Hormonal inbalances
 


Women with imbalances in their sex hormones may experience major cyclic differences in their mood and general health.

It usually appears during the luteal phase (between ovulation and period) as PMS/PMDS. Common symptoms: mood swings, anxiety, you feel fragile and sensitive, reactions not reflecting your personality.

You may also suffer from incorrect hormone levels during the follicular phase (from period to ovulation) where common symptoms are mood swings, lack of ovulation, ovulation pain, irregular periods or missed periods.

I may help you with hormonal imbalances and problems such as myomas, PCOS, anovulation, amenorrhea, and when you have stopped taking hormonal contraceptives.

I work closely together with Swedish OB/gyn, midwives, endocrinologists and GP’s. If needed I may refer to them for examinations and regular lab-work. I also have close connections with CBT therapists, medicinal yoga instructors and doulas. My network of international ND’s, MD’s and physiotherapists is also a great resource.
 

PCOS- Polycystic ovary syndrome
 

There are four types of PCOS.

• Insulin-resistant PCOS
• PCOS after hormonal birth control 
• Inflammatory PCOS
• PCOS - cause unknown

It is possible to have PCOS without any symptoms, but if it causes you problems, there is help.

Overweight is common, but many with PCOS have completely normal body weight. Insulin resistance as well as elevated levels of testosterone and LH is also connected with PCOS.

PCOS is the most common cause of infertility due to lack of ovulation. It is also common to get diagnosed with PCOS when a desired pregnancy doesn't happen. About 15% of fertile women are estimated to suffer from PCOS.
 

"PCOS is the most common cause of infertility due to lack of ovulation."
 

Symptoms;
Insulin resistance, Feeling blue, Thyroid issues, Irregular cycles, Low libido, Hirsutism, Loss of hair on the headAcne, Feeling dull, Elevated LH, Elevated testosterone, Infertility, Amenorrhea

Our starting point is always based on your individual circumstances and I use Dr. Felice Gersh protocol for PCOS. Dr. Felice Gersh is an American doctor who is one of the top authorities in the world on PCOS with a functional medical perspective.
 

Myomas/Uterine fibroids
 

Myomas are benign tumours composed of muscle tissue that may be present in the uterus. If a myoma begins to grow in an inconvenient place in the uterus or if it's large, it may cause symptoms. The growth of myoma is connected to oestrogen. This is why it affects almost exclusively women of childbearing age.

Myomas that cause symptoms affect between 70-80% of all women up to 50 years of age. Myomas often shrink in menopause when oestrogen levels decreases.

Myomas may cause a number of different symptoms, which may impair your quality of life. The most common symptom of a myoma is problems with your period. Periods may become irregular, prolonged, and painful with very heavy bleeding. Heavy bleeding can cause anaemia, and affect the iron levels in the body and make you feel very tired.

Myomas may lead to problems with getting pregnant, and may also cause problems during pregnancy and childbirth.
 

"Myomas in the uterus is the most common reason for a
hysterectomy in women of childbearing age.”

Symptoms;
Pelvic pain, Stomach pain, Constipation, Painful periods, Prolonged bleeding, Heaviness in the lower abdomenPressure against the rectum, Back pain, Infertility, Needs to pee often, Pain or discomfort during sex, Heavy periods
 

Endometriosis
 

Endometriosis means that uterine lining grows outside the uterus. About 10 percent of women have this disease. A common symptom is to be in a lot of pain during your period. Treatment is often necessary for the pain to be relieved or disappear.

It's common that the symptoms show up in adolescence. Some get symptoms already during their first period. The symptoms of endometriosis is different between individuals. Some don't have any symptoms at all, or just mild ones. Others may have symptoms that are not listed here.


 

"Endometriosis causes various adhesions through its inflammatory process.
The pelvic anatomy is altered by the disease"
- Dr Kanayama


It's common to have one or several of these symptoms if you have endometriosis:
A lot of pain during your period, Pain at ovulation, Pain far up in the vagina and in the stomach when you have sex, Symptoms that resembles a UTI. For example, you may need to pee often, Symptoms that resembles IBS, like diarrhoea or constipation, Pain when you go to the bathroom, Blood in the urine or stool during your period, General malaise; fatigue, nausea and fever, Trouble getting pregnant, Longer and heavier periods
 

Amenorrhea
 

There are two different types of amenorrhea, non-physiological and physiological amenorrhea and the two different types have different causes. Physiological amenorrhea is the more common, more apparent absence of a period occurring during pregnancy or when you are underweight, while non-physiological amenorrhea is less common. You must be in childbearing age to be said to be affected by amenorrhea.

Physiological amenorrhea is common with massive weight loss, malnutrition, over exercise and drug abuse. This is because the body is in a state of stress as it doesn't have enough energy and therefore prioritizes survival instead of reproduction. Non-physiological amenorrhea often has to do with on congenital defects, imbalances and diseases.
 

"Physiological amenorrhea is common with  massive weight loss, malnutrition and over exercise. The body prioritizes survival instead of reproduction."


There is a further breakdown of amenorrhea; primary and secondary.
With primary amenorrhea, you have never had a period, i.e. your period never starts in puberty. In secondary amenorrhea, you have previously had a period but it has stopped.

If your period is absent for at least 3 months, it is considered secondary amenorrhea. If you have a history of irregular periods (like with PCOS), it should have been at least 9 months for you to be considered to be affected by secondary amenorrhea.


Common reasons for amenorrhea;
Thyroid issues, PCOS, Overtraining, UnderweightProlactinoma, Stress, Nutritional deficiencies
 

Anovulation
 

An anovulatory period can be described as a cycle in which the ovaries do not release an egg cell, i.e. ovulation does not occur. Chronic anovulation is a relatively common cause of infertility.

There are several reasons this may happen. Among the most common reasons are hormonal or chemical imbalances. About half of all women with hormonal imbalances do not produce enough follicles to ensure the development of an egg cell.

About 10 to 15% of all cases of anovulation are due to functional problems in the ovaries. One of the problems that causes anovulation is that the ovaries do not contain any eggs. Another is that the fallopian tube may be blocked and the egg can't be brought to the uterus for fertilization.
 

"Most women doesn't know they suffer from anovulation until they try to get pregnant."


Anovulation is associated with a number of symptoms that don't necessarily occur at the same time. Common symptoms are absent periods, unusually scant periods or irregular periods. A diagnosis can be difficult to get, as many who have anovulation have a normal menstrual cycle. Approximately 20% of all women who suffer from anovulation don't get their period. In 40% of cases of anovulation, irregular and unusually scant periods appear.
 

Common causes of anovulation;
Hormonal imbalances, Underweight, Physically damaged ovaries, PCOS, Thyroid issues, Overweight
An egg has matured but the follicle doesn't burstHyperprolactinoma, Blocked fallopian tubes, The follicle bursts but doesn't release an egg, Cysts on the ovaries, Anorexia, Lack of eggs in the ovaries