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The first three months of Covid were a stark reminder that Tia’s role as a healthcare provider was not limited to the traditional practice of medicine alone."}],"markDefs":[{"_key":"b76b64872bf1","_type":"internalLink","linkType":"text","reference":{"_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"}}],"style":"normal"},{"_key":"2fd46a27a66d","_type":"sectionHeader","title":"Despite the stressors inherent to the crisis, there were moments of light."},{"_key":"acbc714f37ab","_type":"block","children":[{"_key":"4190bf1e2162","_type":"span","marks":[],"text":"We learned that women wanted — and trusted — Tia to be their therapist and saw mental health as integral to, not separate from, their physical healthcare."}],"markDefs":[],"style":"normal"},{"_key":"aee6da5311f4","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e36d09edf7af6d322f3cb0fe0d5e2a34cf71e0d8-1379x544-png","_type":"reference"}}}}]},{"_key":"9b36c45cce9d","_type":"block","children":[{"_key":"aa07a801b6060","_type":"span","marks":[],"text":"We learned that virtual care does not have to be a lesser-than version of in-person care."}],"markDefs":[],"style":"normal"},{"_key":"c6c8dd2ed09a","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-7fdc6ab6c049b4d9bb6cad8bcd49e287ae00aa2e-1379x544-png","_type":"reference"}}}}]},{"_key":"9a548174b23c","_type":"block","children":[{"_key":"fbcf4fc138e5","_type":"span","marks":[],"text":"We learned that Tia’s role as an information provider — a translational bridge between science and the layperson — was foundational at a time of rampant misinformation and confusion."}],"markDefs":[],"style":"normal"},{"_key":"10470d2fa9e5","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-2f1ad37644bdaa4275d93fc4ef00531747887510-1379x544-png","_type":"reference"}}}}]},{"_key":"9d8554084b60","_type":"block","children":[{"_key":"07a1a4ed8c55","_type":"span","marks":[],"text":"Nine months into the most harrowing global pandemic of our lifetimes, Tia has never been stronger. We’ve made some hard decisions on what to do, and more importantly, what not to do — all while staying true to our north star — positioning us for thoughtful, intentional scale."}],"markDefs":[],"style":"normal"},{"_key":"67870a8d4c5e","_type":"sectionHeader","title":"So, why LA? What Angelenos can expect from Tia."},{"_key":"dc64a26cd429","_type":"block","children":[{"_key":"21e7908eb4b2","_type":"span","marks":[],"text":"We know that women around the country want Tia. And we have big plans to bring Tia Care to you! Choosing where to expand first was a tough call — so is scaling thoughtfully and at the appropriate velocity. With the launch of Tia in Los Angeles and more cities soon, we commit to being "},{"_key":"9e7c465d0da1","_type":"span","marks":["em"],"text":"forever the same, and always new "},{"_key":"97218db1236b","_type":"span","marks":[],"text":"— while never losing sight of those details that make the Tia Way one-of-a-kind. That means:\n"}],"markDefs":[],"style":"normal"},{"_key":"c388d256aa43","_type":"block","children":[{"_key":"3e3240552802","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"eb70f062695a","_type":"block","children":[{"_key":"438dbe349e3c","_type":"span","marks":[],"text":"1. Virtual-first, not virtual-only"}],"markDefs":[],"style":"h2"},{"_key":"f5c50204b271","_type":"block","children":[{"_key":"da3377e570dd","_type":"span","marks":[],"text":"We’ve been wowed by the ways in which the events of 2020 have enabled us to deliver more care on the Internet than ever before — all while improving, not compromising, quality. While we do not attempt to do Pap tests over Zoom (we promise!), we have cracked how to make healthcare"},{"_key":"777c1e18bb391","_type":"span","marks":["em"],"text":" even more"},{"_key":"777c1e18bb392","_type":"span","marks":[],"text":" convenient, accessible, and personalized than before by delivering care virtually "},{"_key":"777c1e18bb393","_type":"span","marks":["em"],"text":"and in-person"},{"_key":"777c1e18bb394","_type":"span","marks":[],"text":" when you need it."}],"markDefs":[],"style":"normal"},{"_key":"ed92b896c015","_type":"block","children":[{"_key":"6a1381a10fdf0","_type":"span","marks":[],"text":"Yes, we can prescribe birth control or treat a UTI virtually; but we can also diagnose or manage chronic conditions virtually, such as PCOS, endometriosis, or migraines. And most important to us, we can deliver more preventive health virtually than we ever could have imagined — and continue your care journey in person for physical exams, bloodwork, and ultrasounds when needed."}],"markDefs":[],"style":"normal"},{"_key":"465377a9f3c7","_type":"block","children":[{"_key":"efebc1d7664b","_type":"span","marks":["strong"],"text":"What this means for women in LA: You can get virtual Tia care today, and in-person Tia Care in early 2021!"}],"markDefs":[],"style":"large"},{"_key":"4a4e4fc244a5","_type":"block","children":[{"_key":"f8745ed1cfad0","_type":"span","marks":[],"text":"Become a Tia member and get virtual primary care, mental health, and gynecology, starting today. And in early 2021, continue your care journey with Tia in person — for pelvic exams, ultrasounds, acupuncture, the works — at our first LA location in Silver Lake. And if you need in-person care in the meantime, we’ll connect you with a Tia-vetted provider near you."}],"markDefs":[],"style":"normal"},{"_key":"83226a31654d","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"6118ee38fe09","_type":"span","marks":[],"text":"Finally, get virtual & in-person women's health that connect!"}],"markDefs":[],"style":"h4"},{"_key":"5153ed8d2705","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Join Tia ","linkType":"join","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"82fdf8389345","_type":"block","children":[{"_key":"f165b68827b8","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f574f18b2068","_type":"block","children":[{"_key":"510b519b15ac","_type":"span","marks":[],"text":"2. Integrative, whole women’s health"}],"markDefs":[],"style":"h2"},{"_key":"57f9db648eed","_type":"block","children":[{"_key":"fdb19f2183f1","_type":"span","marks":[],"text":"The events of 2020 have shined a spotlight on the importance of whole women’s health that is inclusive of physical, mental, and emotional well-being. In NYC, we saw a 400% increase in mental health related messages on our platform with the onset of Covid — a testament to the lack of and critical need for women’s mental healthcare. And we know women — and especially women in Los Angeles — love wellness and don’t see it as “separate” from healthcare. In fact, more than "},{"_key":"87e8f635b528","_type":"span","marks":["f9438a5b06ae"],"text":"60% of women in Los Angeles"},{"_key":"95e2ea7b3bb4","_type":"span","marks":[],"text":" use complementary and alternative medicine. The problem is, the majority of these wellness-oriented practitioners come at a steep out-of-pocket price and more often than not, do not connect with, or even conflict with a woman's core primary care — leaving patients frustrated and confused on what advice to take."}],"markDefs":[{"_key":"f9438a5b06ae","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359242/"}],"style":"normal"},{"_key":"66510138884c","_type":"block","children":[{"_key":"9eb278b5fbd70","_type":"span","marks":[],"text":"At Tia, we practice both "},{"_key":"e876e848d8db1","_type":"span","marks":["em"],"text":"integrated"},{"_key":"e876e848d8db2","_type":"span","marks":[],"text":" and "},{"_key":"e876e848d8db3","_type":"span","marks":["em"],"text":"integrative"},{"_key":"e876e848d8db4","_type":"span","marks":[],"text":" medicine. 