Thyroid Optimization, PCOS & Fertility Support
Thyroid function, menstrual cycles, and metabolic health are closely connected.
Dr. Angiletta provides individualized evaluation and support that may include thyroid assessment, menstrual and hormonal history, insulin resistance, nutrition, and relevant laboratory testing. Treatment is tailored to identified concerns, your symptoms, and your reproductive goals.
For patients with PCOS, care may address cycle irregularity, metabolic health, and symptoms such as acne or unwanted hair growth. For those planning pregnancy, care may include management of established thyroid disease, medication and supplement review, and preconception health guidance.
If you are working with an OB-GYN or fertility specialist, this support can complement their treatment plan, with coordination and referral when needed.
A Thoughtful Approach to Thyroid Evaluation
When clinically appropriate, thyroid evaluation may include:
TSH
Free T4
T3 testing when useful
Thyroid peroxidase (TPO) antibodies
Thyroglobulin antibodies
Relevant nutritional, metabolic, or iron markers
The goal is to determine whether thyroid dysfunction is present, whether treatment is appropriate, and whether another condition may be contributing to symptoms.
Understanding Thyroid Health
Your thyroid helps regulate energy, metabolism, body temperature, and the function of your heart, brain, and muscles. When thyroid function changes, symptoms can affect many aspects of everyday life.
An underactive thyroid, or hypothyroidism, may cause fatigue, cold intolerance, constipation, dry skin, hair changes, and weight gain. Hashimoto’s thyroiditis is an autoimmune condition that can gradually impair thyroid function, although thyroid antibodies may be present before hormone levels become abnormal.
An overactive thyroid, or hyperthyroidism, may cause palpitations, heat intolerance, tremor, anxiety, or unexplained weight loss. Suspected hyperthyroidism and other complex thyroid conditions may require referral to an endocrinologist.
Personalized Treatment & Ongoing Care
If treatment is appropriate, Dr. Angiletta works with you to select a plan based on your diagnosis, laboratory findings, symptoms, medical history, and preferences. While levothyroxine is the standard treatment for hypothyroidism, other prescription approaches, including Armour Thyroid or NP Thyroid, may be considered for selected patients after discussing their potential benefits, limitations, and risks. Supplements may also be recommended when there is a specific clinical indication.
Follow-up includes reassessing symptoms and laboratory results, reviewing medication timing and interactions, and adjusting treatment when needed. Persistent symptoms also deserve consideration of other contributors, including iron deficiency, sleep disruption, menopause, and metabolic health.
Nutrition and lifestyle guidance can support your overall health, with supplements recommended when there is a specific indication. If you are planning pregnancy or become pregnant, your medication plan and monitoring needs should be reviewed promptly.
“I dealt with thyroid symptoms for six or seven years and saw multiple doctors, but still felt exhausted. Within three months of working with Karina, I felt better than I had in years. She truly listens and keeps adjusting until something works.” — Google Review
Individual results vary.
Personalized PCOS Care
Polycystic ovary syndrome (PCOS) is common but frequently goes unrecognized. According to the World Health Organization, up to 70% of women with PCOS worldwide remain undiagnosed. Irregular periods, acne, unwanted hair growth, scalp hair thinning, or difficulty conceiving may be the first signs that prompt evaluation. Because PCOS can affect both reproductive and metabolic health, your care should consider the whole picture—your symptoms, long-term health, and pregnancy goals.
Dr. Angiletta evaluates your menstrual history, symptoms, relevant hormone testing, and metabolic health, while considering other conditions, including thyroid dysfunction, that can cause similar symptoms. Care may address irregular periods, acne, unwanted hair growth, scalp hair thinning, and concerns related to insulin resistance.
Your treatment plan may include individualized nutrition and movement guidance, medication when appropriate, and strategies to manage menstrual irregularity and protect the uterine lining when periods are infrequent. Recommendations account for your pregnancy goals, preferences, and overall health, with ongoing follow-up to assess your response.
The goal is to help you understand your condition, manage symptoms, and support your long-term health.
Fertility & Preconception Support
Preparing for pregnancy involves more than reproductive hormones alone. Thyroid function, metabolic health, nutrition, medications, and existing medical conditions all deserve attention as part of your broader care.
Dr. Angiletta provides personalized preconception support for women planning pregnancy, trying to conceive, or undergoing fertility treatment. Evaluation may include management of established thyroid disease, support for PCOS and metabolic concerns, review of medications and supplements, and assessment of nutritional needs when clinically indicated.
If you are working with an OB-GYN or reproductive endocrinologist, Dr. Angiletta works alongside your specialist to address these areas and coordinate recommendations with your treatment plan. Your fertility specialist directs ovulation induction, IUI, and IVF care, while Full Spectrum provides complementary thyroid, metabolic, and preconception support.
Dr. Angiletta also brings a personal understanding of complex fertility treatment, which informs the compassionate, practical support she provides alongside your fertility team. Having navigated complex fertility treatment herself, she understands firsthand the persistence, uncertainty, hope, and emotional demands this process can involve. That experience brings a deeply personal perspective to her care, combining clinical knowledge with compassionate support alongside your fertility team.
Comprehensive Fertility & Preconception Consultation
90-Minute Personalized Consultation | $695
A deeper understanding of your reproductive health. A thoughtful plan for what comes next.
Fertility is influenced by more than reproductive hormones alone. Thyroid function, metabolic health, menstrual patterns, nutritional status, medical history, and other factors can all contribute to the bigger picture.
Whether you're preparing for pregnancy, navigating PCOS or irregular cycles, exploring fertility treatment, or seeking additional insight into your reproductive health, this extended consultation provides time for a comprehensive discussion of your concerns and options.
Your consultation is personally conducted by Dr. Karina Angiletta, PhD, FNP-C, a doctoral-prepared nurse practitioner with more than 25 years of healthcare experience, advanced training in hormone and metabolic health, and personal experience navigating complex fertility treatment.
What's Included
Advance record review: Relevant medical history, previous laboratory findings, and fertility records.
90-minute comprehensive consultation: An in-depth review of reproductive, hormonal, thyroid, and metabolic factors relevant to your concerns.
Personalized recommendations: Evidence-informed discussion of appropriate testing, nutrition, lifestyle, medical management, and possible next steps.
Written summary: Key findings, discussion points, and recommended next steps for your records or discussion with your existing medical team.
Advanced Testing Without Practice Markup
When appropriate, additional testing may include fertility hormones such as AMH, thyroid function, metabolic markers, nutritional assessments, and other targeted evaluations.
Laboratory testing is purchased separately at available discounted rates, without a Full Spectrum practice markup.
Applicable third-party charges are disclosed before ordering.
See available self-pay prices before ordering and compare them with your insurance option.
No Ongoing Membership Required
This is a standalone consultation for eligible patients. Patients who would benefit from continued medical management may choose to enroll in an appropriate Full Spectrum membership. Ongoing care is individualized according to clinical needs.
Fertility procedures, IVF protocols, and specialist-directed reproductive treatments remain under the care of your fertility specialist.
Consultation & Service Availability
Full Spectrum provides individualized fertility-related medical evaluations and ongoing treatment for eligible patients located in Idaho and Washington.
We are also exploring expanded fertility education and navigation services for individuals in other states. Please contact us to learn about current availability.
Laboratory testing options vary by location and are confirmed individually.
