Dr. Steven R. Goldstein is a Menopause Specialist in NYC. He is a Certified Menopause Practitioner and a Past President of the International Menopause Society and The Menopause Society.
Dr. Goldstein helps patients understand what their bodies are going through during menopause. One common concern is mood swings, and this presentation explores the connection between hormonal changes and emotional health.
The Role of Estrogen in Mood Regulation
• Estrogen as a “mental tonic”
• Enhances mood stability
• Works especially well with testosterone
Estrogen plays a powerful role in mental wellness. While there's no definitive proof linking menopause directly to depression, estrogen has been shown to have moodenhancing effects. Women receiving both estrogen and testosterone therapy often report improved emotional wellbeing.
Hormonal Fluctuations and Emotional Vulnerability
• Menopause doesn’t cause depression
• Perimenopause: a critical transition
• Increased vulnerability to mood disturbances
Though menopause itself doesn't directly cause depression, many women are more emotionally vulnerable during this stage. This is largely due to hormone fluctuations that occur during perimenopause—the transition phase leading up to menopause.
Understanding Hormone Replacement Therapy (HRT)
• HRT should be symptom-specific
• Not a one-size-fits-all treatment
• Personalized care is essential
Dr. Goldstein emphasizes that menopause symptoms can’t be treated simply by increasing estrogen. The key is to tailor Hormone Replacement Therapy to each woman’s unique needs and symptoms. Unfortunately, many practitioners overlook this, offering generalized solutions instead.
Years ago Dr Goldstein authored the book “The Estrogen Alternative”, regarding the use of Hormone Replacement Therapy (HRT) for women. As a leading HRT Specialist in NYC, Dr Goldstein discussed the use of SERMs (Selective Estrogen Receptor Modulators) to aid estrogen deprived women overcome the symptoms of Menopause.
The Myth That Menopause Is a Disease
• Menopause is a natural life stage
• Not a disease or sickness
• Requires informed care and support
Dr. Goldstein makes it clear: menopause isn’t an illness. It’s a new stage in a woman’s life. However, it still demands proper medical attention and lifestyle adjustments to help manage symptoms and protect overall health.
Why Menopause Care Matters
• Estrogen affects over 300 tissues
• Impact on heart, brain, bones, and more
• Beyond just hot flashes and night sweats
The decline in female hormones affects far more than just mood and temperature regulation. Estrogen is crucial to numerous systems throughout the body—from cholesterol levels to bone density to brain function.
Emotional Symptoms Women Commonly Experience
• Mood swings
• Anxiety
• Irritability and low motivation
Many women going through menopause report emotional symptoms like increased anxiety, difficulty concentrating, and irritability. Estrogen therapy has shown promise in reducing these symptoms in some patients.
Tailored Treatments and Quality of Life
• Customized HRT improves outcomes
• Informed decisions make a difference
• Quality of life can be restored
When women receive treatment plans tailored to their specific symptoms and health profiles, the results are often transformative. Proper care can drastically improve their overall well-being and restore quality of life during and after menopause.
Dr. Steven R. Goldstein’s Expertise
• Certified Menopause Practitioner
• Past President of two major menopause societies
• 30+ years of private practice in NYC Dr. Goldstein brings unmatched experience and compassion to his work. As a past President of both the International Menopause Society and The Menopause Society, his insights are informed by decades of leadership and patient care.
Final Thoughts
• Menopause is a major transition in the life of a woman
• Personalized care is key
• Emotional and physical support makes a difference
In conclusion, menopause is a natural phase that affects each woman differently. Dr. Goldstein’s approach emphasizes individualized care, respect for the body’s changes, and proactive support. When women understand their symptoms and receive appropriate care, they can move through menopause with confidence and clarity.
Schedule a consultation with Dr. Steven R. Goldstein for personalized guidance
If you are a woman approaching menopause or in menopause and would like to learn more about HRT or understand menopause better, then perhaps a consultation with Dr Steven R. Goldstein, a Menopause Specialist in NYC may be in order.
