Conditions

Women’s health concerns we treat

If you’re dealing with persistent symptoms, we’ll look for patterns, root contributors, and the most supportive next steps.

PMS & cycle concerns

Cramping, pain, heavy or irregular periods, mood changes, acne, and cycle-related fatigue.


PCOS support

Cycle irregularity, acne, unwanted hair growth, weight changes, and insulin resistance support.


Perimenopause & menopause

Hot flashes, night sweats, sleep disruption, mood changes, brain fog, and weight shifts.


Fertility & preconception

Cycle tracking, nutrient status, thyroid support, and foundational lifestyle guidance to optimize readiness.

Symptoms

Common symptoms we evaluate

Symptoms can overlap across conditions. We’ll connect the dots and build a plan that fits your goals.

Cycle changes

Irregular cycles, heavy bleeding, spotting, painful periods, or missed periods.


Hormone-related skin & hair

Acne, hair thinning, unwanted hair growth, or scalp changes.


Energy, mood & sleep

Fatigue, anxiety, low mood, irritability, insomnia, or night sweats.


Metabolic & digestive overlap

Bloating, cravings, weight changes, blood sugar swings, or headaches.

Testing options

Testing is selected based on your symptoms and history. Results help guide a clear, measurable plan.

Hormone testing

When appropriate, we may consider hormone testing to evaluate patterns related to cycle concerns, perimenopause/menopause symptoms, or fertility planning.

Thyroid testing

Thyroid markers can be important when fatigue, weight changes, hair changes, or cycle irregularity are present.

Iron & nutrient status

Ferritin/iron and key nutrients may be assessed when heavy periods, fatigue, hair thinning, or low energy are concerns.

Metabolic markers

Blood sugar and lipid markers can be helpful for PCOS patterns, cravings, energy swings, and weight management support.

Inflammation & gut-related contributors

When symptoms overlap with digestion or immune concerns, additional labs may be considered to clarify drivers and personalize care.

How we choose labs

We’ll review your goals, timeline, and budget, and choose the most useful testing first—no one-size-fits-all panels.

© 2026 Dr. Ryan Nakama ND