Vitamin D and Irregular Periods

Have you ever sought help for your irregular cycle only to feel dismissed? Irregular periods don't always get the attention they deserve. Women often are told that their test results are normal or that the irregularities are caused by stress. A birth control prescription to regulate the cycle usually follows, which often feels like a band-aid solution. Although stress is one cause of irregular cycles, there are many other possible causes that are worth exploring.

When my patients tell me that their test results are normal, the first thing that I ask for is a copy of the results so I can see what was actually tested. I do this because sometimes important clues are missing from the test results - vitamin D levels being one of them. 

Vitamin D And Your Cycle 

It’s amazing to see how often vitamin D levels are not tested when a woman complains of an irregular cycle. It’s especially surprising given the growing amount of evidence that vitamin D plays a role in reproductive health. 

Low vitamin D levels have been associated with irregular cycles. There is also research that vitamin D deficiency is linked to longer gaps between periods and polycystic ovarian syndrome (PCOS). 

For the longest time, research has focused on the role that vitamin D plays in bone health but now more studies are showing us that we need vitamin D for hormone health, mental health, immune system health and more. 

How Vitamin D Helps

There are receptors for vitamin D on the ovaries and uterus. That means that these tissues are likely sensitive to vitamin D levels. According to researchers, vitamin D may promote healthy progesterone and estrogen levels by influencing the ovaries as well as hormones produced by the brain. Vitamin D may help lower insulin resistance. Regulating these various hormones helps to promote regular ovulation which is important for maintaining a regular cycle. There are likely many other ways that vitamin D influences our cycles but researchers are still trying to determine the exact mechanisms behind this. 

Signs Of Vitamin D Deficiency 

Signs and symptoms are not always a reliable way to find out if you're deficient in vitamin D because they can be so vague and easy to dismiss. Testing is the most reliable way to truly determine if you are deficient or not. Some common symptoms include:

• Fatigue

• Low mood

• Anxiety 

• Hair loss

• Muscle and bone pain

Regulating Your Period

Sometimes it takes real detective work to figure out why your periods are irregular and how to get it back on track. Vitamin D may be one piece of the puzzle but there are many more pieces to consider. If you’re ready to dig deep and figure out the root causes for your irregular periods, book a free 15 minute phone consultation to learn more about how a naturopathic doctor can help. 

PCOS, Anxiety and Depression

Polycystic Ovarian Syndrome (PCOS) is a condition that involves irregular periods, metabolic issues like weight gain and insulin resistance, and symptoms of excess androgen hormones like acne and hair loss (or excess growth). It’s a common condition but what is often not talked about is its connection with mental health.

Women with PCOS are more likely to have anxiety or depression. This could be because some of the symptoms (like acne, hair loss, and infertility) take a psychological toll on those who experience them by impacting self esteem, relationships, and important life goals. It’s possible that the biological factors in PCOS like insulin resistance and elevated androgens are contributing to the anxiety or depression directly but there is limited and inconsistent information on this from studies. 

Associations have also been found between PCOS and eating disorders, bipolar disorder, and obsessive compulsive disorder. 

Treatment 

Treating the mental health aspects of PCOS means treating the PCOS itself by balancing the hormones that are out of range and improving the symptoms. Because it can take time for symptoms to improve, treating anxiety and depression directly can also be beneficial. Some of the natural remedies that help with PCOS can help improve mental health too. Talk to your naturopathic doctor to get a treatment plan that address both your mental and physical PCOS symptoms.

Myo-Inositol: What You Should Know

What is myo-inositol?

Inositol is a compound produced naturally in the human body and found in foods such as grains, organ meat, almonds, beans and certain fruits but it may be difficult to get all of the inositol our body needs from a modern diet alone. It’s typically sold in two different supplement forms: myo-inositol and chiro-inositol. Certain factors increase our body’s need for inositol. These include having a high amount of refined sugar in the diet, high blood sugar and increasing age. 

Myo-inositol plays a role in many functions in our body including how hormones (like insulin) and neurotransmitters communicate with our cells. It seems to be important in organs like the brain and ovaries because of these roles. 

What conditions is it used for?

Inositol is a popular supplement used for a wide array of conditions such as PCOS, diabetes and insulin resistance, thyroid disorders, elevated cholesterol, anxiety, depression and obsessive compulsive disorder. 

What doses are used?

The dose used depends on the condition being treated with lower doses being used for PCOS and thyroid issues (anywhere from 1-9 grams) and higher doses being used for mental health conditions. Studies on inositol often span from 3 months to a year so it may take time before improvements in symptoms are noticed. 

