Thyroid Optimization, PCSO & 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 supplmemnt 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 medication approaches ( Armour Thyroid or NP Thyroid), as well as supplements may be considered for selected patients after discussing their potential benefits, limitations, and risks.
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.
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.
