NYC’s Leading Integrative Health Care Center
NYC’s Leading Integrative Health Care Center
Medically reviewed by Rashmi Gulati, MD — Last updated: September 26, 2026
MD-led women’s health care on Fifth Avenue. We test hormones, thyroid and metabolism to find what is behind your symptoms, then build a step-by-step plan for your stage of life, from irregular periods and PCOS to perimenopause and menopause.
Integrative care since 1974
New patient consultations
Testing, plan & follow-up
Women’s health issues are treated by finding the imbalance behind the symptoms and treating it directly. At Patients Medical, treatment starts with hormone, thyroid and metabolic testing, then a personalized plan that may combine hormone therapy, thyroid care, PCOS and insulin treatment, nutrition, gynecologic care, and sleep and stress treatment, all prescribed and monitored by an MD.
Hormone therapy, thyroid care, PCOS and insulin treatment, nutrition, gynecologic care, sleep and stress plans
Consultation and hormone testing first, then a plan that treats causes in the right order
Women with irregular cycles, PCOS, perimenopause or menopause symptoms, thyroid problems or pelvic pain
Sleep and mood often improve within weeks; cycles and hormones usually take a few months to settle
Our treatment is for women who have been told that fatigue, mood swings, heavy periods or weight gain are normal for their age. They are common, but they usually have a cause that can be measured and treated. If several of these symptoms sound familiar, it is time for a proper evaluation.
Want the background first? Read about hormonal imbalance in women or perimenopause.
Many of these overlap, and one imbalance often feeds another. Your treatment plan addresses whichever of these your testing uncovers.
Each finding from your testing becomes part of your plan. These are the causes we treat most often, and most women have more than one.
Cycle-timed hormone testing shows where your levels sit. Treated with lifestyle changes, targeted supplements and hormone therapy when appropriate.
Hot flashes, poor sleep and mood changes are treated, with attention to your bones, heart and brain as well.
PCOS affects about 1 in 10 women, and most do not know they have it. Insulin, androgens and cycles are treated together.
Women are five to eight times more likely than men to have a thyroid problem. A full panel with antibodies guides treatment.
Long-term stress disrupts cycles, sleep and weight. Cortisol rhythm is tested and treated as part of the plan.
Digestion affects how hormones are processed and cleared. Gut problems are tested for and treated when symptoms point there.
Low iron, vitamin D, B12 and magnesium are common with heavy periods and restrictive diets. Tested, corrected and rechecked.
Endometriosis affects about 1 in 10 women and often takes years to diagnose. We pair gynecologic evaluation with inflammation-lowering care.
Your treatment follows four clear steps, so you always know what is being treated, why, and what comes next.
A 60–90 minute first visit covering your cycles, symptoms, pregnancies, medications, sleep, stress and family history.
As appropriate: estrogen, progesterone and testosterone, a full thyroid panel with antibodies, cortisol rhythm, insulin and glucose, iron, vitamin D and inflammation markers.
Hormone testing, Thyroid testing, Adrenal testing, Vitamin testing
Your physician treats the most important findings first, in sequence, and explains the benefits and risks of each option, including hormone therapy.
Regular follow-ups recheck your symptoms and labs, then adjust doses and nutrition as your body and life stage change.
Most plans combine two or more of these. Your physician recommends only what your results and symptoms support.
Treating estrogen, progesterone and testosterone imbalances with lifestyle changes, targeted supplements and hormone therapy when it is appropriate.
Relief for hot flashes, night sweats, sleep and mood changes, with a plan that also protects your bones, heart and brain.
Hormone therapy matched to your results and health history, started at a low dose and reviewed at every follow-up.
Nutrition, activity and medication when needed to improve insulin response, regulate cycles and ease acne and hair changes.
Full thyroid testing and carefully adjusted medication for hypothyroidism and Hashimoto’s, which are far more common in women.
Gynecologic evaluation and preventive screening alongside integrative care for pelvic pain, endometriosis and vaginal health.
Preparing your body for pregnancy by treating the thyroid, insulin, nutrient and hormone problems that affect ovulation.
An anti-inflammatory eating plan that steadies blood sugar and supports hormone balance at your stage of life.
Stress reduction, mind-body therapies and sleep treatment, because both drive hormone symptoms and are often overlooked.
Your testing, plan and prescriptions are directed by Rashmi Gulati, MD and gynecologist Dr. Emine Cosar.
