Lara Briden - The Period Revolutionary
Leading the change to better periods and hormones
The role of insulin resistance and metabolic syndrome in common menstrual problems such as PCOS, heavy periods, and perimenopause. Hyperinsulinemia or high insulin can impair ovulation and increase androgens in polycystic ovary syndrome. It can also cause progesterone deficiency, anovulatory cycles, and increase the thickness of the uterine lining contributing to heavy periods.
Can hormonal birth control cause weight gain or impair metabolic health? If so, which types are more likely to do so?
The first thing to understand is that the ovarian hormones estradiol and progesterone tend to promote subcutaneous fat but reduce visceral fat, which is good because visceral fat is the bad fat tied to insulin resistance or metabolic dysfunction. The second thing is that hormonal birth control mostly switches off estradiol and progesterone.
Do you feel hungry all the time? Abnormally hungry? If so, it’s worth trying to figure out why. Potential drivers of abnormally high hunger include insulin resistance, gut and microbiome issues, low blood sugar, and food addiction—just to name a few.
In the latest episode of my podcast and YouTube video, I explore food addiction and some of the controversy around the term. I also discuss the next best steps on your road to recovery.
What is the difference between polycystic ovary syndrome (PCOS) and hypothalamic amenorrhea?
PCOS is the condition of androgen excess when all other causes of androgen excess have been ruled out. It’s often associated with irregular periods or no periods.
Hypothalamic amenorrhea (HA) is irregular periods (or no periods) due to undereating or other stressors. It can also present with mild acne, facial hair, and polycystic ovaries.
“Eat to feel good” is my advice to patients. Why? Because eating should be relaxing and create satiety, which is the feeling of being sated or full.
Achieving satiety with solid meals such as meat and potatoes is 1) a good way to achieve optimal nutrition and 2) the single best way to avoid overeating and just live your life without having to fight cravings or constantly exert willpower to avoid snacks and desserts.