Fertility & Menstrual Disorders:
Sequoia Medical 360

Precision Endocrinology & Reproductive Health in Westchester, NY

Reproductive health is one of the most sensitive and impactful aspects of a woman’s overall well-being. Menstrual irregularities and fertility challenges are often signs of deeper hormonal and metabolic imbalances — not just isolated issues. At Sequoia Medical 360, we take a comprehensive, root-cause approach to help restore balance, improve fertility potential, and optimize long-term metabolic and cardiovascular health.

Why Menstrual & Fertility Disorders Matter

A regular menstrual cycle is more than a marker of reproductive health — it is a vital sign of overall endocrine function. When cycles become irregular, absent, or painful, the underlying causes can range from common conditions like PCOS to more complex disorders involving the thyroid, pituitary, or adrenal glands.
Fertility challenges are equally multifactorial, often linked to subtle hormonal disruptions, ovulatory dysfunction, metabolic syndrome, or underlying medical conditions. Identifying and correcting these root causes not only improves reproductive outcomes but also enhances whole-body health.

Common Conditions We Treat

At Sequoia Medical 360, we evaluate and manage the full spectrum of menstrual and fertility-related endocrine disorders, including:

1. Polycystic Ovary Syndrome (PCOS)

Irregular or absent cycles.
Excess androgen activity (acne, hair growth, hair thinning).
Insulin resistance, weight challenges, and cardiometabolic risk.
(See our dedicated PCOS page for more detail.)

2. Hypothalamic Amenorrhea

Cycle disruption due to stress, undernutrition, or excessive exercise.
Associated with low estrogen levels, bone loss, and infertility.

3. Primary Ovarian Insufficiency (POI)

Early decline in ovarian function before age 40.
Symptoms may resemble menopause but occur decades earlier.
Requires careful hormonal replacement strategies to protect bone and cardiovascular health.

4. Thyroid-Related Menstrual Dysfunction

Both hyperthyroidism and hypothyroidism can disrupt ovulation and cycles.
Careful thyroid management restores hormonal balance and fertility potential.

5. Hyperprolactinemia & Pituitary Disorders

Elevated prolactin can stop ovulation and cause irregular cycles.
Often due to pituitary adenomas or other hypothalamic-pituitary dysfunctions.

6. Endocrine Causes of Infertility

Insulin resistance, obesity, adrenal disorders, or subtle hormonal shifts.
Fertility optimization begins with fixing the hormonal foundation.

Advanced Diagnostics for Root-Cause Clarity

Our evaluation goes beyond standard labs to create a comprehensive hormonal map:

Cycle-focused hormone panels: LH, FSH, estradiol, progesterone, testosterone, AMH, DHEA-S, prolactin, thyroid hormones.
Metabolic assessment: fasting insulin, HOMA-IR, advanced lipid panels, body composition analysis.
Imaging when indicated: pelvic ultrasound, pituitary MRI, or DXA for bone health in hypoestrogenic states.
Lifestyle & stress assessment: sleep, nutrition, activity, and environmental influences that affect fertility and cycle health.

By combining clinical history with advanced diagnostics, we uncover what is driving menstrual dysfunction or fertility challenges — allowing us to build a personalized plan that is precise, not trial-and-error.

Personalized Treatment Strategies

1. Restoring Cycle Regularity
Hormonal optimization: Correcting thyroid, pituitary, adrenal, or ovarian dysfunction.
Lifestyle precision: Tailored nutrition, stress management, and fitness prescriptions to restore hypothalamic balance.
Metabolic therapies: Insulin-sensitizing treatments such as metformin or GLP-1 receptor agonists when insulin resistance is present.
2. Fertility Optimization
Ovulation support: Addressing ovulatory dysfunction with evidence-based therapies.
Medication review: Identifying drugs that impair fertility and adjusting where safe.
Nutritional support: Micronutrient repletion (iron, vitamin D, CoQ10, omega-3s) and metabolic alignment.
Collaborative care: Close coordination with OB/GYNs and reproductive endocrinologists when assisted reproductive technologies (IUI/IVF) are pursued.
3. Protecting Long-Term Health
Bone health monitoring: Especially in hypoestrogenic states (amenorrhea, POI, perimenopause).
Cardiometabolic risk reduction: Addressing insulin resistance, dyslipidemia, and hypertension that often accompany reproductive disorders.
Longevity-focused care: Ensuring reproductive health interventions support overall vitality, not just fertility outcomes.

Specialized Focus: Preconception & Pregnancy Health

For women actively seeking pregnancy, Sequoia Medical 360 provides:

Preconception optimization: Ensuring hormones, thyroid, vitamin D, and metabolic health are aligned before conception.
Early pregnancy endocrine support: Close monitoring of thyroid function, blood sugar, and other critical markers.
Gestational diabetes care: Seamless integration with our expertise in diabetes and pregnancy-related endocrine care.
Postpartum recovery: Guidance on hormone recalibration, bone protection, and metabolic stability after delivery.

The Sequoia Medical 360 Advantage

What sets our approach apart is the integration of women’s health, endocrinology, and preventive cardiology under one roof:

Quadruple board-certified leadership: Endocrinology, Obesity Medicine, Internal Medicine, and Clinical Lipidology.
Dual fellowships: Preventive Cardiology and Endocrinology/Metabolism.
Direct Physician Counsel: Ample, scheduled exam time and streamlined communication to review results with the depth your physiology requires.
Cutting-edge diagnostics: Advanced hormone testing, InBody body composition, CGM, lipid sub-fraction analysis, and DXA.
Truly holistic care: Addressing fertility and cycles alongside cardiovascular, metabolic, and bone health.
Collaborative care model: Seamless coordination with OB/GYNs and reproductive specialists when additional interventions are needed.

Reclaim Balance, Restore Fertility, Redefine Wellness

Whether you’re seeking to regulate cycles, improve fertility, or simply understand your hormonal shifts, Sequoia Medical 360 provides expert, concierge-level care tailored to your goals. With advanced diagnostics, personalized therapies, and whole-body optimization, you don’t just restore reproductive health — you reclaim your vitality.

Based in Bronxville, Sequoia Medical 360 proudly serves women across Westchester and all of New York via telehealth.

Meet Dr. Mathews
The Sequoia Standard
Request Enrollment
sqmed360.com
Located in Bronxville, serving Westchester & all of New York State.
(914) 292-0300
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