About
Dr. Randy Birken brings an unusually broad clinical foundation to his work in hormone optimization and functional medicine. S. in Biology Cum Laude from Adelphi University before completing his residency in Obstetrics and Gynecology at Baylor College of Medicine in 1980, where he served as Chief Resident. He went on to complete fellowship training in uro-gynecology at the University of California in 1989, then devoted years to pelvic reconstructive surgery and teaching physician residents at Baylor.
In 2000, Dr. Birken trained in Bio-Identical Hormone Optimization with Neal Rouzier, MD and subsequently earned certification in Advanced Bio-Identical Hormone Optimization through Worldlink Health. He holds additional training in Age Management Medicine from the Cenegenics Research and Educational Foundation, Healthcare Economics from Harvard Business School, and Wilderness Medicine from the University of Colorado. He also earned a Master's in Liberal Arts and Literature from Houston Baptist University in 1997. Dr. Birken sits on the medical advisory committee for BioTe Medical and teaches new physicians on hormone optimization. " He holds licenses in both Texas and Colorado. Outside the clinic, he volunteers at the Interfaith Clinic in The Woodlands and serves on medical missionary programs in Guatemala. He and his wife Liz are avid skiers, cyclists, and mountain hikers, and they stay devoted to their adult children, three grandchildren, and golden doodle, Piper.
Education & Training
Undergraduate
Adelphi University, B.S. Biology, Cum Laude
Residency
Obstetrics and Gynecology, Baylor College of Medicine (completed 1980, served as Chief Resident)
Fellowship
Uro-gynecology, University of California (completed 1989)
Additional Training
Master's in Liberal Arts and Literature, Houston Baptist University (1997); Bio-Identical Hormone Optimization training with Neal Rouzier, MD (2000); Certified in Advanced Bio-Identical Hormone Optimization, Worldlink Health; Age Management Medicine, Cenegenics Research and Educational Foundation; Wilderness Medicine Certification, University of Colorado; Healthcare Economics, Harvard Business School
Certifications
Conditions Treated
Who is Dr. Birken right for?
Dr. Birken works well with adults navigating hormonal changes at any stage of life. Men dealing with low testosterone, andropause, or erectile dysfunction benefit from his deep expertise in male hormone health. Women managing menopause, perimenopause, PCOS, or thyroid conditions find a clinician who takes a thorough diagnostic approach. Patients seeking medical weight loss with GLP-1 support or aesthetic treatments alongside clinical care also fit well here. His background in uro-gynecology makes him a strong fit for women with urinary incontinence or sexual health concerns.
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Frequently Asked Questions
Dr. Birken specializes in hormonal imbalances for both men and women, including low testosterone, menopause, perimenopause, andropause, and PCOS. He also treats hypothyroidism, Hashimoto's disease, adrenal imbalance, erectile dysfunction, low libido, and urinary incontinence. His training in uro-gynecology adds clinical depth to his work in women's pelvic health.
Dr. Birken holds certification in Advanced Bio-Identical Hormone Optimization through Worldlink Health. He completed Age Management Medicine training with the Cenegenics Research and Educational Foundation and a Healthcare Economics program at Harvard Business School. His clinical training spans OB/GYN, uro-gynecology, and functional medicine.
Dr. Birken completed his residency in Obstetrics and Gynecology at Baylor College of Medicine, where he also served as Chief Resident. He completed fellowship training in uro-gynecology at the University of California in 1989. He later trained in Bio-Identical Hormone Optimization with Neal Rouzier, MD in 2000.
Yes, Dr. Birken treats both men and women. He addresses conditions including andropause, low testosterone, erectile dysfunction, and male sexual health alongside women's hormone and gynecological concerns. He sees over 40 new patients per month across both populations.
Dr. Birken identifies the root cause of hormone-related symptoms before building a personalized care plan. He uses comprehensive hormone blood testing and advanced thyroid panels to guide treatment. He favors bioidentical hormones and offers both BHRT and subcutaneous hormone pellet therapy through the Biote method.
Yes, Dr. Birken sits on the medical advisory committee for BioTe Medical and teaches new physicians on hormone optimization. He lectures on the health benefits of plant-based, compounded hormones. "
Dr. Birken holds medical licenses in both Texas and Colorado. He maintains practices in The Woodlands, TX and Steamboat Springs, CO. He previously served as a Clinical Assistant Professor at Baylor College of Medicine while in private practice.
" He focuses on understanding each patient's full picture before designing a care plan. That approach shapes every appointment and diagnostic workup he conducts.
Doctor profile last updated April 11, 2026