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Hormonal Health in Fertility Care

Posted by
IVF(SG) Team
Posted on
February 25, 2025

Hormonal health has emerged as a critical area of focus within fertility clinics and a broader wellness conversation. We know that balancing hormones is the first and most crucial step before starting fertility treatments. It, therefore, is no surprise that the shift toward a more holistic approach to managing infertility as one goes through IVF treatment is now preferred.

Screening & Monitoring

IVFSG’s comprehensive hormonal testing as part of its fertility screening for women can provide some valuable insights.
The main benefit is that it gives you a much clearer picture of your hormonal health and how it might impact your fertility. By looking at a range of key hormones like FSH, LH, estrogen, progesterone, and testosterone, doctors can get a sense of how your endocrine system is functioning.

The key hormones typically test for include:

  1. FSH (Follicle-stimulating hormone): FSH stimulates the growth and development of eggs in women. Higher than normal FSH levels can suggest diminished ovarian reserve, meaning fewer viable eggs are available.
  2. LH (Luteinizing Hormone): LH triggers ovulation by signalling the ovaries to release a mature egg. Imbalances in the LH-to-FSH ratio can point to issues like polycystic ovary syndrome (PCOS).
  3. Estrogen: This hormone helps build up the uterine lining and prepare the body for implantation. Too little or too much estrogen can impact fertility.
  4. Progesterone: After ovulation, progesterone helps prepare the uterus for an embryo to implant and supports early pregnancy. Low progesterone may indicate issues with ovulation or luteal phase defects.
  5. Testosterone: While typically thought of as a male hormone, women also need some testosterone for proper reproductive function. Excess testosterone can be a sign of PCOS.

By examining the levels of these different hormones and how they interact with each other, our fertility specialists can gain a comprehensive understanding of what’s happening in your body. This allows them to identify imbalances or dysfunctions that could interfere with your ability to conceive.

The good news is that many of these key hormones can be monitored at home using gadgets like fertility tracking watches, smart basal body temperature sensors, and even speciality hormone test kits that let you keep a close eye on your levels.

Role of supplements in hormonal balance

Specialised supplement regimens have emerged as a popular tool to help regulate hormonal imbalances as the understanding of hormonal health in fertility has grown. These supplements often blend key vitamins, minerals, and botanical ingredients that synergistically support the body’s natural hormone production and metabolism. Key supplements include:

  1. Inositol – Helps improve insulin sensitivity and ovulation, particularly in women with PCOS.
  2. Vitamin D – Supports healthy testosterone levels and overall hormonal function in both men and women.
  3. Omega-3 Fatty Acids – Reduces inflammation and supports the endocrine system.
  4. Myo-inositol – Enhances egg quality and embryo development, making it beneficial for women undergoing fertility treatments.

Taking a personalised approach is the key to effectively using supplements for hormonal balance. A one-size-fits-all regimen is rarely optimal, as each individual’s hormonal profile and needs can vary significantly. To achieve the best results, it is essential to:

  1. Get comprehensive hormone testing – This highlights the imbalances that we must address.
  2. Work with a qualified healthcare provider – A specialist can interpret test results and recommend tailored supplement protocols.
  3. Start with lower doses and monitor progress – Adjust formulations and dosages based on how the body responds.
  4. Be consistent and patient – It can take several months for supplements to have a noticeable impact on hormone levels.
    Hormone-Supporting Foods: A Natural Alternative

For fertility patients who may be hesitant about taking supplements, incorporating hormone-supporting foods into their diet can be a practical alternative approach. Here are some key food sources for essential vitamins, minerals, and nutrients that help regulate hormonal balance:

  1. Inositol: Whole grains (brown rice, oats, barley), legumes (chickpeas, black beans, lentils), and citrus fruits.
  2. Vitamin D: Fatty fish (salmon, mackerel, tuna), egg yolks, and UV-exposed mushrooms.
  3. Omega-3s: Fatty fish (salmon, sardines, mackerel), walnuts, flaxseeds, and chia seeds.
  4. Ashwagandha Alternatives: Ashwagandha is primarily consumed through supplementation, but adaptogens like ginger, turmeric, and holy basil can also help manage stress.
  5. Myo-inositol: Cantaloupe, honeydew, citrus fruits, beans, lentils, and whole grains.

The key to hormone-friendly nutrition is incorporating various foods throughout the day, maintaining hydration, and managing stress levels. This holistic, food-first approach can effectively address hormonal imbalances without relying solely on supplements.

Holistic Approach

Maintaining hormonal health is paramount to optimising fertility and increasing the chances of successful conception. Hormone screenings and comprehensive testing offer invaluable insights into one’s overall reproductive health, allowing for tailored treatments and interventions.

A holistic approach, combining personalised supplements, hormone-supporting foods, and monitoring technologies, empowers individuals and couples on their fertility journey. Taking proactive steps to understand and balance your hormonal health will pave the way for a healthier, more successful fertility experience.

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