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You can get healthcare that treats the whole you — and works with insurance."}],"markDefs":[],"style":"normal"},{"_key":"949904b940e9","_type":"block","children":[{"_key":"92f8448bbe6e","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3d567d4181f9","_type":"block","children":[{"_key":"6ae590d2f3a4","_type":"span","marks":[],"text":"3. Affordable and accessible"}],"markDefs":[],"style":"h2"},{"_key":"136b34f326d6","_type":"block","children":[{"_key":"89755f61184b","_type":"span","marks":[],"text":"At a time of unprecedented crisis, making high-quality healthcare affordable and accessible has never been more important. Los Angeles is on the brink of one of the worst OB/GYN shortages in the country — "},{"_key":"be3f15ccbe71","_type":"span","marks":["02ff78476dda"],"text":"ranking #2 in the U.S."},{"_key":"ec92b1f76784","_type":"span","marks":[],"text":" behind only Las Vegas. And primary care is close behind; the "},{"_key":"9287dc9cc745","_type":"span","marks":["1c2c9b96e9eb"],"text":"average wait time"},{"_key":"a49e9729f644","_type":"span","marks":[],"text":" to see a Primary Care Provider in Los Angeles is 42 days."}],"markDefs":[{"_key":"1c2c9b96e9eb","_type":"externalLink","linkType":"text","url":"https://www.merritthawkins.com/uploadedFiles/MerrittHawkins/Content/Pdf/mha2017waittimesurveyPDF.pdf"},{"_key":"02ff78476dda","_type":"externalLink","linkType":"text","url":"https://www.doximity.com/press_releases/new_study_reveals_growing_threat_of_obgyn_shortages"}],"style":"normal"},{"_key":"9447b58320a5","_type":"block","children":[{"_key":"67b28a8bccc10","_type":"span","marks":[],"text":"At Tia, affordability and accessibility are table stakes. That means accepting as many insurance plans as we can to reduce your cost of care, which is not the norm for integrative care providers. And, ensuring you can get healthcare on "},{"_key":"67b28a8bccc11","_type":"span","marks":["em"],"text":"your schedule"},{"_key":"67b28a8bccc12","_type":"span","marks":[],"text":" — same day, early AM, and evenings."}],"markDefs":[],"style":"normal"},{"_key":"9cdde793ab75","_type":"block","children":[{"_key":"c360ab05f9d3","_type":"span","marks":["strong"],"text":"What this means for women in LA:  Put your insurance to work for care at Tia!"}],"markDefs":[],"style":"large"},{"_key":"d8ca3865dac3","_type":"block","children":[{"_key":"e3cf0b62d2a6","_type":"span","marks":[],"text":"Once a member, you can use your insurance for primary care and gynecology services (and when we open our in-person location, acupuncture too!). As of today, we accept some plans from Aetna, Cigna, United, Anthem BCBS, Blue Shield of California, and are working to take more insurance plans soon. "}],"markDefs":[],"style":"normal"},{"_key":"c74082cd6335","_type":"block","children":[{"_key":"1275606001f5","_type":"span","marks":[],"text":"4. High-quality providers with the distinctly Tia sparkle"}],"markDefs":[],"style":"h2"},{"_key":"ff046b822117","_type":"block","children":[{"_key":"b6dbf2a1bcf90","_type":"span","marks":[],"text":"While we’re all about technology improving healthcare, we’ve recognized since day one that technology alone cannot fix healthcare. Good healthcare is about people — specifically, top-notch providers and care teams that yes, practice great medicine, but also make you feel seen, heard, and cared for in outsized ways."}],"markDefs":[],"style":"normal"},{"_key":"a6512c4278eb","_type":"block","children":[{"_key":"ca50a2e537de0","_type":"span","marks":[],"text":"To achieve this, we’ve invested heavily in building our own Care Team from scratch. This is intentional and means slower scale — a tradeoff we’re okay with, in service of quality. In practical terms, that means that everyone you interact with on the Tia platform from your Care Coordinator to an OB/GYN is employed, vetted, and trained by Tia. Unlike most virtual care offerings, we are not a network or a portal to random doctors via Zoom."}],"markDefs":[],"style":"normal"},{"_key":"787889939ba3","_type":"block","children":[{"_key":"e159e6279535","_type":"span","marks":["strong"],"text":"What this means for women in LA: Get high-quality care from Tia-vetted providers you trust."}],"markDefs":[],"style":"large"},{"_key":"68962a967d26","_type":"block","children":[{"_key":"580f4f09c616","_type":"span","marks":[],"text":"As a Tia member, you get more than a doctor; you get a highly-vetted integrative Care Team who works together — not against each other! — to manage your whole health virtually and in person. You can be confident in the quality, the information sharing (no need to repeat yourself!), and “baton passes” that make your healthcare, whether digital or physical, smooth and seamless."}],"markDefs":[],"style":"normal"},{"_key":"cd1cfef75144","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"d6d864580df1","_type":"span","marks":[],"text":"We believe in collaborative, relationship-based care."}],"markDefs":[],"style":"h4"},{"_key":"47af4cd1aa30","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Meet the LA Care Team","linkType":"button","reference":{"_ref":"e377a479-e152-4105-bfd8-cd8af403f8d8","_type":"reference"}}]}]},{"_key":"a6dc6f2e3be5","_type":"sectionHeader","title":"What’s next?!"},{"_key":"c14faeaa62cf","_type":"block","children":[{"_key":"06ff20d73f2d","_type":"span","marks":[],"text":"In typical Tia style, we will continue to look to you, our community, to inform where we go next, and how to improve our products and services. You, the women "},{"_key":"b2a581956aac","_type":"span","marks":["1c163a5181b7"],"text":"who cast their votes"},{"_key":"fa5d5b629d93","_type":"span","marks":[],"text":" for Tia Clinics near them, track their cycle, health & wellness in our app, read & share our educational content, and send us their wants, needs & dreams are critical co-creators in shaping the future of women’s health. Our ask: continue to build and share along with us! One clinic, one city at a time, we can improve women’s healthcare for women everywhere."}],"markDefs":[{"_key":"1c163a5181b7","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-7b375bc7635d5b37a3a46258915d8167946a49cf-2800x1600-png","_type":"reference"}},"publishedAt":"2020-11-17T05:00:00.000Z","slug":{"_type":"slug","current":"women-of-los-angeles-your-modern-medical-home-is-here"},"status":"production","title":"LA, Meet The Modern Medical Home | The Tia Take","topics":[{"_key":"b5228eee6d43","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Tia is now available in LA, offering a new standard of care with gynecology, primary care,mental health care & acupuncture. 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But we aren't willing to sacrifice our 'special sauce,' moments of delight that energize our clinics and put the soul back in medicine. With #TheMakingOf our second clinic in L.A., the challenge was to find the just-right balance of high-function and form.\n\nWant to check out Tia's spaces? "},{"_key":"f67b4ab38260","_type":"span","marks":["f54acab31324"],"text":"Join Now"}],"markDefs":[{"_key":"f54acab31324","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"large"},{"_key":"9b1b2e4ecdc9","_type":"sectionHeader","title":"The Set Up: how we got here "},{"_key":"34b087c3886a","_type":"block","children":[{"_key":"4c7ff583ff7e","_type":"span","marks":[],"text":"Pre-Covid, 100% of everything we did at Tia took place in our physical clinics, from exams to events. Then the world changed, and we did too. The rise of virtual care made us question the future of our IRL clinics…spoiler alert, we think physical spaces are still key to care. Saying no to virtual-only meant figuring out how to heal our physical spaces by asking:"}],"markDefs":[],"style":"normal"},{"_key":"b6e7ce5427f0","_type":"block","children":[{"_key":"082f6cf77c35","_type":"span","marks":["strong"],"text":"How does a "},{"_key":"7a9afc421ce1","_type":"span","marks":["strong","61a77680ca27"],"text":"waiting room work with social distancing"},{"_key":"3e7a07466a4f","_type":"span","marks":["strong"],"text":"? "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"61a77680ca27","_type":"annotation","text":[{"_key":"b17f203b0170","_type":"block","children":[{"_key":"e8aa9b28b9c2","_type":"span","marks":[],"text":"Asking from 6-feet away..."