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Natural Awakenings New York City

Bioidentical Hormone Replacement

If you think that your life is over after the menopause, you are wrong.  There are so many perks to menopause! Seriously, you can now travel without tampons and pads, and make your reservations without regard to that time of the month.  You can have all the great sex that you want, without counting the days of “being late” afterwards. Of course, there are some intimate issues that can bother menopausal and peri-menopausal women, which can easily be alleviated, if you discuss them with your physician.  You don’t have to wait for your preventive check up if you are bothered by some common symptoms related to crossing that Rubicon called the menopause.

The fact is that as women age, the ovaries start making fewer sex hormones in preparation for the cessation of reproduction. This stage may last from 4-6 years, and most women begin perimenopause in the early to mid-forties. However, each woman is different and may experience it earlier or later. Peri-menopause can cause a number of uncomfortable symptoms that are related to hormone decline. Some of these symptoms are: bloatedness, insomnia, low libido, vaginal dryness, mood swings, night-sweats, and hot flashes. Loss of youthful levels of hormones will, in many cases, lead to osteoporosis and premature cognitive decline. 

The men are not immune to aging either.  When Viagra came out on the market some twenty years ago, men felt as those this was the whole answer to their prayers, as far as male virility is concerned.  Turns out that Viagra is only a part of the anti-aging equation.    Starting in the 30’s, testosterone production in men begins to reduce by 10% each decade, and when a man reaches his 40’s or 50’s, testosterone takes a steep drop. This is commonly called an andropause.  A man going through andropause may notice that workouts are not as effective as they once were, and on average, most men lose 12-15 pounds of muscle mass with hormone decline. Men going through andropause may also notice an extra layer of fat accumulation around the middle, and this is because the decreased muscle mass will have slowed down metabolism and caused fat to accumulate in replacement of lean muscle. Other common complaints include: decline of libido and erectile dysfunction, hair loss, high blood pressure, insomnia, depression mood swings, cognitive decline, and fatigue.  Clearly, Viagra is not enough to address all of these issues.

I prefer to use  Bio-identical Hormone Replacement Therapy (BHRT)to help patients combat the effects of aging in a safest and most comprehensive way possible. Bio-identical hormones are molecularly identical to the ones Mother Nature has endowed us with.  Back in the 1980’ies studies using synthetic pharmaceuticals made from the horse urine revealed dangerous side effects in many women who took them.  Today, the general consensus among the anti-aging M.D. physicians is that BHRT can help avoid all the complications associated with the hormonal prescriptions of the past.  BHRT is administered as transdermal (creams that are rubbed into the skin) or intravaginal creams or gels, made according to prescription by the compounding pharmacy.  The transdermal method of delivery is the most natural and similar to the way Mother Nature intended the slow gradual release of the hormones into our bloodstream.  Using BHRT as a cream or a gel also allows for bypassing the gastro-intestinal tract where most of the hormones would be digested, modified and would never reach the bloodstream in their active form. 

Under the meticulous follow-up of the experienced physician, BHRT is a safe and effective solution for female and male hormonal aging.  And the biggest perk of this anti-aging approach is that we get to spend more quality time with our spouses, children, and grandchildren. 


To find out more, please contact Doctors at Trump Place Longevity Institute at 212-580-0900.


Written By:

Svetlana Kogan, MD

Founder of The Doctors at Trump Place

194 Riverside Boulevard

New York, NY  10069