09/10/2026
There are options for assessing WHY your cycles are getting heavier and painful but your doctor won’t run them. Not because they don’t care, because they are bound by insurance requirements. They normally just go off symptoms and check back after 3-6 months and 10 minutes of face time. It’s not their fault- it’s how the system works. But thee is another way!
Before changing your hormones with synthetic options, shouldn’t we understand what your hormones are actually doing?
Here’s what we check at Appelusa Functional Health:
✔️ DUTCH hormone testing
✔️ Estrogen metabolism pathways
✔️ Progesterone patterns & ovulation
✔️ Cortisol and stress patterns
✔️ Thyroid function
✔️ Nutrient status (iron, B vitamins, magnesium, zinc)
✔️ Gut health & inflammation
Heavy periods can be associated with many different underlying factors—including perimenopause, low progesterone, estrogen imbalance, thyroid dysfunction, nutrient deficiencies, inflammation, or structural issues like fibroids.
Birth control can absolutely be the right choice for some women. But before making that decision, I believe women deserve to understand WHY their symptoms are happening.
Test. Don’t guess. Your symptoms are clues—not the diagnosis.
Comment “LABS” if you want to know the exact functional labs I use to investigate heavy periods, hormone imbalances, and other symptoms during perimenopause.