The patient: “Simona,” a 35-year-old dancer and business executive.

Why she came to see me: Simona came to my clinic because of infrequent periods that were suddenly causing her concern. Throughout adulthood, her periods had arrived every other month; in the last two years, however, her periods had dwindled down to three or four annually. While her primary care physician had urged her to take birth control pills to help regulate her cycle, she was keen on taking a different approach—one that would not only feel more in tune with her health-centric, organic lifestyle, but would also address the reason beneath her irregularity. She and her fiancé were also planning on trying for a child in the next year or two, and the Pill simply didn’t fit into their “long-term plans.”

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