Irregular cycles / PMS

Irregular Cycles/Hormones

Many of us have experienced fluctuations in our period intervals, length or severity. Often times, this can be temporary and attributed to increased stress, exercise or poor nutrition. However – when prolonged or persistent – hormonal fluctuations can indicate a deeper underlying concern.

What is a normal period?

  • Interval: Every 28 days
  • Length: 4-6 days
  • Amount of blood: Average amount is 30-40 ml (a regular soaked tampon holds 5 ml)
  • Symptoms: Minimal cramping, bloating, mood lability, mild breast swelling

What is NOT normal?

  • Interval:
    • Going more than 35 days or less than 21 days between periods
    • Skipping your period for 3 consecutive months of more
  • Length:
    • Bleeding for more than 7 days
  • Amount of blood:
    • Greater than 80 ml of blood (a regular soaked tampon holds 5 ml)
    • Feeling faint or dizzy with periods
  • Symptoms:
    • Headaches, moderate-severe cramping, back pain, moderate-severe mood lability, bloating, fatigue, breast swelling or tenderness

Other Signs that could indicate a Hormonal Imbalance:

  • Weight gain (especially around abdomen, hips and thighs)
  • Acne
  • Scalp hair loss
  • Fibrous or lumpy breasts
  • Increased hair growth on face and/or body
  • Increased or decreased sex drive
  • Anxiety or depression
  • Chronic fatigue
  • Insomnia
  • Hot flashes/ night sweats
  • Brain fog
  • Allergies
  • Water retention
  • Vaginal dryness
  • Early skin aging

Conditions associated with Hormonal Imbalances:

  • Acne Vulgaris
  • Amenorrhea
  • Cancer (Breast, Endometrial/Ovarian)
  • Endometriosis
  • Female Pattern Hair Loss
  • Fibrocystic Breasts
  • Infertility
  • Menorrhagia
  • Metrorrhagia
  • Oligomenorrhea
  • Osteoporosis/ Osteopenia
  • PCOS
  • Uterine Fibroids

Hormone Balancing - Why and How We Do It
Within our body, hormones act as important messengers – interacting with all body systems with many feedback and regulatory mechanisms in place. Therefore, when hormones become out of balance they can, not only wreak havoc on your body, but also often require a comprehensive assessment and careful manipulation in order to get you back to a state of homeostasis.

That’s why, at True You Medical, we seek to understand your individual hormonal imbalance – tailoring our treatment to correct for your imbalance and get you back to feeling like the TRUE YOU. Although we do use hormonal supplementation when necessary, we believe in addressing the root cause rather than “masking symptoms” with OCPs.

What You Can Expect:  

  • Extensive History
  • Gather history to elicit the best idea of your personal hormone picture.
  • Sophisticated Lab Testing

Sex Hormone Parameters:

  • Sex Hormones: Estrogen, Progesterone, Testosterone, Free Testosterone, Pregnenolone, DHEA-S.
  • Other Hormones: Thyroid Hormone (T3, T4, fT3, fT4, TSH, rT3), Cortisol Rhythm.

Sex Hormone Metabolites

  • We use sex hormone metabolites to determine how you are metabolizing your hormones, which gives us a better indication of your risk for estrogen dominance and estrogen -related diseases.
  • With this information, we can initiate treatment to mitigate the risks of poor estrogen metabolism.

Other Testing When Indicated

  • Advanced GI Testing: Stool Testing, SIBO Testing
  • Cardiovascular Panels to assess for risk
  • Liver Parameters
  • Micronutrient Panels to assess for nutritional deficiencies

Natural Treatment:

  • Lifestyle Recommendations:
    For optimal hormone regulation, the fundamentals must not be ignored. Diet, exercise and sleep are not only the most important part of long-term hormone regulation, but they are free!
  • Natural Botanical Supplementation:
    We utilize the wisdom of plant medicine as a natural alternative to pharmaceutical drugs.
    With the use of botanical medicine, we can alter physiology naturally – minimizing risk of side effects and providing results that are maintained long term.

Nutritional Supplementation:

  • Hormone balance, like many other processes in our body, require optimal nutrition and building blocks. Without proper protein and fat within the body, hormones will not be synthesized.
  • Blood Sugar stability is essential for hormone balance. Spikes in blood sugar directly stimulate androgen production – which is often the underlying factor in conditions like PCOS and Acne Vulgaris.

Detox Support:

  • A healthy liver and healthy colon are key to proper hormone regulation.
  • Hormones are both synthesized and metabolized by the liver, making this organ an important area of focus in treatment of hormonal imbalance. The liver can easily be burdened and decline in function with an overload of toxins, chemicals, alcohol, synthetic medications and poor food choices.
  • The bulk of our hormones are excreted through our bowel; therefore regular bowel movements are key to hormone optimization. Furthermore, If there is an imbalance in the bacteria within the colon, estrogens may be cleaved and recirculated – leading to a state of estrogen dominance.

Bio-identical Hormone Replacement Therapy (BHRT):

  • In some cases, hormone supplementation may be required to help the body find a state of homeostasis.
  • BHRT is different than OCPs in that they look exactly like your own hormones. Furthermore, we customize your hormone treatment to give you exactly what you need, rather than prescribing a generalized one-size-fits-all pill.