Your Hormones Need Dinner

Sometimes a patient tells me she had only a salad for dinner. Or, even more puzzling: A green smoothie.

I could never do that. I’m tired at the end of the day. I’m hungry. I need a substantial dinner such as roast chicken with potatoes, vegetables, and butter.  I honestly cannot imagine sitting down with just a cold green salad.

I don’t think I’m different from other women. Women get hungry. Women need food.

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Irregular Periods? It Could Be Your Thyroid

Thyroid as a cause of irregular periods.If you came to me for help with irregular periods, I would think very carefully about your thyroid.

It wouldn’t matter if you already had another diagnosis such as PCOS or hypothalamic amenorrhea. It wouldn’t matter if your doctor had vaguely said at some point that your blood test was normal. I would still think about thyroid. Why? Because underactive thyroid (hypothyroidism) is a common reason for irregular periods.

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How Birth Control Switches Off Hormones and Why That Matters

the pill switches off hormones

The pill was an important step in our struggle to legalize contraception. I celebrate that, of course.  Hormonal birth control can also be medicine for debilitating conditions such as severe endometriosis and very heavy periods. I celebrate that.

What I don’t celebrate is the distorted message that hormonal birth control is the only birth control. And I don’t celebrate its widespread prescription as “hormone balance” for any hormonal symptom that might arise in women and teenage girls. 

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Treatment for 4 Types of PCOS. Treat the Cause.

4 types of PCOS

I invite you to think differently about polycystic ovary syndrome (PCOS) and the types of PCOS.

PCOS is not one thing. It is not one disease. Instead, PCOS is a set of symptoms, with the key symptom being impaired ovulation which leads to androgen excess or a high level of male hormones. Androgen excess then causes the common PCOS symptoms of hair loss, hirsutism, and acne.

To treat PCOS you must first ask: “Why, in your particular case, do you not ovulate?”

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