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Menstrual Disorders... ...continued from page 16 approaches, gut healing protocols, and targeted supplements. 4. Thyroid Disorders: Thyroid imbalances, such as hypothy- roidism or hyperthyroidism, can impact menstrual bleeding. FM in - volves assessing and treating thyroid function and optimizing thyroid hormone levels. 5. Nutritional Deficiencies: Nutrient deficiencies, particular - ly iron deficiency, can contribute to heavy menstrual bleeding. Once nutrient deficiencies are identified, corrections can be made through dietary changes and targeted supplementation. 6. Blood Clotting Disorders : Certain blood clotting disorders, such as von Willebrand disease or platelet function disorders, can lead to excessive bleeding. FM involves assessing clotting factors and working with a healthcare team to manage these disorders. 7. Medication Side Effects: Some medications, like anticoagu- lants or certain hormone therapies, can cause heavy menstrual bleed- ing. Treatment may involve exploring alternative medication options or addressing any underlying imbalances aggravated by the medica- tion. 8. Lifestyle Factors: Stress, poor sleep, lack of exercise, and oth- er lifestyle choices can contribute to hormonal imbalances and worsen excessive menstrual bleeding. Stress management techniques, quality sleep, regular physical activity, and other lifestyle modifications are emphasized to support overall hormonal health. Polycystic Ovary Syndrome (PCOS) According to the World Health Organization , PCOS affects an es - timated 8–13% of women of reproductive age, and up to 70% of cas - es are undiagnosed. The prevalence is higher among some ethnicities and these groups often experience more complications, in particular related to metabolic problems. Clinically, PCOS is viewed as a com- plex condition that involves multiple underlying imbalances within the body. FM aims to identify and address the root causes to achieve long-term resolution. Some of the various contributing factors to PCOS may include: ● Hormonal imbalances : PCOS is characterized by elevated levels of androgens, a group of male hormones. Factors that disrupt hormone balance include impaired liver detoxifica - tion, excess cortisol (stress hormone), or imbalances in other reproductive hormones like estrogen and progesterone. ● Insulin resistance: Insulin resistance occurs when the body’s cells become less responsive to the hormone insulin, leading to elevated blood sugar levels. This can disrupt nor- mal hormonal signaling, increase androgen production, and interfere with ovulation. ● Inflammation: Chronic inflammation can contribute to the development and progression of PCOS. Identifying and ad - dressing sources of inflammation, such as a poor diet or gut health imbalances, is important. ● Gut health: There is emerging evidence suggesting a poten- tial link between gut health and PCOS. Dysbiosis (an imbal - ance in the gut bacteria) and digestive issues may play a role in exacerbating PCOS symptoms. ● Environmental factors: Exposure to environmental tox- ins, such as endocrine-disrupting chemicals found in plastics or pesticides, can interfere with hormonal balance and con- tribute to PCOS.
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80—PATHWAYS—Fall 23
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