Thyroid assessment for pregnancy

I find that a high proportion of the patients who come with fertility issues have suboptimal thyroid function and are living with a long term hypometabolic condition.   The thyroid test is essential as part of a preconception assessment for anyone trying to conceive. If any of following is applicable, a full thyroid assessment should […]

An Elevated FSH level

An Elevated FSH level FSH, or Follicle Stimulating Hormone, is a hormone that is produced and released by the pituitary gland in the brain and it stimulates the ovaries to develop follicles, ripen the eggs and eventually release the eggs.  FSH fluctuates from cycle to cycle but in young women with good ovarian function, FSH […]

Internal fire

Inflammation is an important and useful physiological response. When a pathogen, toxin, or trauma stresses the body, a short-term burst of inflammation is part of its effort to protect and heal you. Inflammation becomes a problem when it is chronic, meaning that it lasts for a sustained period of time. Thesedays many people are struggling […]

Diminished Ovarian Reserve

Desperation ensues when there is a realisation of the plummeting of fertility rates as women enter the perimenopausal years, which is when many women are just starting to try to achieve a pregnancy, while they are often confused by how normal and “young” they feel. They discover they have FSH hormone elevation which signals a […]

Polycystic Ovarian Syndrome (PCOS)

  Facts: Polycystic Ovarian Syndrome (PCOS) is a disorder of the endocrine system caused by a hormonal imbalance • It is the most common premenopausal endocrine disorder in women • PCOS typically affects 5-10% of women of childbearing age • Symptoms often begin in puberty • PCOS is the leading cause of ovulatory infertility Patients […]

Endometrial receptivity and implantation

“Cultivate the soil before planting the seed” – Chinese proverb The key processes in human reproduction are inflammatory processes, starting with ovulation then implantation and, finally the onset of labour. Throughout the monthly cycle, inflammation plays a role in tissue repair and re-modelling of the uterine lining. The lining of the uterus reflects what is […]