Women's Health Concerns

Common conditions that affect women disproportionately or differently. Real information to help you understand your body and advocate for your health.

These are common health areas where women often feel unheard or underserved. We're here to provide information, not medical advice. Always work with a healthcare provider you trust.

PCOS (Polycystic Ovary Syndrome)

Hormonal Reproductive 1 in 10 women
Full Guide

PCOS affects 1 in 10 women and is one of the most common causes of infertility. It involves hormone imbalances, irregular periods, and often insulin resistance.

Common symptoms

  • Irregular or absent periods
  • Hirsutism (excess hair on face, chest, back)
  • Acne, especially along the jawline
  • Weight gain, especially around the midsection
  • Difficulty losing weight
  • Fatigue

Inositol

Improves insulin sensitivity and ovulation. 40:1 ratio preferred.

Berberine

Plant compound similar to metformin. Helps with insulin resistance.

Vitamin D

Most women with PCOS are deficient. Important for metabolic health.

Zinc

Supports hormones and reduces androgen symptoms.

Perimenopause

Hormonal Life Transition Mid-40s
Full Guide

The transition to menopause, usually starting in the mid-40s but can begin as early as the mid-30s or as late as the early 50s. Estrogen and progesterone fluctuate wildly, causing unpredictable symptoms.

Common symptoms

  • Irregular periods (heavier, lighter, more frequent, less frequent)
  • Hot flashes and night sweats (affects up to 75% of women)
  • Sleep disturbances and insomnia
  • Mood changes, anxiety, irritability
  • Brain fog, memory issues
  • Weight gain, especially abdominal
  • Decreased libido
  • Joint pain and muscle aches

Magnesium

Supports sleep, mood, hot flashes, and anxiety.

Vitamin D + K2

Bone health becomes critical as estrogen declines.

Omega-3

Anti-inflammatory, supports mood and brain health.

Black Cohosh

Studied herb for hot flashes and night sweats.

  • Hormone therapy (HRT/MHT): Most effective for vasomotor symptoms. Discuss risks and benefits with your doctor.
  • Birth control: Can regulate symptoms if you still need contraception
  • Non-hormonal prescriptions: Veozah (fezolinetant) is FDA-approved for hot flashes
  • Lifestyle: Exercise, stress reduction, avoiding triggers (spicy food, alcohol, caffeine)
  • Herbs: Black cohosh, red clover, sage, and ashwagandha may help some women

Hypothyroidism & Hashimoto's

Hormonal Metabolic Autoimmune
Full Guide

The thyroid doesn't produce enough hormones. Women are 5-8x more likely than men to develop thyroid issues. About 90% of hypothyroidism in women is autoimmune (Hashimoto's).

Common symptoms

  • Fatigue, low energy (often severe)
  • Weight gain or difficulty losing weight
  • Cold intolerance (always feeling cold)
  • Dry skin and hair, hair loss
  • Constipation
  • Depression, brain fog, memory issues
  • Slow heart rate
  • Elevated cholesterol

Selenium

Essential for thyroid function. Reduces thyroid antibodies in Hashimoto's.

Vitamin D

Low D is associated with Hashimoto's and autoimmune conditions.

Iron

Low ferritin (even without anemia) can worsen hypothyroid symptoms.

Zinc

Needed for thyroid hormone synthesis and conversion.

Ask for a full thyroid panel: TSH, Free T4, Free T3, TPO antibodies, TgAb antibodies.

Note: Reference ranges are not optimal ranges. Many people feel terrible with TSH above 2.5. Work with a practitioner who understands this.

Medication timing: Take thyroid medication on empty stomach, 30-60 minutes before food. Take 4+ hours apart from calcium, iron, magnesium, and multivitamins.

Endometriosis

Hormonal Inflammatory Pain 1 in 10 women
Full Guide

Tissue similar to the uterine lining grows outside the uterus, causing inflammation, scarring, and often significant pain. Takes an average of 7-10 years to diagnose.

Common symptoms

  • Painful periods (often severe)
  • Pain during or after sex
  • Chronic pelvic pain
  • Heavy or irregular bleeding
  • Infertility
  • Pain with bowel movements or urination (during periods)
  • Fatigue, nausea, bloating
  • Diagnosis: Laparoscopy is the gold standard, but symptoms + imaging can suggest
  • Diet: Anti-inflammatory foods, reducing red meat, increasing omega-3s
  • Heat therapy: Heating pads, warm baths
  • Pelvic floor physical therapy: Highly recommended
  • Pain management: Over-the-counter NSAIDs, prescription medications
  • Hormonal treatments: Birth control, IUD, GnRH agonists
  • Surgery: Excision surgery (not ablation) by an experienced surgeon is often the most effective

Iron Deficiency & Anemia

Nutritional Very Common Women

Iron deficiency is extremely common in women, especially those with heavy periods, pregnancy, or vegetarian/vegan diets. It can cause fatigue, brain fog, and weakness even before anemia develops.

Common symptoms

  • Fatigue and low energy
  • Weakness
  • Pale skin, pale inside eyelids
  • Shortness of breath
  • Heart palpitations
  • Cold hands and feet
  • Brittle nails, hair loss
  • Brain fog, difficulty concentrating
  • Restless legs syndrome

Iron-rich foods: Red meat, organ meats, lentils, spinach, fortified cereals, tofu, pumpkin seeds.

Vitamin C enhances absorption: Take iron with orange juice, bell peppers, or strawberries.

Things that block iron absorption: Calcium (milk, supplements), tannins (tea, coffee), phytates (whole grains, legumes). Take iron away from these.

Testing: Ask for ferritin (iron stores), not just hemoglobin. Target ferritin above 50-100 ng/mL for optimal thyroid and hormone health.

  • Take on empty stomach for best absorption (if tolerated)
  • Start with a low dose and gradually increase to reduce GI upset
  • Consider heme iron (from animal sources) if non-heme causes GI issues
  • Iron bisglycinate is generally well-tolerated
  • Do not take within 4 hours of thyroid medication or calcium
  • Constipation is common; drink plenty of water and consider stool softeners

Amenorrhea (Absent Periods)

Hormonal Reproductive

Amenorrhea means missing periods. It can be primary (never had a period) or secondary (stopped having periods). It is a signal that something is affecting your hormonal balance.

Common causes

  • Pregnancy: Always rule this out first
  • Hormonal birth control: Some methods cause absent or light periods
  • PCOS: A common cause of irregular or absent periods
  • Thyroid dysfunction: Both hypothyroidism and hyperthyroidism
  • High stress / hypothalamic amenorrhea: From excessive exercise, low body weight, or chronic stress
  • Perimenopause: Periods become irregular before stopping entirely
  • Prolactinoma: Pituitary tumor causing elevated prolactin
  • Structural issues: Asherman's syndrome, cervical stenosis

See a doctor if:

  • You have missed 3 or more periods (and are not pregnant or breastfeeding)
  • You never had a period by age 15
  • Your periods suddenly become very irregular after being regular

Why it matters: Estrogen is important for more than reproduction. It protects bone health, brain function, and cardiovascular health. Long-term amenorrhea increases risk of osteoporosis, heart disease, and cognitive changes.