Maybe It’s Not PCOS (and PCOS Cannot Be Diagnosed by Ultrasound)

pcos ultrasoundPCOS is being overdiagnosed and causing women a lot of unnecessary distress and worry. That’s the conclusion of a British Medical Journal study called: Are expanding disease definitions unnecessarily labelling women with polycystic ovary syndrome?

The main problem is the ultrasound finding of polycystic ovaries, which means almost nothing. Why? Because polycystic ovaries are a common and normal finding, especially in young women.

Read moreMaybe It’s Not PCOS (and PCOS Cannot Be Diagnosed by Ultrasound)

If You’re Not Thinking About Ovulation, You’re Not Thinking About Health

Ovulation benefits healthThis is my open letter to every clinician, personal trainer, and blogger who offers health advice without thinking about the importance of ovulation and natural ovulatory menstrual cycles.

Dear Sir,

Your health advice may cause your clients to stop ovulating. That’s a problem because regular ovulation is not just for making a baby. It’s also an important indicator or “vital sign” of your client’s general health. Furthermore, regular ovulation is the only way your client can make the ovarian hormones she needs for a healthy brain, bones, and metabolism.

Read moreIf You’re Not Thinking About Ovulation, You’re Not Thinking About Health

What’s the Difference between PCOS and Hypothalamic Amenorrhea?

is it PCOS or hypothalamic amenorrheaIf you’ve lost your period, you may have noticed that it’s tough to get the right diagnosis.

First, you’re told you have the hormonal condition PCOS, and then you’re told that maybe you don’t. And then you’re told you might have hypothalamic amenorrhea, and now you’re really confused.

This is the blog post for you.

Read moreWhat’s the Difference between PCOS and Hypothalamic Amenorrhea?

Why I Ask Some Patients to Quit Desserts

fructose insulin resistanceDesserts and high-dose fructose can be a problem for health, especially if you have insulin resistance.

With my patients, I don’t worry too much about sugar as long as insulin is normal on a blood test. If insulin is high on a blood test (insulin resistance), I ask them to avoid all desserts and dessert-type foods including dried fruit like dates. They can still have whole fruit.

Read moreWhy I Ask Some Patients to Quit Desserts

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