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"ed33794164f1","_type":"block","children":[{"_key":"b47d9acfad700","_type":"span","marks":["strong"],"text":"How do we create "},{"_key":"0a33ed2a63db","_type":"span","marks":["strong","df2ff4aeb98b"],"text":"moments of delight "},{"_key":"f4f95687a2d0","_type":"span","marks":["strong"],"text":"within our spaces when we’re all hyper-focused on the less sexy stuff, like sanitizer, safety procedures, and all the Covid protocols?"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"df2ff4aeb98b","_type":"annotation","text":[{"_key":"c35ec62f2eb9","_type":"block","children":[{"_key":"8bd937fa888a","_type":"span","marks":[],"text":"Think: boldly-colored waiting area and lush gardens!"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"4c97dd4e4a0f","_type":"block","children":[{"_key":"55feaec4c9dd0","_type":"span","marks":["strong"],"text":"How do we "},{"_key":"603c7058e90b","_type":"span","marks":["strong","d19443738f47"],"text":"design our spaces to meet the distinct needs of our providers"},{"_key":"dae01d57661e","_type":"span","marks":["strong"],"text":" working day in and day out on the frontlines to serve *you* !? "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"d19443738f47","_type":"annotation","text":[{"_key":"a9648216eb86","_type":"block","children":[{"_key":"a608416da8cb","_type":"span","marks":[],"text":"Yes, doctors and nurses deserve human-centric design, too!"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8b90dd65ab99","_type":"block","children":[{"_key":"1d284e2531cd0","_type":"span","marks":["strong"],"text":"How do we incorporate your feedback into everything we do..."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1e6f99e612c1","_type":"editorialImageCarousel","items":[{"_key":"4e8e64af92a3","_type":"editorialImageAndText","containerSize":"container--s","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3b874ca557fa7ca2775873aaa0ffa9a32295e23b-7200x4008-png","_type":"reference"}}}}]},{"_key":"dc4311a09f0e","_type":"sectionHeader","title":"Meet the Makers: the people behind our process, who help us make progress"},{"_key":"8079649be0c5","_type":"editorialImageCarousel","items":[{"_key":"76feca7f7544","_type":"editorialImageAndText","containerSize":"container--s","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-2769443814514490ca864853faf9e77dfa01b0df-7200x4008-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"3fdc594a6018","_type":"block","children":[{"_key":"37c414886f51","_type":"span","marks":["strong"],"text":"\"Healing to me means working towards getting back to the space and place where I feel inspired, strong, and energized. It’s not only a physical process, but a mental and emotional one as well.\" -"},{"_key":"4852d493c129","_type":"span","marks":["90724425cd19","strong"],"text":"Alda Ly"},{"_key":"aae4d493ee81","_type":"span","marks":["strong"],"text":" "}],"markDefs":[{"_key":"90724425cd19","_type":"annotation","text":[{"_key":"e7fa53e75f8d","_type":"block","children":[{"_key":"61b26425b249","_type":"span","marks":[],"text":"Read our full interview with Alda "},{"_key":"5da19f7f1713","_type":"span","marks":["1b159d3c5f71"],"text":"here"},{"_key":"83d4e81f8923","_type":"span","marks":[],"text":"!"}],"markDefs":[{"_key":"1b159d3c5f71","_type":"annotationLink","reference":{"_ref":"3e3e1823-339b-44c3-b473-90d323aa1df0","_type":"reference"}}],"style":"normal"}]}],"style":"large"},{"_key":"16c70c4f0ac6","_type":"sectionHeader","title":"Design By the Numbers"},{"_key":"035be6aae5ec","_type":"block","children":[{"_key":"11db172b4259","_type":"span","marks":[],"text":"Our design process starts by asking questions - a lot of them. From there we look to you and our team of amazing architects and designers to help shape our process and progress. While it’s hard to keep track of all the decisions (and Slack messages) that go into a single space, we thought we’d show you a few of the numbers that stood out in Tia, LA."}],"markDefs":[],"style":"normal"},{"_key":"34f726d5b702","_type":"editorialImageCarousel","items":[{"_key":"ed72050c3d91","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4ea4cd96ab63f5e1007c34fbbae0a7ad2bf3a0d5-7200x4008-png","_type":"reference"}}},"text":[{"_key":"b3edae60d37b","_type":"block","children":[{"_key":"a23157cd8176","_type":"span","marks":[],"text":"\"Co-creation was HUGE part of building the NY clinic. We asked our community so many questions from “where do you put your underwear” (hint: they had no idea where to put it) to how do you want your provider to engage with you during your appointment.\" - "},{"_key":"bd53b5f8b019","_type":"span","marks":["strong"],"text":"Allie Ball, Head of Design"}],"markDefs":[],"style":"normal"}]},{"_key":"c128e4ca5e6e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e829e9dab338eca5ccc1903460d35d339f95c28a-7200x4008-png","_type":"reference"}}}},{"_key":"648c6eec7805","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-df7585de2a7ec7800797b1e1cf74eb86e34e376b-7200x4008-png","_type":"reference"}}}}]},{"_key":"8970afb419dc","_type":"sectionHeader","title":"The Making Of: our in-clinic mural "},{"_key":"e9454978bd43","_type":"block","children":[{"_key":"c3dca1a23407","_type":"span","marks":[],"text":"A picture says a thousand words, and for us a simple, “hi” isn’t enough. Take our NYC space where you’re greeted by: the wonderfully bold, Alexa Proba. Now, that we’ve moved to LA, we’ve created a mural that will sit behind our front desk and greet you each time you’re in our clinic. 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"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b3623e37d1a3","_type":"block","children":[{"_key":"1d0b35eb191e","_type":"span","marks":[],"text":"Even if you have been "},{"_key":"fa448bcd1105","_type":"span","marks":["2198325f0301"],"text":"diagnosed with a vaginal infection before"},{"_key":"3b79d22b2e0d","_type":"span","marks":[],"text":" and it might feel pretty routine to cure it yourself, it is always advised to see medical attention. Your Tia provider will help you make an informed decision with your treatment plan."}],"markDefs":[{"_key":"2198325f0301","_type":"annotation","text":[{"_key":"57dee74e30fc","_type":"block","children":[{"_key":"20fee81a862f","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"1c6f4b065b7f","_type":"block","children":[{"_key":"8788f963f3c0","_type":"span","marks":[],"text":"Vaginal candidiasis (yeast infection) is the second most common type of vaginal infection after bacterial vaginal infections. 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This means it stimulates the growth of and maintenance of desired gut bacteria. Incorporate more onions, bananas, garlic, apples and oats into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7cef5e345e5","_type":"block","children":[{"_key":"e7f26c079e84","_type":"span","marks":["strong"],"text":"Vitamin D:"},{"_key":"98257b74b150","_type":"span","marks":[],"text":" Low levels of Vitamin D have been associated with a higher risk of Bacterial vaginosis. We recommend starting with 2000 IU daily."