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What is Polycystic Ovarian Syndrome?

Polycystic ovarian syndrome (PCOS) is a hormonal disorder common among women of reproductive age. A syndrome is known as a collection of symptoms.

It is known as PCOS due to the presence of cysts that can be seen on an ultrasound of the ovaries. Cysts are tiny fluid-filled sacs that contain ovarian eggs.

These cysts can prevent ovulation from occurring and this is one of the underlying mechanisms to why women with PCOS can have menstrual irregularities.

Generally, women with PCOS ovaries tend to have greater than 12 or more follicles in their ovaries. PCOS is an inflammatory and systemic disorder that can cause infertility, insulin resistance, obesity, acne, and can lead to cardiovascular problems.

What causes PCOS?

Do you have these symptoms?

Symptoms of PCOS

Diagnosis

Traditional treatment of PCOS involves treatment using medications such as birth control, metformin, and spironolactone. These can sometimes help control symptoms but at NES, we care about treating the root cause. We heavily focus on lifestyle factors as underlying causes of PCOS.

How we can help you with your PCOS

At NES we aim to target these issues and can help you understand the problem at hand versus only treating your symptoms.

We believe this is a more sustainable way of treating this condition and we empower you to learn more about the condition and take a multifactorial approach.

Our Process

We teach you about hormones and how they affect your health. We use comprehensive lab testing for hormones to help you identify areas of excess and deficiency and how you can get your hormones dialed in and in functional and optimal ranges. 

Are you struggling with these symptoms?

Are you struggling with hot flashes, night sweats, insomnia, dry skin, and moodiness? These are all signs and symptoms of menopause.

Did you know that technically menopause is only one day, according to the definition? Menopause is when a woman reaches this milestone when she has had no period for precisely 1 year.

All of the symptoms that occur before reaching one year are known as perimenopause.

Symptoms that persist after one year are known as postmenopause. Symptoms can be intense, and women can struggle to find a resolution. 

How we can help you with your menopause

At NES, we work with our patients through educating and empowering them and providing solutions to help them reach optimal health.

We provide bioidentical hormone replacement therapy (BHRT) options for our patients. Before starting BHRT, the doctor will assess your health to see if you are a good candidate for this therapy.

BHRT helps patients feel great again resolves symptoms of hot flashes, night sweats, insomnia, dryness. It also has a great impact on cognitive, heart, and bone health.

It can also aid in improving metabolic markers such as glucose and cholesterol levels, although it is not primarily indicated for these conditions as first-line therapy. The goal is about maximizing benefits, minimizing risks, and helping you achieve a fantastic quality of life. 

What to expect

Before initiating therapy, screening questions, labs, and imaging may be required at your doctor's visit.

There are many hormone replacement therapy options, including creams, capsules, troches, patches, injections, and pellet therapy.

You will work with your doctor to help determine which one is right for you. We require that you have lab work minimally two times per year to help your doctor analyze your lab results and make decisions about therapy dose and duration.

Example of menopausal levels on lab work before treatment:

Are you struggling with the following?

Are you struggling with hot flashes, night sweats, insomnia, dry skin, and moodiness? Do you suffer from low sex drive, hair loss, belly fat, sluggishness, erectile dysfunction, depression, or anxiety?

These are all signs and symptoms of hormonal deficiencies. There can be many reasons why you’re experiencing these symptoms.

These symptoms can be intense and it can be hard to find a resolution. These symptoms may be due to per-menopause, menopause, or low testosterone levels.

Did you know that at the age of 30 years, both men and women will start to have testosterone levels decline?

Yes, women also have testosterone levels, but they should be 1/10th of men. 

If you’re experiencing any of these symptoms, you may be a good candidate for hormone replacement therapy.

How Nes can help you with your hormones

At NES, we work with our patients through educating and empowering them and providing solutions to help them reach optimal health.

We provide bioidentical hormone replacement therapy (BHRT) options for our patients. Prior to starting BHRT, the doctor will assess your health to see if you are a good candidate for this therapy.

BHRT helps patients feel great again, resolves symptoms of hot flashes, night sweats, insomnia, dryness. It has also a great impact on cognitive, heart, and bone health as well.

It can aid in improving metabolic markers such as glucose and cholesterol levels, although it is not primarily indicated for these conditions as first-line therapy.

The goal is about maximizing benefits, minimizing risks, and helping you achieve an amazing quality of life.

Testosterone replacement can help improve energy, libido, weight, bone density, metabolism, and overall wellbeing.

In men, when testosterone levels decline toward <400, lack of libido occurs, when levels are <350, obesity emerges, and <230, erectile dysfunction is seen.

What to expect from Scottsdale's best hormone doctor!

At your doctor's visit, screening questions, labs and imaging will be required prior to initiating therapy. There are many types of hormone replacement therapy options including creams, capsules, troches, patches, injections, and pellet therapy.

You will work with your doctor to help determine which one is right for you.

We require that you have lab work minimally two times per year to help your doctor analyze your lab results and to make an appropriate decision about your therapy dose and duration.

Not every patient is a candidate for replacement therapy. Those who are NOT candidates include patients with cancer (any kind), untreated sleep apnea, blood disorders, heart disease, desire for fertility, and more.

Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist.

7500 E. Pinnacle Peak Rd.
Suite A 109
Scottsdale, AZ 85255
Copyright © 2022 Natural Endocrinology Specialists. All Rights Reserved.
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