Menopause care and HRT, guided by a hormone specialist.
Hot flashes, night sweats, poor sleep, brain fog, weight shifts, irregular cycles. These symptoms are real. Dr. Dixit takes the time to review your history and help you decide whether hormone therapy (HRT) or another option fits you.
What we help with
Perimenopause and menopause symptoms
Menopausal hormone therapy (HRT): whether it’s right for you, which form, and how to use it safely
Vaginal dryness, discomfort, and urinary symptoms of menopause
Non-hormonal options when hormones aren’t a fit or aren’t your preference
Weight and metabolic changes in midlife
Bone health after menopause (see Osteoporosis)
PCOS and irregular or absent periods
Low testosterone evaluation and treatment in men, and testosterone therapy for women when appropriate
Thyroid issues that look like “just hormones”
HRT, explained
Hormone therapy is one of the most effective treatments for hot flashes and night sweats, but it isn’t right for everyone. Dr. Dixit walks you through the options and the trade-offs so you can make an informed choice.
Estrogen: The main hormone used to relieve hot flashes, night sweats, and related symptoms. It also helps protect bone.
Progesterone or a progestin: If you still have a uterus, this is taken alongside estrogen to protect the uterine lining. Options include micronized progesterone and other progestins.
Patches, gels, sprays, and pills: Estrogen can be taken through the skin (patch, gel, or spray) or by mouth. The best route depends on your health history, your risk factors, and what you prefer day to day.
Vaginal estrogen: Low-dose creams, tablets, or rings treat vaginal dryness, painful intercourse, and some urinary symptoms. They act mainly where applied, with very little absorbed into the bloodstream.
A personalized risk-benefit review: Your age, time since menopause, and personal and family history (such as blood clots, stroke, heart disease, or breast cancer) all shape whether HRT is a reasonable choice and which form fits best.
Monitoring and follow-up: We check in on symptom relief, side effects, bleeding patterns, and blood pressure, adjust the dose or form as needed, and revisit the plan over time. Routine screenings such as mammograms continue with your gynecologist or primary care doctor.
A note on hormones
Dr. Dixit prescribes FDA-approved hormone therapy, including FDA-approved bioidentical estradiol and micronized progesterone when appropriate. Custom-compounded hormones are not proven to be safer or more effective than FDA-approved products, and their dosing can be less consistent. HRT is prescribed only when it is medically appropriate for you, and no specific result is guaranteed.
Our approach
Listen first: A full symptom, cycle, and health-history review.
Test thoughtfully: Only the labs that will change decisions, explained clearly.
Weigh the options together: Benefits and risks of each treatment, hormonal and non-hormonal, based on your history and preferences.
Follow through: Adjustments as your body changes.
Coordinated care
We work alongside your gynecologist and primary care doctor and share notes with your permission.
Frequently asked questions
Is hormone therapy safe?
For many healthy people under 60 or within about 10 years of menopause, the benefits can outweigh the risks. Risks depend on your age, timing, dose, the form you use, and your personal and family history, which is exactly what we review together.
Should I use a patch, gel, or pill?
Each works well for symptom relief. Estrogen through the skin may be preferred for some people, for example those with certain clot or migraine risk factors. We’ll recommend a form based on your history.
Are bioidentical hormones better?
FDA-approved bioidentical options (estradiol and micronized progesterone) are available and often used. Custom-compounded “bioidentical” hormones have not been shown to be safer or more effective, so we generally recommend FDA-approved products.
Do you check hormone levels to diagnose menopause?
Often diagnosis is based on age and symptoms. Testing is used when the picture is unclear.
Can menopause care be done by telehealth?
Much of it can, anywhere in New York or New Jersey. In-office visits are available on Thursdays.