Author name: Dr. Steven Gershon

What happens when you reach Perimenopause with PCOS?

For a lot of women, managing Polycystic Ovary Syndrome (PCOS) feels like a second job. If you were diagnosed in your 20s or 30s, you likely spent years figuring out exactly what your body needed. You learned which foods made you feel sluggish. You found a routine that mostly worked, and then you finally got

The One Investment Most People Over 40 Forget to Make

From the time most of us start our first real job, the message is consistent. Start saving early. Contribute to your 401(k). Build a portfolio. Meet with a financial advisor. The system around retirement planning is so well-established that by the time you hit your 40s, you probably have a pretty clear picture of where

The Unexpected Side Effects of NOT Taking Progesterone

It usually starts with something small. A night where you can’t seem to get to sleep, even though you’re exhausted. A wave of anxiety hits you unexpectedly in the middle of an ordinary afternoon. You start to notice a few extra pounds start showing without any explanation and feel much harder to remove, no matter

Why Men Need Estrogen, and Why Blocking It During TRT May Be Making You Worse

Most men who start testosterone therapy are told the same thing about estrogen: watch it, and if it goes up, block it. That advice has become so common that most men accept it without question, with online forums, social media groups, and even some providers treating estrogen like it’s the enemy of male health. The

How Cold Water Plunges Affect Your Hormones and Recovery

On February 7th, myself and many more of our brave team members at our clinic will be running into the Atlantic Ocean at the Virginia Beach Oceanfront. On purpose. Yes, in the middle of winter. Are we crazy?  Maybe a little. But there is incredible value that can be gained from doing this. This will

Am I Too Old for Hormone Therapy? What the Research Really Says

It is one of the most common questions I hear from patients walking into our Virginia Beach clinic: Am I too old to start hormone therapy? Whether you are in your early-50s (or younger) and just starting to notice changes, or you are well into your 70s wondering if the window has closed, the answer

The Black Box Is Gone: A Victory for Women’s Health, 20 Years Late

This week, millions of Americans are focused on Black Friday deals. But in the medical community, we are celebrating the removal of a different kind of “black” label, one that has cost women their quality of life for far too long. The FDA has officially removed the “black box” warning from hormone therapy. For over

Perimenopause vs. Menopause: Why the Confusion Is Keeping You From Getting Help

I hear the same frustration almost daily in my practice. A woman in her early 40s comes in, exhausted and confused, telling me her doctor ran blood work and said everything looks “normal.” Her periods are still coming, so clearly she’s not menopausal. Maybe it’s just stress. Maybe she needs an antidepressant. But she knows

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