Cost: Member: $35 | Student: $15 | Non-member: $65
Abstract: This presentation explores the contrasting physiology of fertility and perimenopause, helping clinicians recognize where the reproductive system’s patterns and priorities shift across the lifespan. We will begin with a review of core reproductive physiology, emphasizing the hormonal dynamics that define optimal fertility and how these differ from perimenopausal transitions. Participants will receive a concise overview of fertility evaluation essentials, including cycle tracking, key laboratory assessments, and indicators of ovulatory function. The session will also highlight red flags that warrant referral—such as signs of premature ovarian insufficiency and endometriosis—ensuring timely and appropriate co-management. Finally, we will discuss how to nuance hormonal evaluation and treatment for fertility patients, differentiating between physiologic support for conception and the management of early dysregulation that precedes perimenopause. This integrative review equips primary care and naturopathic clinicians with a clear framework for identifying, evaluating, and managing patients across the spectrum of reproductive health.
Presenter Bio: Dr. Khivan Oberoi (she/her) is a licensed Naturopathic Physician with extensive expertise in integrative fertility care, reproductive endocrinology, and the ethical application of assisted reproductive technologies (ART). She specializes in supporting patients navigating complex fertility journeys—including LGBTQ+ individuals and couples—through evidence-based, affirming, and individualized care.