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"01a71fa01102","_type":"block","children":[{"_key":"41c5e2dfd92e","_type":"span","marks":["strong"],"text":"Probiotics:"},{"_key":"333a6b7ef7e9","_type":"span","marks":[],"text":" Probiotics, either supplements or whole foods, may improve your symptoms and prevent a potential infection. We like adding more yogurt, sauerkraut, miso, pickles and kimchi into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d6c5802a8520","_type":"block","children":[{"_key":"f65b7674329a","_type":"span","marks":[],"text":"Medications"}],"markDefs":[],"style":"h5"},{"_key":"fa93cf604992","_type":"block","children":[{"_key":"a0d9ec133c9a","_type":"span","marks":["strong"],"text":"Monistat:"},{"_key":"cbdf1ccf0c9c","_type":"span","marks":[],"text":" This is an over-the-counter antifungal ointment that can treat yeast infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ee54e15ae3bb","_type":"block","children":[{"_key":"849c64454ce3","_type":"span","marks":["strong"],"text":"Boric acid:"},{"_key":"4d99bf21c8ba","_type":"span","marks":[],"text":" "},{"_key":"1859f5191c82","_type":"span","marks":["71422af6d4c1"],"text":"This weak acid"},{"_key":"d935e600d6a3","_type":"span","marks":[],"text":" may stop bacteria or yeast from continuing to grow. It may also help in restoring your vaginal acidity and re-establish the ideal environment for beneficial vaginal flora to return. It is important to only use it as a vaginal suppository as it can be fatal if taken orally."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"71422af6d4c1","_type":"internalLink","linkType":"text","reference":{"_ref":"131cbcb8-4730-40d1-a602-bcab3cc457b9","_type":"reference"}}],"style":"normal"},{"_key":"bd3bc5f496a1","_type":"block","children":[{"_key":"1268b7eb8238","_type":"span","marks":["strong"],"text":"Topical or oral perscription medications:"},{"_key":"6acbbe0fc017","_type":"span","marks":[],"text":" There are a variety of different medications that might be perscribed depending on the diagnosis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"75f7dc853182","_type":"block","children":[{"_key":"d4d1f7fb981c","_type":"span","marks":[],"text":"Vaginal Health Recommendations"}],"markDefs":[],"style":"h5"},{"_key":"de68fc1e28fd","_type":"block","children":[{"_key":"9d652bf6720b","_type":"span","marks":["strong"],"text":"Considering a menstrual cup:"},{"_key":"fdc69e272d06","_type":"span","marks":[],"text":" There may be a reduced association of using a menstrual cup and Bacterial vaginosis and Candidiasis infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"531cb1095bb3","_type":"block","children":[{"_key":"99731f03fcbb","_type":"span","marks":["strong"],"text":"Yin care:"},{"_key":"e8801716d176","_type":"span","marks":[],"text":" Yin Care is a combination of anti-pathogenic Chinese herbs that can be used to help deal with signs and symptoms of vaginal “yeast” (bacterial or fungal infections). 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We have not figured out how to do a Pap on zoom (and we don't foresee this happening anytime soon either), but we can treat your UTI, yeast infection, review your health history, track the source of your pelvic pain, and so much more virtually — and, as needed, you can visit our in-person clinic for the physical exams."}],"markDefs":[],"style":"normal"}],"question":"Are you doing gynecology exams over the internet?","id":"6bd9651f-8475-56e9-b0b5-ac52ea72d77d","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"961fee7524ef8b705a70b6a803c9705e","counter":2577,"owner":"gatsby-source-sanity"}},{"_id":"c59b0581-7345-46a7-9d8c-b823ba849d6a","_type":"faq","_createdAt":"2025-06-27T18:53:56Z","_rev":"i5t5RbBCFwNL8rUiR4fswp","_updatedAt":"2025-06-27T18:55:35Z","answer":[{"_key":"00d9d4c538a7","_type":"block","children":[{"_key":"ed6cf38bb348","_type":"span","marks":[],"text":"They are very similar. Telehealth typically means a one-time video or phone visit. 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The visit may result in orders for additional testing like bloodwork or an ultrasound to help make a diagnosis and create your care plan."}],"markDefs":[],"style":"normal"}],"question":"What happens at my first PCOS visit?","id":"d1fe2d96-5bb8-55fa-933a-08c716c57edc","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"f449619d11f91b983d18b53217fe4699","counter":388,"owner":"gatsby-source-sanity"}},{"_id":"1161d86a-0593-433e-aee6-5ccdf0a31aff","_type":"faq","_createdAt":"2025-09-11T14:48:02Z","_rev":"K1UD2HYgjqILUJ1etwiHzG","_updatedAt":"2025-09-11T14:48:22Z","answer":[{"_key":"45ddd943acdc","_type":"block","children":[{"_key":"874385ea05390","_type":"span","marks":[],"text":"Not at all. Hormonal birth control is an effective option for managing symptoms if you do not want to become pregnant. However, your provider will work with you to find the best treatment based on your personal goals, which can include non-hormonal medications, supplements, and lifestyle changes."}],"markDefs":[],"style":"normal"}],"question":"Do I have to take birth control to manage PCOS? ","id":"8ebf65a4-17f0-5bee-a659-915060aaeb3c","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"c450782f6dd90d78ef134d30dff17055","counter":387,"owner":"gatsby-source-sanity"}},{"_id":"a1cf67c9-9884-42b0-a497-8f09ff6050c4","_type":"faq","_createdAt":"2025-09-11T14:48:34Z","_rev":"5KAiCqcY3rs0Bq2bmTcD36","_updatedAt":"2025-09-11T14:48:42Z","answer":[{"_key":"d1f9c9550d7d","_type":"block","children":[{"_key":"16fe86d84fed0","_type":"span","marks":[],"text":"While there is no cure for PCOS, there are many effective options to manage your symptoms and reduce your risk for other health concerns like diabetes. Our goal is to create a sustainable, long-term plan that helps you feel your best."}],"markDefs":[],"style":"normal"}],"question":"Is PCOS curable? ","id":"ec0f9b20-eb70-5702-9d05-54060c804003","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"cae510d6eedd4ba2e80763cecb3eeac3","counter":389,"owner":"gatsby-source-sanity"}},{"_id":"9b6909d8-1130-4e67-a064-eed7ebe5761a","_type":"faq","_createdAt":"2025-09-11T14:48:54Z","_rev":"5KAiCqcY3rs0Bq2bmTcJJw","_updatedAt":"2025-09-11T14:49:02Z","answer":[{"_key":"dfa6083d1026","_type":"block","children":[{"_key":"952190d3150d0","_type":"span","marks":[],"text":"We treat the whole you, not just a single symptom. Our integrative model combines primary care, gynecology, and even acupuncture to address the root hormonal imbalances of PCOS. We create a truly personalized plan that evolves with you over time."}],"markDefs":[],"style":"normal"}],"question":"What makes Tia’s approach to PCOS care different? ","id":"a7dc9f7b-527e-538b-9640-ed18e3532103","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"c53c3c54a2344cc4e317c3b9601d5a9a","counter":390,"owner":"gatsby-source-sanity"}},{"_id":"6e5b0433-82d2-4d73-89f0-9ecd8ed2eb5a","_type":"faq","_createdAt":"2025-09-11T14:49:11Z","_rev":"qYYGLTh5s9q6PKEQd18KLj","_updatedAt":"2025-09-11T14:49:20Z","answer":[{"_key":"e0dcc01d6735","_type":"block","children":[{"_key":"1327e97582690","_type":"span","marks":[],"text":"Yes, a PCOS evaluation can take place either in-clinic or virtually. 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But if you learn one thing from this article, let it be this: while PCOS is one of the leading causes of infertility and isn’t curable, it "},{"_key":"15706c9514441","_type":"span","marks":["em"],"text":"is"},{"_key":"15706c9514442","_type":"span","marks":[],"text":" manageable and treatable. You "},{"_key":"15706c9514443","_type":"span","marks":["em"],"text":"can"},{"_key":"15706c9514444","_type":"span","marks":[],"text":" get pregnant if you have PCOS. You "},{"_key":"15706c9514445","_type":"span","marks":["em"],"text":"can"},{"_key":"15706c9514446","_type":"span","marks":[],"text":" have a healthy pregnancy. And you "},{"_key":"15706c9514447","_type":"span","marks":["em"],"text":"can "},{"_key":"15706c9514448","_type":"span","marks":[],"text":"deliver a healthy baby."