Integrative medical consultation is available in our office. The Pathways programs are holistic, aspiring to treat the whole woman in a way compatible with her individual genetics, metabolism and unique health history, with a preference for natural approaches. They incorporate fundamentals of integrative medicine, emphasizing diet, high quality nutritional supplements and partnering with other disciplines such as acupuncture. Utilizing principles of functional medicine, special testing is available to get to the root of problems, going beyond treatment of symptoms. Assessing and treating inflammation, oxidative stress, and dysbiosis, are cornerstones of this approach. As we travel along life’s path, insights from anti-aging medicine can help preserve and at times restore function and reproductive health.
If an in-person appointment is not feasible, consultations or coaching via telephone or Skype are available.
Pathway to Pregnancy
This program is individualized for women who have experienced fertility challenges or miscarriage, as well as women seeking preconception evaluation. Assessment begins with NaProTechnology diagnosis, and treatment achieving optimal follicular and thyroid function, as well as diminishing adverse effects of excessive levels of androgens and stress hormones. Blood sugar control and preventing insulin resistance are foundational. Strategies for helping resistant PCOS can involve macro and micronutrition (diet and supplements), as well as medication. Analysis of genetic, fatty acid and nutritional and markers can be helpful. Lifestyle modification and elimination of toxins are important for some women. All of these factors affect egg quality. Strategies to diagnose and treat autoimmune problems and food allergies can enhance fertility. If surgery is necessary for evaluation or therapy, referral may be made to expert NaProTechnology or endometriosis surgeons.
Pathway to Hormonal Balance
A woman’s hormones at all ages are intended to work together as in a harmonious symphony. Estrogen, progesterone, testosterone, cortisol and stress hormones, thyroid and insulin are in delicate balance, with each affecting the others. Hormonal balance is assessed through a history and physical exam, and through blood and saliva testing. Imbalances and toxic xenoestrogens from can exacerbate conditions such as uterine fibroids, polyps and endometriosis. For women under 50 charting the menstrual cycle, especially with the Creighton method, is a valuable tool. Diet and supplements are important in affecting hormonal output, as well as decreasing undesirable hormonal metabolites. Bioidentical estrogen, progesterone and testosterone are prescribed from compounding pharmacies or from conventional pharmacies, appropriate to the needs of each individual patient. Expert care for the challenges of polycystic ovarian syndrome, perimenopause and menopause is a specialty of this medical practice. Thorough workup and treatment for hypothyroidism is available for this frequently underdiagnosed condition.
Pathway to Health Over 50
Excellent health over 50 and beyond involves hormonal, metabolic, nutritional and lifestyle factors. The disabilities caused by the human aging process are caused by physiological dysfunctions which in many cases are amenable to treatment, such that the quality of life can be improved. Hormonal balance, including estrogen, progesterone, testosterone, adrenal and thyroid hormones is of paramount importance. Addressing inflammation, stress, dysbiosis, suboptimal nutrition, and toxic metabolic products can improve well-being. Blood sugar control and preventing accumulation of AGE’s (advanced glycation end-products) are key in prevention of diabetes, atherosclerosis, chronic renal failure, and Alzheimer’s disease. The goal is preserving well-being, stamina, strength, memory and intellectual function throughout the life-span.