At BioidenticalHormones.nyc — a specialty division of Patients Medical (founded 1974) — Dr. Rashmi Gulati provides physician-led bioidentical hormone replacement therapy for menopause, perimenopause, and post-menopause. Unlike telehealth services or franchise clinics, every patient is evaluated personally with advanced hormone testing and a fully individualized protocol.
Hot Flashes · Night Sweats · Brain Fog · Weight · Sleep
BioidenticalHormones.nyc is the hormone optimization division of Patients Medical — one of NYC’s leading physician-led integrative practices. The same physician team that has treated thousands of complex hormone cases since 1974 provides menopause care here.
Menopause is defined as 12 consecutive months without a menstrual period, typically occurring between ages 45 and 55 (average age 51 in the U.S.). It marks the end of ovarian hormone production, triggering a cascade of symptoms across nearly every body system.
The transition phase before menopause, lasting 4–10 years. Hormones fluctuate erratically. Symptoms often begin here. Most women are completely unprepared for it.
The 12-month milestone. Estrogen and progesterone production drops significantly.
All years after menopause. Without proper hormone support, risk of osteoporosis, cardiovascular disease, cognitive decline, and sexual dysfunction increases steadily.
Most people know about hot flashes — but menopause produces up to 34 recognized symptoms. Dr. Gulati evaluates all of them during your initial consultation:
Conventional HRT uses synthetic hormones — often derived from horse urine (Premarin) or synthetic progestins (Provera) — not molecularly identical to human hormones. Bioidentical hormones are derived from plant sources and chemically identical to the hormones your body produced before menopause.
| Feature | BHRT | Traditional HRT |
|---|---|---|
| Molecular Structure | Identical to human hormones | Synthetic / horse-derived |
| Customization | Individual dosing from labs | Fixed standard doses |
| Delivery Forms | Cream, gel, patch, pellet, oral | Pill, patch (limited) |
| Hormones Covered | Estrogen, Progesterone, T, DHEA | Estrogen + Progestin only |
| Physician Oversight | Required — Dr. Gulati monitors | Often prescribe-and-forget |
Full history, symptom audit, lifestyle review — 90-minute appointment with Dr. Gulati. No rushed consults, no assistant.
Estradiol, FSH, LH, progesterone, total+free testosterone, DHEA-S, cortisol, full thyroid (TSH, Free T3, Free T4, Reverse T3), vitamin D.
Delivery method, dosing, and timing built around your biology, lifestyle, and symptoms. No templates.
Follow-up labs at 6 weeks, 3 months, 6 months. Protocol adjusted until you feel optimal.
| Initial consultation | $350–$600 |
| Advanced hormone labs | $200–$500 |
| Monthly BHRT (compounded) | $150–$400/month |
| Follow-up monitoring | $150–$300 |
BioidenticalHormones.nyc · A Division of Patients Medical since 1974 · 1148 Fifth Avenue, Suite 1B, New York, NY 10128.
Our Bioidentical Hormone specialists focus on individuals, not just illnesses. By actively listening and understanding your concerns, we create personalized treatment plans that address the root cause of your condition.
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