}],"markDefs":[],"style":"normal"},{"_key":"2b795be056ec","_type":"block","children":[{"_key":"8f653e8d1fa20","_type":"span","marks":[],"text":"At "},{"_key":"88306046d38f","_type":"span","marks":["7f1072c0b983"],"text":"Tia"},{"_key":"0b90bef1f740","_type":"span","marks":[],"text":", our team of collaborative care experts understands the unique needs of people with PCOS and the importance of personalized care that empowers women to navigate their fertility journeys on their terms and without pressure, fear, or judgment. Keep reading to learn more about PCOS and Tia’s holistic, personalized approach to this notoriously complicated condition."}],"markDefs":[{"_key":"7f1072c0b983","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"normal"},{"_key":"6e29aeacc171","_type":"sectionHeader","title":"Understanding PCOS and its effects on pregnancy"},{"_key":"8522c6947d50","_type":"block","children":[{"_key":"58d19ceefae40","_type":"span","marks":[],"text":"PCOS is a common endocrine disorder that disrupts the delicate balance of hormones involved in ovulation and menstruation, and it manifests with a combination of symptoms related to these hormonal imbalances. PCOS is characterized by irregular or absent menstrual cycles, elevated androgen levels (a male sex hormone present in small amounts in women), and the presence of numerous small cysts on the ovaries. Despite its name, not all women with PCOS develop ovarian cysts. And, confusingly, some women with ovarian cysts don’t meet the diagnostic criteria for PCOS."}],"markDefs":[],"style":"normal"},{"_key":"e65e2b940cc9","_type":"block","children":[{"_key":"4bc005979ff30","_type":"span","marks":[],"text":"While the exact cause of PCOS remains unclear, it likely involves a combination of genetic and environmental factors, including insulin resistance and inflammation. Importantly, women with a family history of PCOS or type 2 diabetes seem to be at a higher risk for developing PCOS."}],"markDefs":[],"style":"normal"},{"_key":"171cf764c3b4","_type":"block","children":[{"_key":"cacb7114afd90","_type":"span","marks":[],"text":"One hallmark feature of PCOS is its significant impact on fertility. The hormonal imbalances seen in PCOS often disrupt the normal ovulatory process, which leads to irregular or absent ovulation. Since ovulation is the process that releases a mature egg from the ovaries and makes it available for fertilization by sperm, it’s easy to understand why unpredictable or absent ovulation makes pregnancy difficult, if not impossible, to achieve without proper counseling and treatment."}],"markDefs":[],"style":"normal"},{"_key":"f32040cf2bf3","_type":"block","children":[{"_key":"85ee0f1c2f450","_type":"span","marks":[],"text":"Besides infertility, PCOS can present with several other symptoms:"}],"markDefs":[],"style":"normal"},{"_key":"47883781c3a5","_type":"block","children":[{"_key":"b37364542d361","_type":"span","marks":["strong"],"text":"Irregular menstrual cycles"},{"_key":"b37364542d362","_type":"span","marks":[],"text":". Women with PCOS might have missed, unpredictable, or absent periods—though it’s not uncommon for them to experience heavy and long periods as well."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"70827416aa84","_type":"block","children":[{"_key":"84b7a888bb2c1","_type":"span","marks":["strong"],"text":"Hirsutism"},{"_key":"84b7a888bb2c2","_type":"span","marks":[],"text":". Excessive hair on the face, chin, chest, back, or parts of the body where men usually have hair is often seen in people with PCOS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"789cf0937b7a","_type":"block","children":[{"_key":"e803add0e5a71","_type":"span","marks":["strong"],"text":"Acne and/or male-pattern baldness."},{"_key":"e803add0e5a72","_type":"span","marks":[],"text":" Hirsutism, acne, and male-pattern baldness are most likely due to excess androgen levels that often accompany PCOS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"25525f64cf37","_type":"block","children":[{"_key":"db29d43d983c1","_type":"span","marks":["strong"],"text":"Weight gain, "},{"_key":"db29d43d983c2","_type":"span","marks":[],"text":"especially around the belly."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"70e672ccdd2a","_type":"block","children":[{"_key":"f20ce967ce571","_type":"span","marks":["strong"],"text":"Polycystic ovaries"},{"_key":"f20ce967ce572","_type":"span","marks":[],"text":" that might feel large on exam or appear large on imaging."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d29e5a724323","_type":"block","children":[{"_key":"1aeaf16deeca1","_type":"span","marks":["strong"],"text":"Skin tags "},{"_key":"1aeaf16deeca2","_type":"span","marks":[],"text":"or small pieces of excess skin on the neck or armpits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a33f49ca91ea","_type":"block","children":[{"_key":"a398dbc4e75c1","_type":"span","marks":["strong"],"text":"Dark or thick patches of skin "},{"_key":"a398dbc4e75c2","_type":"span","marks":[],"text":"particularly along neck creases,"},{"_key":"a398dbc4e75c3","_type":"span","marks":["strong"],"text":" "},{"_key":"a398dbc4e75c4","_type":"span","marks":[],"text":"in the groin area, in the armpits, or underneath the breasts."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"db9ca07aea28","_type":"cta","backgroundColor":"bccream","text":[{"_key":"6d3ce20c0c37","_type":"block","children":[{"_key":"9baa1781269e","_type":"span","marks":[],"text":"Experiencing PCOS symptoms? Sign up for Tia's membership and schedule an appointment today."}],"markDefs":[],"style":"normal"},{"_key":"6555ebcbee74","_type":"buttonBlock","items":[{"_key":"c85229a11925","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"cf4fcb84c985","_type":"block","children":[{"_key":"bf18708fd1560","_type":"span","marks":[],"text":"With appropriate medical management aimed at reducing symptoms and"},{"_key":"bf18708fd1561","_type":"span","marks":["strong"],"text":" "},{"_key":"bf18708fd1562","_type":"span","marks":[],"text":"improving ovulation, women with PCOS "},{"_key":"bf18708fd1563","_type":"span","marks":["em"],"text":"can"},{"_key":"bf18708fd1564","_type":"span","marks":[],"text":" get pregnant—but they may face certain challenges during pregnancy that require careful monitoring and possible medical intervention. "}],"markDefs":[],"style":"normal"},{"_key":"fd687ceb6979","_type":"block","children":[{"_key":"67adbd52d5ef","_type":"span","marks":[],"text":"Some of the potential complications associated with pregnancy in women with PCOS:"}],"markDefs":[],"style":"normal"},{"_key":"0cee0e27af29","_type":"block","children":[{"_key":"13344b8fa7c61","_type":"span","marks":["strong"],"text":"Gestational diabetes."},{"_key":"13344b8fa7c62","_type":"span","marks":[],"text":" People with PCOS have an increased risk of developing gestational diabetes. While poorly understood, researchers postulate that fluctuating hormones caused by pregnancy make it more difficult for the body to process blood sugar effectively."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2e77834e3a67","_type":"block","children":[{"_key":"5df12f7a04411","_type":"span","marks":["strong"],"text":"Preeclampisa"},{"_key":"5df12f7a04412","_type":"span","marks":[],"text":". There’s a strong association between PCOS and preeclampsia, a potentially dangerous condition characterized by high blood pressure and proteins in the urine, which can cause organ damage. Regular prenatal visits and routine monitoring are crucial to protect both the parent and baby and prevent preeclampsia from developing into a life-threatening condition called eclampsia."