Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
If you're gaining weight, acne, hair loss, facial hair, body hair, if you're not getting pregnant, if you can't lose your weight, none of this, you're not crazy.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
These are the underlying conditions and these vicious cycles need to be addressed.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Very good question.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
So I'm not a fertility doctor, but I'm trying to take these patients out of the hands of the fertility doctors.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
So one thing I do, I put them on the supplement, on my OV supplement.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
I give them metformin, and I have them try.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
And I try to see if I can regulate their period.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Two things you can do easily, and doctors can do it in their office.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
One is a medication called letrozole, and the other one is Clomid.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Both of those basically regulate that hypothalamus, pituitary, ovarian axis and pushes these patients to ovulate.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
With letrozole, 60%, 70% of them, I think, ovulate.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
And with Clomid, it's a little bit less.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
So you can try those in the office for someone who wants to get pregnant.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
What I usually do, I have them try on their own.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
for six months to a year, depending on their age.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
If they're above 35, I say six months.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
If they're less than that and they're not in a hurry and their egg count is good and I know I've dealt with their PCOS and their inflammation and their insulin resistance, then I have them try for a year, right?
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Because if you take 100 couples
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Regardless of age.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
And you have them have sex, I don't know, three times, three to four times a week.