Dr Natalie Crawford

Treating the root cause.

Just give her estrogen back during that time period and she gets remarkably better.

The Endocrine Society does not recommend routine testing of vitamin D. It's crazy.

I just think it's insane.

It's very common.

And whether or not that becomes clinically significant, whether or not it's life disruptive for her, rather than she just has a little bit of a low mood, most women can tolerate that.

But for those who can't and that it is disrupting their day-to-day activities and how they feel about the world, we have options.

Yeah.

Specifically in the brain, progesterone levels, as they rise, we see an increase in GABA, which is a neurotransmitter, one of our brain hormones that jumps between one neuron to the other.

And that is more of a calming hormone.

So women tend to—we see sleep changes.

You see deeper sleep, longer sleep in that luteal phase.

Any abdominal surgery.

I got my diagnosis of PCOS in medical school before I was ready to start family planning.

And I knew I was probably going to struggle.

And so it took us about three years to successfully conceive the first time.

And—

Even though I'm working in the business, I'm running between patients to go and have another ultrasound or go get a shot or go do all the things that it took, you can't remove the emotion from it.

And I can't tell you how many times I cried.

And of course, all of my co-residents, my four best friends, all got pregnant in succession, our poor chief residents.