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61cf02261ff7","_type":"block","children":[{"_key":"7341416083da0","_type":"span","marks":["strong"],"text":"Preterm birth."},{"_key":"7341416083da1","_type":"span","marks":[],"text":" There is an increased risk of preterm birth in women with PCOS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1c7d09526ad1","_type":"block","children":[{"_key":"81b9c486c2f81","_type":"span","marks":["strong"],"text":"Miscarriage."},{"_key":"81b9c486c2f82","_type":"span","marks":[],"text":" People with PCOS have a slightly higher risk of miscarriage compared to those without the condition."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26d58d0c71ab","_type":"block","children":[{"_key":"ee166fcf53ca1","_type":"span","marks":["strong"],"text":"Increased C-section rates."},{"_key":"ee166fcf53ca2","_type":"span","marks":[],"text":" Those diagnosed with PCOS have a higher likelihood of delivering via Cesarean section, often due to complications related to gestational diabetes, preeclampsia, and fetal distress."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ebdf13b2c5ad","_type":"block","children":[{"_key":"f0c435176e151","_type":"span","marks":["strong"],"text":"Neonatal complications."},{"_key":"f0c435176e152","_type":"span","marks":[],"text":" Babies whose parents have PCOS often experience complications, like respiratory distress syndrome, that necessitate admission to the neonatal intensive care unit."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7e172fccc510","_type":"block","children":[{"_key":"5bb9440e9d7b1","_type":"span","marks":["strong"],"text":"Long-term health implications."},{"_key":"5bb9440e9d7b2","_type":"span","marks":[],"text":" Children born to parents with PCOS have a higher risk of developing certain chronic health conditions later in life, such as obesity and diabetes."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fc745211df6d","_type":"sectionHeader","title":"Optimizing fertility with PCOS"},{"_key":"6800b8880323","_type":"block","children":[{"_key":"18b801be027f0","_type":"span","marks":[],"text":"Not everyone with PCOS will experience these complications, and it’s worth repeating that many women with PCOS have successful, healthy pregnancies. Thankfully, there are several commonsense and effective strategies, including lifestyle modifications and medications, that can greatly increase the likelihood of ovulating and becoming pregnant if you suffer from PCOS."}],"markDefs":[],"style":"normal"},{"_key":"93e4c88a1390","_type":"block","children":[{"_key":"01a075f712df0","_type":"span","marks":[],"text":"Lifestyle modifications almost always begin with getting regular exercise and eating a healthy diet, generally full of protein-rich, low-carbohydrate foods; high-fiber fruits and vegetables; whole grains; and healthy fats and oils. Cutting out caffeine, nicotine, and alcohol are also common recommendations. Weight management through exercise and dietary changes can vastly improve insulin sensitivity and hormonal imbalances, stabilize blood sugar levels, and make fertility easier to achieve, often without additional intervention."}],"markDefs":[],"style":"normal"},{"_key":"9b1d2a881152","_type":"block","children":[{"_key":"9bb1cf7213a30","_type":"span","marks":[],"text":"When lifestyle changes alone don’t lead to pregnancy, healthcare providers often recommend medication to improve fertility and promote ovulation, including metformin and/or clomiphene citrate (Clomid) alone or in combination. Metformin, an insulin-lowering drug and mainstay in type 2 diabetes management, has been shown to improve fertility and ovulation, and reverse endocrine abnormalities in women with PCOS. .Metformin is also a drug-of-choice for women with PCOS because it also has positive effects on other PCOS symptoms, including menstrual irregularities, anovulation (lack of ovulation), hirsutism, and obesity. And during pregnancy, metformin might also be protective against insulin resistance, gestational diabetes, and a first trimester pregnancy loss. Clomiphene citrate (Clomid) is an important ovulation induction agent that works by stimulating hormones necessary for follicle development. Letrozole, another medication that induces ovulation, is sometimes used when clomiphene citrate is ineffective."}],"markDefs":[],"style":"normal"},{"_key":"54ee4325c67a","_type":"sectionHeader","title":"Seeking preconception care"},{"_key":"70cf3c25d58e","_type":"block","children":[{"_key":"7629956b4c1b0","_type":"span","marks":[],"text":"As always, it’s important for people with PCOS to consult with an experienced and trustworthy healthcare provider before trying to conceive. Your provider can help assess your fertility status, manage PCOS symptoms, and address underlying health conditions to improve your chances of getting pregnant, staying pregnant, and having a healthy pregnancy. And since PCOS is associated with other long-term health risks, like type 2 diabetes, endometrial cancer, and cardiovascular disease, it’s even more critical for these people to share their fertility journeys and health histories with their provider before conception so they can make the best and most informed decisions about their health and care."}],"markDefs":[],"style":"normal"},{"_key":"d7520205e4e6","_type":"sectionHeader","title":"Pregnancy care for people with PCOS"},{"_key":"679be8a1efeb","_type":"block","children":[{"_key":"8f6fdbd145670","_type":"span","marks":[],"text":"Close collaboration with a healthcare provider, strict adherence to prenatal care, lifestyle management, and taking a prenatal vitamin that offers folic acid are key components of ensuring a healthy pregnancy for women with PCOS. Since women with PCOS who become pregnant are more vulnerable to certain pregnancy-related complications, like gestational diabetes and preeclampsia, regular prenatal office visits and routine screenings are essential for recognizing the earliest signs of these conditions. Your care team will closely monitor your blood pressure, blood glucose levels, and weight gain, measure the progression of your pregnancy, and address any issues that might contribute to miscarriage or preterm labor."}],"markDefs":[],"style":"normal"},{"_key":"7a49e008bc32","_type":"sectionHeader","title":"Next steps for PCOS treatment"},{"_key":"b6eb1bcd8a2f","_type":"block","children":[{"_key":"215a43a920990","_type":"span","marks":[],"text":"PCOS is a complex and prevalent condition that requires a comprehensive and personalized approach. The impact of PCOS extends beyond the bounds of reproductive health, it impacts metabolic and cardiovascular health too. Some symptoms, like infertility, obesity, and unwanted hair growth, can lead to social stigma and even cause anxiety and depression. Consultation with a healthcare provider or fertility specialist is essential for a thorough evaluation, diagnosis, and a personalized treatment plan aimed at restoring hormonal balance, managing symptoms, and regulating ovulation."}],"markDefs":[],"style":"normal"},{"_key":"e8059e98ad70","_type":"block","children":[{"_key":"6f001f1b66580","_type":"span","marks":[],"text":"So, whether you’re already pregnant, trying, undecided, or not planning to have kids, your journey matters—and so does your story. "}],"markDefs":[],"style":"normal"},{"_key":"87323364518a","_type":"cta","backgroundColor":"bccream","text":[{"_key":"f559b1448cc3","_type":"block","children":[{"_key":"af8a0517f650","_type":"span","marks":[],"text":"Experiencing PCOS symptoms? Sign up for Tia's membership and schedule an appointment today."