A closer read of your results and symptoms, not just a pass or fail. Hormone symptoms doctors miss
We explain who benefits, who should avoid it and what the alternatives are. Who should not do hormone therapy
A routine annual visit is a good first step. When symptoms persist despite it, a fuller treatment approach can help.
| STANDARD ANNUAL VISIT |
OUR INTEGRATIVE TREATMENT | SELF-MANAGING AT HOME | |
|---|---|---|---|
| Testing | Basic blood work and routine screening |
Sex hormones, full thyroid panel, cortisol, insulin, nutrients and inflammation markers |
No testing |
| First visit | Usually a short appointment |
60–90 minutes with a physician | None |
| Treatment focus | Screening and ruling out disease |
Treating every contributing cause together | Coping with symptoms |
| Typical treatments | One prescription for one symptom |
Hormone and thyroid care, PCOS and insulin treatment, nutrition, sleep and stress therapies combined |
Over-the-counter supplements and diet changes |
| Follow-up | Once a year | Scheduled visits with plan adjustments | None |
Your physician coordinates with your gynecologist, primary care doctor and other specialists when needed.
Weight gain often comes with hormone shifts, PCOS and thyroid problems. When it does, your treatment plan covers both. If weight is your main concern, see our dedicated weight loss treatment program.
Individual results vary. Your physician will set realistic goals with you at your first visit.
Timelines depend on the causes found, how long symptoms have lasted, other health issues and your treatment plan.
Sarah, 44, had a BMI of 36, five failed diets behind her and a new prediabetes diagnosis. Testing showed severe insulin resistance. Her plan combined Wegovy, increased gradually over four months, with a high-protein, low-glycemic diet and vitamin B12 support. In six months she lost 52 pounds, her A1c fell from 6.2 to 5.4, and her joint pain and reflux eased.
“I lost 68 lbs on Mounjaro. Finally, a solution that worked after years of struggling!”
S.N., 32 Brooklyn
“No more food noise! Ozempic helped me break my sugar addiction.”
M.K., 50 Manhattan
“The medical team made all the difference. I had zero side effects with their dosing plan.”
T.L., 41. Queens
Medical Director
Rashmi Gulati, MD, is a board-certified functional medicine doctor Manhattan and a leading holistic doctor in NYC.
Gynecologist & Obstetrician
Dr. Emine Cosar, MD has over 20 years of medical experience as a Gynecologist.
Hormonal imbalance, PMS and painful periods, PCOS, perimenopause and menopause, thyroid problems, pelvic pain and endometriosis, fertility concerns, low libido and vaginal health. Many women have more than one, so we assess them together.
Common signs are irregular or heavy periods, mood swings, poor sleep, hot flashes, weight gain, low libido and fatigue that does not lift. Symptoms alone cannot tell you which hormone is involved, so we test before treating. Hormonal imbalance in women
Common tests include estrogen, progesterone and testosterone, a full thyroid panel with antibodies, cortisol rhythm, insulin and glucose, iron, vitamin D and inflammation markers. Your physician chooses tests based on your symptoms, cycle and history. Hormone testing
For most healthy women who are under 60 or within 10 years of menopause, the benefits of hormone therapy outweigh the risks, according to The Menopause Society. It is not suitable for everyone, for example after breast cancer, blood clots or a stroke, so your physician reviews your history first. Are hormones safe?
Perimenopause is the transition, when hormone levels swing and periods become irregular; it usually begins in the mid-40s to mid-50s and can last several years. Menopause is reached after 12 months without a period. Both can be treated. Perimenopause explained
Yes. PCOS has no cure, but treatment improves cycles, skin, weight and fertility. Plans usually combine nutrition and activity with medication when needed, and address insulin resistance, which drives many of the symptoms. PCOS and hormonal imbalance
Yes. Gynecologic evaluation and preventive screening are available with our gynecologist, alongside integrative care for pelvic pain, endometriosis and vaginal health. Holistic gynecologist
Yes. Falling estrogen, poorer sleep and loss of muscle all change where and how the body stores fat. We treat those causes and, when weight is the main concern, build it into the same plan. Hormonal weight gain
Sleep, mood and energy often improve within a few weeks. Cycles and hormone levels usually take a few months to settle, and treatment around menopause is reviewed regularly for as long as you need it.
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 spends 60–90 minutes on your symptoms, cycle and health history, orders the right tests and explains your treatment options. What to expect on your first visit
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.
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
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
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