Expert care for reproductive hormone disorders at every stage of life.

Specialized evaluation and treatment of Polyendocrine Metabolic Ovarian Syndrome (PMOS), previously known as polycystic ovary syndrome (PCOS), menstrual disorders, menopause, low testosterone and other reproductive hormone conditions.

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What is Reproductive Health?

Specialized care for reproductive hormone disorders.

Reproductive endocrinology encompasses hormonal conditions affecting the ovaries in women and the testes in men throughout different stages of life. Dr. Glueck has extensive experience evaluating and treating PMOS, irregular or absent periods, ovarian dysfunction, perimenopause and menopause, low testosterone and other reproductive hormone disorders.

Polyendocrine Metabolic Ovarian Syndrome (PMOS)

Polyendocrine Metabolic Ovarian Syndrome (PMOS), previously known as polycystic ovary syndrome (PCOS), affects 10-20% of reproductive age women. Although common, PMOS can be challenging to diagnose, particularly for physicians who do not focus in this problem. Simply put, PMOS is a hormone problem that involves higher testosterone hormones from the ovary (called androgens) and heightened insulin resistance. In women, the effect of extra testosterone can cause irregular periods, acne, extra hair growth (hirsutism) and/or hair thinning on the scalp (alopecia). Insulin resistance can cause difficulty with weight loss and increased risk of type 2 diabetes.

Abnormal periods can reflect a problem in overall health status.

For women, there is a "fifth vital sign". Along with blood pressure, temperature, heart rate and respiratory rate, menstrual irregularities can indicate a variety of hormonal imbalances, gynecologic problems, infections, acute stress or lifestyle changes.

Common hormone issues that cause irregular periods (absent periods, skipping periods or even heavy periods) are PMOS, ovarian insufficiency (either early or normal perimenopause/menopause), pituitary problems including high prolactin hormone, thyroid dysfunction and weight disorders. Both high weight and low weight can disrupt regular periods through pituitary dysfunction.

Menopause and Hormone Replacement Therapy

Every woman progresses through perimenopause and menopause in a different way. The symptoms of menopause are extremely varied and can be very debilitating. The majority of women who are close to their menopause are good candidates for hormone replacement therapy with FDA approved medications using either estrogen alone or estrogen in combination with progesterone. The decision whether or not to use hormone replacement therapy needs to be made carefully with the risks and benefits of therapy discussed in detail with highly individualized care.

Low Testosterone & Hypogonadism in Men

Testosterone is an extremely important hormone in men, not only for sexual health and sperm production but also crucial for cardiovascular protection and bone health. The diagnosis and particular cause of a low testosterone level should be thoroughly evaluated before treatment is started.

Hormonal issues affecting fertility.

Some fertility problems are related to underlying endocrine conditions, including PMOS, thyroid disease, pituitary disorders and other causes of irregular or absent ovulation. Dr. Glueck can evaluate and treat these hormonal causes of difficulty becoming pregnant and, in selected patients, provide ovulation induction and monitoring.

When fertility concerns require IVF, advanced reproductive procedures or other specialized fertility treatment, Dr. Glueck can help identify when referral to a reproductive fertility center is appropriate.

Educate Yourself.

PMOS is under-diagnosed and often misunderstood.

PMOS is a complex issue that is often difficult to diagnose and confusing to read about. In a research study about the experience of women seeking help for PMOS symptoms, nearly half of women had to see at least 3 health care professionals before a PMOS diagnosis was established and only 15% of those patients diagnosed with PMOS were satisfied with the information about PMOS provided at the time of diagnosis. Lets change that.

Educate Yourself.

Though uncommon, low testosterone can be a serious health issue.

Particularly in young men, a finding of low testosterone is extremely uncommon. Low testosterone can reflect serious underlying medical problems including:

• Pituitary diseases and tumors
• Kidney, liver or heart failure
• Infections
• Medications and drug use
• Obesity and malnutrition

Expertise. Time. Availability.

Flexible, often same-day appointments.

Care directly with Dr. Glueck.

Utilizing the latest research.

Be seen in-person or via telehealth.

Focused, zero-rush appointments.

State-of-the-art practices and technology.

The time your endocrine problem deserves.

Endocrine problems are often complicated. Dr. Glueck intentionally maintains a smaller practice so that appointments can be scheduled quickly and visits allow enough time to understand your history, review your testing, answer your questions and develop an individualized plan.

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