Integrative Women's Health FAQ

Integrative women's health combines conventional medical treatments with evidence-based complementary approaches to address the root causes of health issues. This holistic approach considers nutrition, lifestyle, stress management, hormones, and environmental factors to optimize women's health throughout all life stages, from reproductive years through menopause and beyond.

While conventional gynecology focuses primarily on diagnosing and treating symptoms with medications or surgery, integrative medicine looks deeper to find and address root causes. We use advanced lab testing to identify underlying imbalances in hormones, nutrients, gut health, and metabolism. Treatment plans include personalized nutrition, lifestyle modifications, supplements, and stress management alongside conventional treatments when needed. The goal is sustainable healing, not just symptom management.

We treat a wide range of women's health conditions including PCOS (polycystic ovary syndrome), endometriosis, irregular periods, PMS and PMDD, thyroid disorders (including Hashimoto's), infertility, perimenopause and menopause symptoms, hormone imbalances, chronic fatigue, digestive issues like SIBO and IBS, autoimmune conditions, weight management challenges, and overall health optimization for women at any life stage.

Yes, we offer bioidentical hormone replacement therapy for women experiencing perimenopause, menopause, or hormone imbalances. BHRT uses hormones that are molecularly identical to those your body produces naturally. We start with comprehensive hormone testing, then create personalized treatment plans that may include estrogen, progesterone, testosterone, and thyroid optimization. We carefully monitor your progress and adjust dosing to achieve optimal symptom relief while prioritizing safety.

Your first appointment typically lasts 60-90 minutes. Dr. Roelands will review your complete health history, current symptoms, lifestyle factors, diet, stress levels, sleep patterns, and health goals. She'll discuss any previous lab work and may recommend comprehensive testing to assess hormones, nutrient levels, thyroid function, metabolic markers, and gut health. By the end of your visit, you'll have a clear understanding of potential root causes and a personalized treatment plan to begin your healing journey.

Yes, we specialize in thyroid disorders including Hashimoto's thyroiditis. Our approach goes beyond just treating TSH levels. We perform comprehensive thyroid testing including TSH, Free T3, Free T4, Reverse T3, and thyroid antibodies. We address root causes such as gut health issues, nutrient deficiencies (selenium, zinc, vitamin D, iron), chronic inflammation, and food sensitivities. Treatment includes personalized nutrition plans, gut healing protocols, stress management, appropriate thyroid medication when needed, and regular monitoring to optimize your thyroid function and reduce antibodies.

We offer a comprehensive approach to menopause that can include both natural and conventional options based on your preferences and needs. Natural approaches include specific dietary changes to support hormone balance, phytoestrogen-rich foods, targeted supplements like black cohosh or evening primrose oil, stress reduction techniques, sleep optimization, and exercise programs. For women who need more support, we offer bioidentical hormone therapy. We work with you to find the right combination that relieves hot flashes, night sweats, mood changes, sleep disruption, and other symptoms while supporting long-term bone and cardiovascular health.