What about D-chiro-inositol? 

D-chiro-inositol is another form of myo-inositol found naturally in the body. It’s made from myo-inositol and is found in many body parts including muscle and the liver. Many studies on conditions like PCOS show that myo-inositol supplementation alone can improve symptoms. However, there may be cases when supplementing with both forms is beneficial. Your naturopathic doctor can help you decide the best course of action. 

Does it have side effects?

Bloating and gastrointestinal discomfort are possible side effects but this typically happens at higher doses. Taking it with food may help prevent this. It may interact with certain medications which your naturopathic doctor can help you figure out. 

If you have questions about the supplements you’re taking, book a free 15 minute phone consultation so we can talk about how I can help.

What Causes a Skipped or Late Period (Besides Pregnancy)

It can be alarming when a period is missed - especially if you’re used to your period coming like “clockwork”. For some people, irregular periods are the norm. For others, it happens once in a while. Pregnancy needs to be ruled out whenever a period is late but this is not the only cause of a late or skipped period. Below are some other possible causes of a delayed period.

Stress

Stress can interfere with the natural hormonal fluctuations in the body which can in turn interfere with ovulation and the health of the uterus. Ovulation is the process of an egg being released from the ovary and it plays an important role in signaling changes in the uterus and, eventually, a period. Stress is a common cause of a missed period. Keep in mind that sometimes, even when we feel like we are not stressed and are handling our stress well, our bodies can still be impacted by stress. We’re not always the best judges of our stress levels. The body may tell us that we’re stressed before the minds does. 

Anovulatory Cycle 

Some months, ovulation may be skipped entirely. This is known as an anovulatory cycle. Ovulation is an important step that plays a role in maintaining the lining of the uterus and the subsequent shedding of the uterus lining (i.e. a period). Sometimes, ovulation happens later than normal which can push the period back. When ovulation doesn’t happen at all, a period will eventually come due to other hormonal changes but it will often be quite late. It’s normal to have a small amount of cycles without ovulation. Sometimes, a patient will tell me that that they’re period is NEVER late and they’re wondering why they are overdue for their period. In these cases, an anovulatory cycle may be the culprit. If ovulation is skipped regularly, there may be more going on and we’ll need to investigate further. Signs of ovulation include an increase in cervical mucous and body temperature about a week after the period ends (assuming a 7 day period).   

Thyroid Imbalance

High or low thyroid levels can lead to irregular menstrual cycles. The thyroid plays a major role in the health of the reproductive system.

Weight Loss and Very Intense Exercise 

Maintaining a healthy weight is important for hormonal health. Extreme weight loss can disrupt this delicate balance. The same goes for extreme exercise. These two things can put a pause on ovulation which can delay or stop the period. Usually this leads to longer term loss of periods rather than one late cycle. 

Perimenopause

As the body moves towards menopause, a number of changes occur including a drop in estrogen levels. This can lead to shorter or longer gaps between periods. Perimenopause can happen in the 40s but some women start to show signs of it in their 30s. 

Polycystic Ovarian Syndrome

PCOS tends to cause irregular cycles in general rather than the occasional missed period. In cases of PCOS, a number of factors such as elevated androgens and insulin resistance make it difficult for ovulation to happen. This in turn leads to irregular cycles. 

These are just a few of the many reasons why a period could be late or missed. If you would like to start working with a naturopathic doctor to get to the bottom of your period concerns, book a free 15 minute meet and greet and I’d be happy to give you more information about how my services can help.

Support While Coming off the Birth Control Pill

People choose to come off the pill for a number of different reasons. Some have been on it since adolescence and have changed their mind about being on it. Others are thinking about starting a family. Some want to see if the issues that they were put on the pill for are still there. 

Many women start working with me because they are worried about what will happen when they come off the pill. The birth control pill is sometimes prescribed to manage concerns like acne, painful periods, heavy periods, irregular periods, PCOS, endometriosis etc. It can bring some much needed relief to women dealing with difficult symptoms related to their cycle. That being said, it’s entirely possible for symptoms to come back after coming off the birth control pill and some women are interested in getting support for these symptoms in other ways. 

There’s a lot that naturopathic medicine has to offer in this area. Dietary changes, herbal remedies, nutritional supplements, lifestyle changes and acupuncture can play a role in managing a multitude of women’s health issues, improving acne and preparing for a healthy pregnancy.    

If you’re worried about your acne or period problems coming back with a vengeance post-pill or you want to start preparing your body for a healthy pregnancy, reach out to me and we can discuss how naturopathic medicine can help you through this transition.