Alter Health Services

Digging Deeper With The Healthcare Detective™

The Case of the Missing Menstruals

Posted 05.21.2019 in The Case Files

Many young women dread having periods every month but when a young couple wants to start a family those missing menstrual cycles can be devastating.

THE VICTIM

  • NAME: Jillian
  • AGE: 27
  • GENDER: Female
  • PRIMARY COMPLAINT: Infertility

THE CRIME

HISTORY: Jillian reports that since she started having periods at age 12, they have never been regular. Currently she is only having 2-3 periods each year. Menstrual cramps are hard and flow is heavy when it happens. Moods get pretty bad a few days before. Her husband agreed.

She and her husband have tried for a few years to get pregnant and they have never conceived.

Jillian does not consider herself fatigued but describes herself as a “type A, head-strong” personality. Her husband agreed.

No surgeries in the past and Jillian’s husband has already been tested and found not to have any fertility issues. Jillian agreed.

Secondarily Jillian suffers from bloat and burping after eating, especially fatty or greasy foods. This has gotten worse in recent years. Her husband agreed!

TRACKING DOWN THE CULPRIT

ANALYSIS AND SUSPECTS: June 2013

Detailed monitoring and evaluation of whatever hormone cycle Jillian is having is done through an extended (45 day) cycling hormone profile test. This will allow us to investigate the fertility hormone changes over time.

Jillian is to monitor her ovulation by monitoring cervical mucus changes, taking her temperature every day upon waking and using ovulation detection testing.

Thyroid, comprehensive panel is also ordered.

FINDINGS AND INVESTIGATION: September 2013

The cycling hormone panel shows exceptionally uncoordinated and weak hormone rhythms, abnormal hormone amounts and duration. Specifically, FSH was low, there was a very weak estrogen spike at the time other metrics indicated she ovulated and no significant progesterone surge in the second half of the cycle. The LH, and testosterone levels were elevated.

Thyroid testing did not reveal any abnormal autoimmune activity but the Free T3 and T4 were low, barely in the normal range and the TSH was mildly elevated.

INDUBITABLY

It appears that there is likely a PCOS (polycystic ovarian disease) condition either resulting from or causing the factors affecting fertility. Poor signaling from the control centers in the brain need to be enhanced and the hormone cycle needs to be “re-trained”. By doing so the intent is to normalize the fertility cycle, allow for healing of the PCOS and remove excess stress burden on the thyroid gland.

PLAN

Jillian will start with a 21-day liver purification and a gallbladder functional enhancement protocol. Liver and gallbladder support will continue during her hormonal reset. During this time she will also start on nutraceutical compounds to support proper hypothalamic/pituitary signaling. These will continue for several months.

Using the information gathered on the hormone and ovulation testing, Jillian will be prescribed plant-based bio-identical estrogen and progesterone in a cyclic fashion to re-train a proper hormonal rhythm.

PLOT TWIST

If there is not a strong estrogen priming and ovulation in the fertility cycle, followed by a healthy level of progesterone in the second half of the cycle, there is a lower probability of viable pregnancy. To avoid the higher risk of miscarriage, Jillian and her husband were strongly encouraged to avoid getting pregnant until the cycle was more regular and robust.

FINDINGS AND INVESTIGATION: February 2014

Jillian reports that in the first month of the recovery program her burping and bloating were gone. Her energy is much better.

She has had 2 periods since beginning the recovery program. They were approximately 60 days apart. Heavy flow and cramps, not pleasant!

PLAN

Continue with current hormonal training and support. Reminded Jillian to avoid greasy and/or sugary food and beverages.

FINDINGS AND INVESTIGATION: July 2014

Has had 3 periods in the past 4 months. First one was very heavy with cramps but the last two seemed “more reasonable”. Moods have not been as bad. All else seems to be going well.

PLAN

Continue with the same protocol for another 6 months. If the cycles are regular for 3 consecutive months, re-test the cycling hormone test. If not consecutive, test the cycling test during the 6th month. Either way continue until the next ROF in 4-6 months.

FINDINGS AND INVESTIGATION: December 2014

Has been having monthly periods. The second period was later than expected but they thought they may have gotten pregnant (oops).

E-FHP 28 day cycling test showed excellent estrogen priming, strong estrogen spike at ovulation and high progesterone levels. Testosterone, FSH and LH were within normal levels.

PLAN

Now we begin to ween off the estrogen and progesterone while increasing nutraceuticals and botanicals that will continue to support the female reproductive cycle. Pituatrophin PMG, E-manganese, Hypothalmex, Symplex F, Chaste Tree, Ovex P, Thytrophin PMG and Iodomere.

Test another cycling fertility study during the 4th month on the new recovery program. If Jillian starts missing periods she is to contact us.

PLOT TWIST

March 2015 – Jillian has missed her last period because she is pregnant.

She may continue on most of her recovery program items but we will remove a few due to the pregnancy. She will add prenatal vitamins including Folate. She is instructed to get under the care of an obstetrician to closely monitor her hormone levels.

JUSTICE!

The happy couple welcomed to the world a baby girl in the late Autumn of 2015. They planned to do some follow up testing after Jillian’s cycle returned but baby #2 was on the way before that could happen.

As of this update in 2019, Jillian and her husband now have 3 children and last we heard they are living happily ever after. The End.

Healthier lives. Revealed Together.

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