Menopause

Menopause

Menopause – Symptoms, Causes, Natural Treatments & Integrative Solutions

Why Menopause Needs a New Approach?

Menopause is a natural stage of life, but for many women, the symptoms are anything but easy. At Patients Medical in New York City, we understand that menopause is more than hormonal changes—it’s a whole-body transformation. Our integrative approach combines conventional medicine with holistic therapies to ease the transition, rebalance the body, and restore quality of life.

What Is Menopause?
Menopause marks the end of a woman’s menstrual cycles, confirmed after 12 consecutive months without a period. Typically occurring between ages 45–55, it results from a natural decline in reproductive hormones.

  • Perimenopause is the transitional phase before menopause with fluctuating hormones.
  • Postmenopause is the phase after menstruation has permanently ceased, often with ongoing symptoms or increased health risks like osteoporosis and heart disease.

Common Symptoms of Menopause

Root Causes We Investigate

Functional medicine identifies contributing factors to difficult menopause transitions:

Diagnostic Testing We Use

Saliva and serum hormone testing

Thyroid panel (TSH, T3, T4, antibodies)

Cortisol and adrenal stress profile

Gut health and leaky gut testing

Heavy metal/toxin screening

Nutrient deficiency panel

Integrative Treatments for Menopause

Nutritional Therapy

We design hormone-supportive diets to balance estrogen, reduce inflammation, and support liver detox. These may include Mediterranean diets, phytoestrogen-rich foods like flax and lentils, and avoidance of inflammatory triggers like sugar and gluten. Personalized plans help ease hot flashes, bloating, and weight gain while stabilizing mood and energy.

Nutritional-Support
Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical Hormone Replacement Therapy (BHRT)

Our BHRT uses customized bioidentical hormones that mimic the body’s natural chemistry. Estrogen, progesterone, and testosterone are prescribed in individualized dosages based on lab testing. This therapy alleviates night sweats, low libido, mood swings, and bone loss while minimizing risks through close monitoring and safe delivery methods such as creams, patches, or troches.

Herbal & Nutraceutical Support

We incorporate evidence-based botanicals like black cohosh, maca, ashwagandha, vitex, and adaptogens. These herbs regulate estrogen levels, reduce anxiety, and support adrenal resilience. We also supplement nutrients like magnesium, B6, and omega-3s to address common deficiencies and reduce symptoms. All supplements are physician-selected and monitored for safety and effectiveness.

Herbal-Nutraceuticals
Stress Management

Stress & Sleep Optimization

We offer acupuncture, meditation coaching, and stress-reducing herbs to regulate cortisol and enhance sleep quality. Hormone imbalances are often worsened by poor sleep and stress, so our goal is to help restore circadian rhythms and emotional balance naturally. These interventions improve quality of life and help manage anxiety, depression, and fatigue

Bone & Heart Health Support

Menopause can increase the risk of osteoporosis and heart disease. Our protocols include bone-supportive nutrients like calcium, vitamin D3, vitamin K2, and weight-bearing exercise plans. We monitor lipid panels and inflammatory markers to ensure cardiovascular wellness. This proactive care helps prevent long-term complications and supports healthy aging.

Vaginal Rejuvenation Options

To address vaginal dryness, thinning tissues, and pain during intimacy, we offer natural estrogen creams, PRP (platelet-rich plasma) therapy, and laser rejuvenation. These treatments restore elasticity, improve circulation, and increase moisture without systemic hormone use. They enhance intimacy and urinary health while promoting comfort and confidence.

Real Case Study: Lisa’s Story

Lisa, 48, came to us struggling with mood swings, insomnia, hot flashes, and fatigue. Testing showed low estrogen, adrenal dysfunction, and vitamin B6 deficiency. We implemented BHRT, adrenal adaptogens, nutrient IVs, and a tailored diet. Within 8 weeks, her energy returned, sleep normalized, and hot flashes decreased by 80%. After 3 months, she felt better than she had in years.

Real Case StudyLisa’s Story

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

 Natural treatments like BHRT, phytoestrogen-rich diets, herbal support, and stress reduction offer holistic relief. The best option depends on your symptoms and lab results.

 Bioidentical hormone therapy is safe for most women when monitored closely by a physician. We personalize the dose to minimize risks and maximize benefits.

 Yes. Herbal therapy, nutrition, acupuncture, and adaptogens can be very effective for women who cannot or prefer not to take hormones.

 Absolutely. Treating perimenopause early can prevent worsening symptoms and promote a smoother transition into menopause.

 Most symptoms subside post-menopause, but some—like dryness or bone loss—may persist. Our treatments support long-term well-being and symptom relief.

 

We are an out-of-network provider. However, we provide superbills for reimbursement, and some labs may be covered.

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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