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Bioidentical Hormone Replacement Therapy

Inga Zilberstein, MD

Gynecology located in Upper East Side of Manhattan, New York, NY

Production of estrogen, progesterone, and testosterone can begin to fluctuate as many as ten years before menopause. This leads to irregular periods, a decrease in fertility, as well as hot flashes, mood disorder, loss of energy, and many other symptoms. Dr. Inga Zilberstein, MD, PLLC, on the Upper East Side of Manhattan in New York City, offers bioidentical hormone therapy to improve hormone balance and ease symptoms. To schedule a consultation with this board-certified OB/GYN, call the office or book an appointment online today.

Bioidentical Hormone Replacement Therapy Q & A

What is Bioidentical Hormone Replacement Therapy?

Bioidentical Hormone Replacement Therapy is a natural form of hormone replacement therapy (HRT). Dr. Zilberstein uses HRT to treat symptoms associated with menopause and perimenopause. 

Taking small amounts of estrogen, progesterone, or testosterone may help you feel better, maintain your mental acuity, and continue your demanding lifestyle. 

Bioidentical hormones are hormones that are manufactured according to the same chemical structure as the hormones our body makes. Though referred to as “natural” hormone replacement, it is important to remember that the only “natural hormones” are the ones that are produced by our bodies.

Am I a candidate for Bioidentical Hormone Replacement Therapy?

Dr. Zilberstein determines if you’re a candidate for bioidentical hormone therapy after a comprehensive evaluation.

The degree of fluctuation in hormonal production and the severity of its symptoms varies greatly among women. It is important to evaluate each woman’s symptoms individually, considering her weight, lifestyle, and level of stress, as well as personal and family history. 

Her attitude towards the treatment, along with the lifestyle changes she is willing to take, are also important factors that determine the treatment best suited to her specific needs.

You should schedule a consultation with Dr. Zilberstein if you’re experiencing symptoms of menopause or perimenopause such as:

  • Hot flashes
  • Night sweats
  • Mood changes
  • Insomnia
  • Lack of energy
  • Mental haziness
  • Depression
  • Low libido
  • Vaginal dryness
  • Decreased ability to achieve orgasm
  • Weight gain
  • Hair loss
  • Dry skin
  • Bone loss
  • Frequent vaginal or urinary infections 

How is Bioidentical Hormone Replacement Therapy given?

Dr. Zilberstein customizes each patient’s bioidentical hormone therapy to match her unique hormonal needs. She works with you and a compounding pharmacy to better match the dosage and combination of hormones your body needs to achieve the best results.

There are many different preparations of HRT available today. Estrogen can be prescribed in different doses, and in different applications: pills, creams, and patches. Bioidentical progesterone is available in intravaginal cream preparations and pills. Bioidentical testosterone can be administered transdermally.

When prescribing HRT, Dr. Zilberstein encourages lifestyle changes in addition to hormone therapy to get the best results, including eating a healthy diet, getting regular exercise, and finding healthy ways to manage stress. 

Dr. Zilberstein schedules regular follow-up appointments to monitor for side effects, as well as to check your symptoms and hormone levels so she can adjust your treatment as needed. 

Bioidentical hormone therapy may help you feel more like your usual, energetic self. Call the office of Dr. Inga Zilberstein, MD, PLLC, or book an appointment online to schedule your assessment and see if bioidentical hormone therapy makes the right choice for you.  


We offer treatment for Functional medicine, stress, sex hormones, Organic Acid Testing, and Gastrointestinal testing located in Manhattan, New York, NY. Call us to book your appointment today.