan

“Balancing my hormones helped with weight, skin, and anxiety. I feel more in control of my body and mind.”

T.L., 41. Queens

YOUR CARE TEAM

Meet our hormone doctors

drrashmi

Rashmi Gulati, MD

Medical Director

Rashmi Gulati, MD, is a board-certified functional medicine doctor Manhattan and a leading holistic doctor in NYC.

Emine_Cosar

Dr. Emine Cosar, MD

Gynecologist & Obstetrician

Dr. Emine Cosar, MD has over 20 years of medical experience as a Gynecologist.

FAQS

Hormone Treatment Questions

Still unsure? Call us at (212) 794-8800.

Depending on your symptoms, we test sex hormones, DHEA, cortisol, a full thyroid panel, insulin and glucose, inflammatory markers and key nutrients, using blood, saliva or urine.

BHRT is prescribed only when clinically appropriate, after testing and a review of your health history. Like any hormone therapy it carries risks, so we monitor your levels and symptoms closely and adjust as needed.

Some patients notice changes within a few weeks. Full optimization usually takes several months of treatment and follow-up testing.

Cost depends on the tests and treatments your plan needs; we share an estimate before you begin.

We are an out-of-network provider. We provide superbills to help you seek reimbursement, and some lab tests may be partially covered. Fees & insurance
Your physician reviews your symptoms and history, orders the right tests and explains next steps. What to expect on your first visit

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

Make an Appointment

    Bloodwork, saliva, or DUTCH testing to assess estrogen, progesterone, testosterone, thyroid hormones, cortisol, DHEA and more.