Specialized Women's Health

Specialized Women Health

The Center of Specialized Women’s Health consists of seven physicians (Women’s Health Specialists, Internists, Gynecologists and an Endocrinologist) , one certified nurse practitioner and two - three fellows. The Center is primarily consultative, and referral based. We offer a comprehensive concierge Custom Fit physical executive exam program for women. We specialize in treating women with menopausal disorders, perimenopause, hormone therapy, vulvar disorders, PCOS female sexual function issues, obesity management, care of the high-risk breast and GYN cancer survivors and previvors, osteoporosis with parenteral and anabolic bone building therapies and will offer leading edge trabecular bone scoring (TBS) to better assess osteoporotic risk in early menopausal women. The Center is also the home of the Specialty Women’s Health fellowship, one of most respected established interdisciplinary women’s health fellowships in the country and has served as a model for others around the country and also houses the national nonprofit Speaking of Women's Health www.speakingofwomenshealth.com an online, community and national outreach program to women to empower them to “Be Strong. Be Healthy. Be in Charge! "winning national awards in women’s health blogging.

Outcomes reported here relate to care by women’s health staff practicing at Cleveland Clinic main campus.

Innovative Dietary Therapy for PCOS Infertility

2020

Polycystic ovary syndrome (PCOS) affects an estimated 5-20% of reproductive age women. It is one of the most common causes of anovulatory infertility in this population. PCOS has a strong association with obesity with a prevalence as high as 75% . Obesity along with insulin resistance plays a key role in the mechanism of infertility in these women

Cleveland Clinic PCOS keto program focuses on helping women with PCOS achieving their goals and controlling PCOS symptoms and complications. It entails monthly shared medical appointments to help women with PCOS lose weight, restore menstrual regularity and achieve successful pregnancy.

In a Retrospective review of the PCOS ketogenic diet program, women on a ketogenic diet for at least 3 months achieved > 5% weight loss at the time regular menses resumed and at conception. The rate of improvement in menstruation and pregnancy is considerably higher in our patient population compared to prior studies even in the setting of concomitant metformin and ovulation induction use.

Folic acid (1mg) was given to patients on ketogenic diet in addition to prenatal vitamins as the ketogenic diet is poor in folic acid. No NTD (Neural tube defects) reported in the live births achieved to date.

Currently we are offering low carb Mediterranean option and comparing keto diet to low carb Mediterranean diet in PCOS patients.