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Hot flashes, night sweats, disrupted sleep, vaginal dryness, and other symptoms of perimenopause or menopause can significantly affect your comfort and quality of life. Hormone replacement therapy, also called menopausal hormone therapy, may provide effective relief for appropriate candidates.
The experienced OB-GYNs at Bayard Street Obstetrics & Gynecology provide individualized hormone therapy consultations at convenient locations in Manhattan, Brooklyn, Queens, and Long Island. Call the office nearest you or request an appointment online to discuss your symptoms and treatment options.
Hormone replacement therapy replaces some of the estrogen—and, when needed, progesterone—that naturally declines during the menopause transition.
Hormone therapy may help relieve:
Systemic hormone therapy can also help prevent the bone loss that occurs after menopause in appropriately selected patients.
Hormone therapy may be systemic or local.
Systemic hormone therapy circulates throughout the body and is commonly prescribed as a pill, patch, gel, or spray. It is primarily used for symptoms such as hot flashes and night sweats.
Patients who still have a uterus generally need progesterone or another progestogen along with systemic estrogen to protect the uterine lining.
Local vaginal hormone therapy delivers a low dose of estrogen directly to vaginal tissue. It is available as a cream, tablet, insert, or vaginal ring and is primarily used for vaginal dryness, irritation, painful intercourse, and selected urinary symptoms.
The benefits and risks of hormone therapy vary from person to person. Your Bayard Street Obstetrics & Gynecology provider will review your symptoms, age, menstrual history, medical conditions, medications, and personal and family health history before recommending treatment.
Hormone therapy may not be appropriate for every patient, particularly those with certain histories involving breast or uterine cancer, unexplained vaginal bleeding, blood clots, stroke, heart disease, or liver disease.
Bloodwork is not routinely required to diagnose menopause or select treatment for every patient, but your provider may order testing when your symptoms, age, menstrual pattern, or medical history suggest another possible condition.
When prescribed, hormone therapy should be individualized and periodically reevaluated to ensure that it continues to meet your needs.
Explore comprehensive, individualized hormone care through Mulberry, a private-pay extension created by physicians from Bayard Street OB/GYN.