}],"markDefs":[],"style":"normal"},{"_key":"cf4b3627b65a","_type":"buttonBlock","items":[{"_key":"b99fe2b5f01b","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]}],"image":{"_type":"image","asset":{"_id":"image-be386cb6359763e79730a31e029a20ffb481d4f1-14000x8000-png","_type":"sanity.imageAsset","_createdAt":"2023-11-28T23:56:00Z","_rev":"Syhr8V4efu6QXPtrwILrla","_updatedAt":"2023-11-28T23:56:00Z","assetId":"be386cb6359763e79730a31e029a20ffb481d4f1","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"M9S5|p%N?H%Lt7?vo#aejsn$~qj@E1axRi","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":1.75,"height":8000,"width":14000},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#524c46","foreground":"#fff","population":1.58,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#7a420a","foreground":"#fff","population":0,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#524c46","foreground":"#fff","population":1.58,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#d4ccbc","foreground":"#000","population":0.01,"title":"#000"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#fcecdc","foreground":"#000","population":1.17,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#7d746b","foreground":"#fff","population":0.15,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#ea7f14","foreground":"#fff","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"PCOS and Pregnancy (1).png","path":"images/8qqycr4y/production/be386cb6359763e79730a31e029a20ffb481d4f1-14000x8000.png","sha1hash":"be386cb6359763e79730a31e029a20ffb481d4f1","size":3358134,"uploadId":"THZVErs4wZc8OCcV9uOLLgwthe9HTEyj","url":"https://cdn.sanity.io/images/8qqycr4y/production/be386cb6359763e79730a31e029a20ffb481d4f1-14000x8000.png","id":"image-be386cb6359763e79730a31e029a20ffb481d4f1-14000x8000-png","parent":null,"children":["3ecc653d-c0d7-5ae0-a369-2dd06d239ffb"],"internal":{"type":"SanityImageAsset","contentDigest":"5b7ae19b7e35f05a401517b1655b2f5b","counter":7783,"owner":"gatsby-source-sanity"}}},"publishedAt":"2023-11-29T01:36:00.000Z","slug":{"_type":"slug","current":"pcos-pregnancy"},"status":"production","title":"PCOS and Pregnancy: Embracing the Unique Path to Motherhood","topics":[{"_id":"8620b4dd-9ad9-4abc-96fb-b7bffc848982","_type":"topic","_createdAt":"2020-07-02T17:05:06Z","_rev":"RdixGn6lpDGH89K9LFG39m","_updatedAt":"2022-09-15T12:22:15Z","slug":{"_type":"slug","current":"gynecology-content"},"title":"Gynecology","id":"4994eba6-f414-5a28-bbe0-5af2f975ca81","parent":null,"children":[],"internal":{"type":"SanityTopic","contentDigest":"547ad60118671b30e1c15d487329bae5","counter":2447,"owner":"gatsby-source-sanity"}}]},"metaInformation":{"_type":"metaCard","metaDescription":"Unlock the journey of navigating pregnancy with PCOS. 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If so, you’re not alone. Even healthcare professionals don’t fully understand this common endocrine disorder that affects up to 10% of women in their reproductive years."}],"markDefs":[{"_key":"95906f9f0ecd","_type":"internalLink","linkType":"text","reference":{"_ref":"208f4e01-a92e-4bb2-ae88-84672bdb6462","_type":"reference"}}],"style":"normal"},{"_key":"68d0d8764f18","_type":"block","children":[{"_key":"a25fe770a96e0","_type":"span","marks":[],"text":"The array of symptoms and list of causes associated with PCOS make this condition challenging to diagnose and treat. It’s a confusing disorder, and there is a lot we still don’t know."}],"markDefs":[],"style":"normal"},{"_key":"5f06daea6cef","_type":"block","children":[{"_key":"5fdf1a4740ea0","_type":"span","marks":[],"text":"But the medical community does know some important things about PCOS that can be useful if you’ve been diagnosed with the condition and are looking for ways to manage it effectively."}],"markDefs":[],"style":"normal"},{"_key":"3ee5339bcb5b","_type":"block","children":[{"_key":"b9e1f05f3bef0","_type":"span","marks":[],"text":"It knows that PCOS is characterized by a constellation of symptoms, including irregular menstrual cycles, elevated androgens (male hormones), infertility, excessive ‘male pattern’ hair growth, weight gain, acne, and multiple small cysts on the ovaries."}],"markDefs":[],"style":"normal"},{"_key":"cb33da469fa7","_type":"block","children":[{"_key":"874a6bec6bc90","_type":"span","marks":[],"text":"It knows that PCOS is likely caused by a combination of genetic, lifestyle, and environmental factors."}],"markDefs":[],"style":"normal"},{"_key":"a838ac8cd4dd","_type":"block","children":[{"_key":"092d180ea6080","_type":"span","marks":[],"text":"And it knows this: Diet and nutrition play significant roles in managing PCOS, reducing symptoms, and improving metabolic issues – like insulin resistance and inflammation – that are often associated with the disorder."}],"markDefs":[],"style":"normal"},{"_key":"0a6f82f76791","_type":"block","children":[{"_key":"1a8cf9f3b2af0","_type":"span","marks":[],"text":"Keep reading to better understand the relationship between PCOS and diet and nutrition and to find out how you can use food to fight back against this all-too-common condition and reclaim your health once and for all."}],"markDefs":[],"style":"normal"},{"_key":"ca0803961b30","_type":"sectionHeader","headerLevel":"h2","title":"What Diet is Best for Managing PCOS?"},{"_key":"071171b3d124","_type":"block","children":[{"_key":"2fcb38ab3e140","_type":"span","marks":[],"text":"When it comes to PCOS, there is no ‘one size, fits all’ approach to diet and nutrition. Everybody and every body are unique, and the best strategy involves finding a diet that works for you and staying flexible in your efforts to achieve the main goals of managing PCOS through diet and nutrition: losing weight, reducing inflammation, and improving insulin resistance."}],"markDefs":[],"style":"normal"},{"_key":"695d18a3e4de","_type":"block","children":[{"_key":"7f50c571c6be0","_type":"span","marks":[],"text":"Studies have shown that losing weight can dramatically improve metabolic and reproductive health for people with PCOS regardless of which diet they choose. Even modest weight loss (5-10% of total body weight) can help balance hormones, regulate menstrual cycles, restore ovulation, and increase pregnancy rates."}],"markDefs":[],"style":"normal"},{"_key":"590390f6806d","_type":"block","children":[{"_key":"47ed3e5968790","_type":"span","marks":[],"text":"Chronic, low-grade inflammation is another factor that is often seen in people with PCOS, and research shows that incorporating more anti-inflammatory foods into the diet can also reduce symptoms of PCOS and improve overall health."}],"markDefs":[],"style":"normal"},{"_key":"bdcee308bb35","_type":"block","children":[{"_key":"25c619fdce080","_type":"span","marks":[],"text":"Experts generally agree that a healthy PCOS diet should include whole foods with minimal processing, healthy fats, lean proteins, low-fat milk products, and non-starchy, low-glycemic carbohydrates. They also recommend eating several small, balanced meals throughout the day instead of three bigger meals to prevent food cravings, snacking, and over-eating and to keep insulin levels in a steady state in between meals."}],"markDefs":[],"style":"normal"},{"_key":"745494cbb443","_type":"block","children":[{"_key":"22966262e53f0","_type":"span","marks":[],"text":"Here are the key components of a PCOS diet:"}],"markDefs":[],"style":"normal"},{"_key":"af8cac03f534","_type":"block","children":[{"_key":"27c9f72575690","_type":"span","marks":["strong"],"text":"Whole grain bread, pasta, and cereals"}],"markDefs":[],"style":"normal"},{"_key":"26066df31815","_type":"block","children":[{"_key":"f43bf3f9d5040","_type":"span","marks":[],"text":"Brown rice, overnight oats, and quinoa are rich in fiber and antioxidants, which can help reduce inflammation."