Perimenopause + Menopause:
Menopause refers to the transition in a woman’s life from reproductive to non-reproductive as hormone production from the ovaries declines, while perimenopause describes the period before menopause where hormone levels can wildly fluctuate, creating uncomfortable symptoms.
Menopausal symptoms are investigated with lab work and patient history. Symptoms related to hormonal imbalances can be treated with bioidentical hormone therapy, a safe and natural alternative to synthetic HRT (Hormone Replacement Therapy), or with herbal supplements and nutrients.
Many women experience a wide range of symptoms as their body transitions through this stage:
- Hot flashes
- Vaginal dryness
- Low libido
- Hair loss
- Irritability, mood changes
- Memory loss
- Increased cardiovascular risk
- Decreased bone density
- Poor skin elasticity
Estrogen Dominance + PMS:
Estrogen dominance describes a state of hormonal imbalance where estrogen levels in the body are elevated, or out of balance with respect to progesterone levels. Estrogen levels can become elevated via poor estrogen metabolism by the liver and intake of exogenous estrogens (contraceptives/birth control, synthetic HRT, pesticides, hormones in dairy products and non-organic meats).
Symptoms of estrogen dominance are often considered “normal” and not attributed to a hormonal imbalance or increased risk for chronic disease:
- Premenstrual syndrome (PMS): Diffuse breast tenderness, bloating, low back pain, cramps, irritability and low mood prior to the start of your period
- Dysmenorrhea (painful periods/period cramps)
- Heavy periods
- Irregular cycles
- Ovarian cysts
- Uterine fibroids
- Abnormal cells on Pap test / Cervical dysplasia
- Female cancers (breast, cervical, ovarian, uterine)
Symptoms of estrogen dominance and PMS should be investigated with lab work and patient history. Symptoms related to hormonal imbalances can be treated with bioidentical hormone therapy, a safe and natural alternative to synthetic HRT (Hormone Replacement Therapy), or with herbal supplements and nutrients.
One of my most rewarding jobs is helping couples create new life. I focus my fertility programs around the health of not only mom, but also dad, and the relationship, so guys – you are not off the hook yet! I like to take the pressure off the couple, and switch the emphasis from ‘getting pregnant’ to ‘getting healthy’.
Ideally, 6 months of time is needed for a female fertility program, but babies can be unpredictable so sometimes more time or less time is required.
Read below about what a basic fertility program looks like. As always, the program will be catered to your individual needs because everyone’s body is different.
Assessment: This is the initial stage where we gather as much information as we can to find out what factors could be impeding pregnancy, and what health factors can be modified to make the healthiest baby possible.
- Diet + Lifestyle Review and Modification
- Charting Cycles + Assessing for Ovulation
- Basic Labs (Bloodwork + Urinalysis)
- Female Hormone Panel
- Toxic Exposure and Heavy Metal Assessment
- Referral for imaging (pelvic ultrasound, etc.)
Treatment: Once we gather the information and find out what’s going on, we can start treating the underlying causes.
- Dietary + nutritional supplementation
- Balance hormones
- Normalize menstrual cycle, and find out what is ‘normal’ for you!
- Address underlying female reproductive tract disorders (cysts, fibroids, enodmetriosis, etc.)
- Reduce free radical damage
- Promote development of uterine lining
Referral: Sometimes referral is required if we need to gather more information or address other issues that may be contributing to fertility issues.
A minimum of 3 months is an ideal treatment window for men. It takes 3 months to produce a viable and mature sperm, so the goal is to have the healthiest 3 months of your life and make the best possible sperm!
Treatment for men focuses in on detoxification, diet, lifestyle, oxidative stress, and hormones. I ask that you visit your GP first and ask to have the quality of your semen assessed. You will have to provide a semen sample, and the results will tell us if there are any problems in the number, motility, or normal morphology of your sperm.