What is perimenopause? Dr Goldstein, a leading menopause specialist in NYC shares some insight on this.

1. Dr. Steven R.
Goldstein MD
What is
Perimenopause?

2. Dr Steven R. Goldstein is a Menopause Specialist in NYC who has helped thousands
of women cope with the symptoms of menopause. Dr Goldstein is
• A Certified Menopause Practitioner
• A past President of the International Menopause Society
• A past President of the North American Menopause
Society
• Recipient of the Thomas A. Clarkson award for many
outstanding contributions to menopause related clinical
or basic science research.
• One of the nation’s top Gynecologists
One of the stages that women sometimes go through is
PERIMENOPAUSE.

3. What is
Perimenopause?
Perimenopause can occur in women in their late
thirties to forties and last for four to seven years
before menopause begins. It is a period when a
woman’s body begins to slow the production of
hormones. When a woman doesn’t ovulate, no
progesterone is produced. The presence of
estragon without progesterone to balance it out
can cause a variety of symptoms unrelated to a
woman’s menstrual cycle.
For instance, constant estragon levels without
progesterone (due to the lack of ovulation in
Perimenopause) in a woman will cause her not
to bleed at all for weeks or months.

4. Symptoms
Secondly, this condition of estragon
without progesterone to balance it
(which occurs during Perimenopause)
can result in these other symptoms as
well such as Salt and Fluid retention,
Low blood sugar levels, blood clotting,
fibroid tumour enhancement, altered
thyroid hormone function (leading to
weight gain or feelings of exhaustion),
increased production of body fat,
feelings of sluggishness and low energy.

5. When to get a
check up?
Menopause Specialist in NYC

6. What can be done
about
Perimenopause?
At some point, women, as they age, will need to decide
as to whether they will take Estragon. Dr Goldstein is co
author of the book “The Estragon Alternative” and a
hormone specialist in NYC. He works with women in
perimenopause and menopause to replace the
hormones they are losing at those stages of their life.
At some point in time, women will have to make a
choice as to whether they will endure the symptoms of
perimenopause / menopause or go on hormone
replacement therapy to help cope with these
symptoms, enjoy a better quality of life, and replace
much needed Estragon in their bodies.

7. 314 East 34th Street 5th Floor
New York, NY 10016
Call: 212.717.5554
Visit us: www.goldsteinmd.com
Dr. Steven R. Goldstein MD
One of America’s Top Gynecologists