}],"markDefs":[],"style":"normal"},{"_key":"9410a6977438","_type":"block","children":[{"_key":"47abe62b023f0","_type":"span","marks":["strong"],"text":"High-fiber fruits and vegetables"}],"markDefs":[],"style":"normal"},{"_key":"1b21663a2b85","_type":"block","children":[{"_key":"dd6489ee63640","_type":"span","marks":[],"text":"Colorful fruits and vegetables are high in antioxidants and phytochemicals that have anti-inflammatory properties. Apples, plums, berries, leafy greens, tomatoes, broccoli, and cauliflower are all great choices."}],"markDefs":[],"style":"normal"},{"_key":"360933ec48b0","_type":"block","children":[{"_key":"75c0bd7d78a90","_type":"span","marks":["strong"],"text":"Lean proteins"}],"markDefs":[],"style":"normal"},{"_key":"b6718e72e8f0","_type":"block","children":[{"_key":"884524c531200","_type":"span","marks":[],"text":"Chicken and turkey (without skin), eggs, and plant-based sources such as nuts, beans, legumes, nut butters, avocado, and hummus are all approved picks. The omega-3 fatty acids found in fatty fishes, like salmon and tuna, have anti-inflammatory effects and should be included in your diet too."}],"markDefs":[],"style":"normal"},{"_key":"b5ba7756556d","_type":"block","children":[{"_key":"2a95fa3240760","_type":"span","marks":["strong"],"text":"Low-fat dairy"}],"markDefs":[],"style":"normal"},{"_key":"6c57f030c5bf","_type":"block","children":[{"_key":"147f49f6f8c80","_type":"span","marks":[],"text":"Low-fat, low-lactose dairy products like cottage cheese or Greek yogurt and non-dairy alternatives such as coconut, almond, and rice milk should be on the menu."}],"markDefs":[],"style":"normal"},{"_key":"f0e27377222c","_type":"block","children":[{"_key":"5c2042a0e4000","_type":"span","marks":["strong"],"text":"Spices and herbs"}],"markDefs":[],"style":"normal"},{"_key":"f775309d1f8e","_type":"block","children":[{"_key":"a088f85069a20","_type":"span","marks":[],"text":"Certain spice and herbs, such as turmeric, ginger, cinnamon, and garlic have potent anti-inflammatory properties and can easily be added into meals."}],"markDefs":[],"style":"normal"},{"_key":"81c1cf1ecbb4","_type":"block","children":[{"_key":"2970c439ff060","_type":"span","marks":["strong"],"text":"Healthy fats"}],"markDefs":[],"style":"normal"},{"_key":"db834aa08fc0","_type":"block","children":[{"_key":"7dc1f0eadda60","_type":"span","marks":[],"text":"Think olive oil, flaxseed oil, coconut oil and seeds – flax, chia, and sunflower."}],"markDefs":[],"style":"normal"},{"_key":"c7c03cd93c40","_type":"block","children":[{"_key":"bc2d2ca6c6680","_type":"span","marks":["strong"],"text":"Beverages"}],"markDefs":[],"style":"normal"},{"_key":"03363ecba413","_type":"block","children":[{"_key":"4b474ac1921c0","_type":"span","marks":[],"text":"Caffeinated drinks and alcohol can exacerbate PCOS symptoms and rack up calories quickly. Water is your best bet. Tea and seltzer with a splash of juice are other smart options."}],"markDefs":[],"style":"normal"},{"_key":"55da188db63e","_type":"sectionHeader","headerLevel":"h2","title":"The Impact of Diet on Insulin Resistance in Women with PCOS"},{"_key":"3462096f86d6","_type":"block","children":[{"_key":"4db40fa59ad20","_type":"span","marks":["799efdf5b760"],"text":"Losing weight"},{"_key":"f62fbb3f422b","_type":"span","marks":[],"text":" and following a PCOS diet can help with another key component of this disorder: insulin resistance. Insulin is a hormone that regulates blood sugar levels and insulin resistance is a condition in which the body’s cells don’t respond effectively to it."}],"markDefs":[{"_key":"799efdf5b760","_type":"internalLink","linkType":"text","reference":{"_ref":"1c62b3b9-56cd-407b-ad48-e2b58dfb57d3","_type":"reference"}}],"style":"normal"},{"_key":"1e1f27299cda","_type":"block","children":[{"_key":"72832d9d86330","_type":"span","marks":[],"text":"As a result, the pancreas pumps out excess insulin, which stimulates the ovaries to produce more androgens (male hormones) and cause many PCOS symptoms, like irregular periods and hirsutism."}],"markDefs":[],"style":"normal"},{"_key":"2998136621e3","_type":"block","children":[{"_key":"2ed0c329e5620","_type":"span","marks":[],"text":"Insulin resistance also contributes to weight gain and leads to a vicious cycle. Excess weight causes insulin resistance. Insulin resistance causes weight gain. So, besides losing weight and reducing inflammation, addressing insulin resistance through diet and nutrition is also critical in managing PCOS."}],"markDefs":[],"style":"normal"},{"_key":"5562f285dd76","_type":"sectionHeader","headerLevel":"h2","title":"Dietary Strategies for Managing Insulin Resistance"},{"_key":"814e97c273bf","_type":"block","children":[{"_key":"30ed218dde920","_type":"span","marks":[],"text":"There are four main strategies to keep in mind when trying to follow a PCOS diet that helps manage insulin resistance:"}],"markDefs":[],"style":"normal"},{"_key":"83e37ea821ef","_type":"block","children":[{"_key":"98331762badf0","_type":"span","marks":["strong"],"text":"Low Glycemic Index (GI) Foods"}],"markDefs":[],"style":"normal"},{"_key":"c30c438c54a3","_type":"block","children":[{"_key":"5635ef08c4310","_type":"span","marks":[],"text":"The glycemic index is a measure of how quickly a food raises blood sugar levels. Foods with a low GI are digested and absorbed more slowly, which leads to a gradual rise in blood sugar and insulin and helps improve insulin sensitivity."}],"markDefs":[],"style":"normal"},{"_key":"4fae8592432a","_type":"block","children":[{"_key":"82db60255a410","_type":"span","marks":["strong"],"text":"High-fiber"}],"markDefs":[],"style":"normal"},{"_key":"f0c163a4b30e","_type":"block","children":[{"_key":"f8cdb02c5d6c0","_type":"span","marks":[],"text":"Fiber slows down the digestion and absorption of carbohydrates, leading to a gradual increase in blood sugar and insulin levels."}],"markDefs":[],"style":"normal"},{"_key":"807cd4543f87","_type":"block","children":[{"_key":"4201fc8822320","_type":"span","marks":["strong"],"text":"Balanced macronutrient intake"}],"markDefs":[],"style":"normal"},{"_key":"89402ee2c6f4","_type":"block","children":[{"_key":"91bf1d4c7f0f0","_type":"span","marks":[],"text":"Balancing carbohydrates with lean proteins and healthy fats can help stabilize blood sugar levels. Protein slows down the digestion of carbohydrates and healthy fats can also help improve insulin sensitivity. "},{"_key":"91bf1d4c7f0f1","_type":"span","marks":["strong"],"text":"It's important to include a source of protein and healthy fat in each meal and snack to keep blood sugar levels stable."}],"markDefs":[],"style":"normal"},{"_key":"5c957fcda220","_type":"block","children":[{"_key":"450dddb6ff2f0","_type":"span","marks":["strong"],"text":"Avoiding refined carbohydrates"}],"markDefs":[],"style":"normal"},{"_key":"1c1e789c3621","_type":"block","children":[{"_key":"244341343eb50","_type":"span","marks":[],"text":"Refined carbohydrates, such as white bread, pastries, and sugary snacks, can cause rapid spikes in blood sugar and insulin levels, worsening insulin resistance."}],"markDefs":[],"style":"normal"},{"_key":"3321f8b4f58f","_type":"sectionHeader","headerLevel":"h2","title":"Foods to Avoid if You Have PCOS"},{"_key":"27a7f65544a3","_type":"block","children":[{"_key":"48b528fa7e490","_type":"span","marks":[],"text":"People with PCOS should avoid foods that can spike blood sugar or cause inflammation. 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