in HRT for women
Dr Steven R Goldstein MD is a past President of the International Menopause Society, a Certified Menopause Practitioner and a past President of the North American Menopause Society. He is a hormone specialist in NYC, in private practice for over 25 years.
You may have heard about SERMS in hormone replacement therapy. SERM stand for Selective Estrogen Receptor Modulators used in female hormone replacement therapy. As women enter the menopause stage, there are many unpleasant symptoms such as night sweats, foggy memory, hot flashes, decreased libido and more. SERMs are used to treat these symptoms of menopause, since there is no “cure” for menopause, since it is not a disease
Bone loss in menopausal women is very common. Estrogen, the hormone that ceases to be produced by the woman’s body after menopause, is helps to control bone loss. Thus, after menopause, bone health in women becomes extremely important.There are approximately 1 million osteoporotic fractures among women in the U.S. each year. Reducing the risk of osteoporotic fractures in women at high risk is essential.
As a hormone specialist in NYC, Dr Goldstein wrote that Selective Estrogen Receptor Modulators (SERMs) have all shown estrogenic activity in bone as well as being antiestrogenic in breast. Tamoxifen, well known for its use in estrogen receptor–positive breast cancer patients, demonstrates positive effects on bone and fracture reduction compared with placebo. Raloxifene is approved for prevention and treatment
of osteoporosis and for breast cancer chemoprevention in high-risk patients.TheTSEC combination of CEE and the SERM bazedoxifene is approved for treatment of moderate to severe vasomotor symptoms and prevention of osteoporosis. Finally, the SERM ospemifene, approved for treating moderate to severe dyspareunia or dryness, has demonstrated evidence of a positive effect on bone turnover and metabolism. Clinicians need to be aware of these effects when choosing medications for their patients.
Dr Steven R. Goldstein MD is a Menopause Specialist in NYC, has been in practice for over 25 years. Dr Goldstein is also a Professor of Obstetrics and Gynecology at New York University School of Medicine, a former Director of Gynecologic Ultrasound at NYU Langone Medical Center and is regarded as one of the best Gynecologists in the US.
If you are a woman struggling with the symptoms of menopause, or are concerned aboutyourbone health,scheduleaconsultationwithDrStevenR. Goldsteinbyvisiting his website at www.goldsteinmd.com for more information.