Cycle Wisdom: Women's Health & Fertility

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Heavy, painful periods. Large clots. An enlarged uterus on ultrasound. And a workup that keeps coming back normal. If this sounds familiar, there is a condition called adenomyosis that is responsible for a pattern of suffering that has been normalized for far too long — and it is found in up to 35% of women with recurrent pregnancy loss or infertility.
In this episode of Cycle Wisdom, Dr. Monica Minjeur, DO walks through exactly what adenomyosis is, why standard ultrasound frequently misses it, how it impairs implantation and contributes to pregnancy loss, and what a restorative approach to evaluation and treatment looks like. Through Hailey's story — a woman who had failed two IUI cycles, a shortened luteal phase, and years of normalized period pain — you will see how the right evaluation finally connected the dots.
You will learn:
What adenomyosis is, how it differs from endometriosis, and why the two frequently coexist
Why a normal ultrasound does not rule out adenomyosis — and what an experienced sonographer and MRI can find that standard imaging misses
What treatment looks like when preserving fertility is the goal — and why hysterectomy should never be the first conversation
If you have been told your heavy periods are just your normal — this episode will help you ask better questions at your next appointment. Learn more or schedule a free discovery call at radiantclinic.com.

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"We've tried everything." It is one of the most heartbreaking sentences heard in fertility care — and almost always, it is not true. Not because couples have not worked hard or followed every recommendation, but because everything in conventional fertility care is often a surprisingly short list. And a landmark study published this year confirms just how short that list actually is.
In this episode of Cycle Wisdom, Dr. Monica Minjeur walks through what the standard fertility workup is consistently missing — and what finding those answers can change. Through Vivian and Robert's story, a couple who went through two IUIs and a failed IVF transfer and were told everything looked fine, you will see how a complete evaluation revealed multiple identifiable and treatable causes — and how they conceived naturally eight months later without another IVF cycle.
You will learn:
What a landmark 2025 study co-authored by Dr. Minjeur found about how often guideline-recommended diagnostics are actually completed before IVF begins — and why the findings are staggering
The four most common missed findings in standard fertility evaluations — poor ovulation quality, subtle thyroid dysfunction, adrenal insufficiency, and chronic endometritis
Why "your labs are normal" is not the same as "everything is functioning optimally" — and what the distinction means for your next step
If you have been told you have unexplained infertility or that IVF is your only remaining option — this episode is for you. Learn more or schedule a free discovery call at radiantclinic.com.
Journal articles mentioned:
Real World Fertility Evaluation & Care Prior to In Vitro Fertilization: Care Gaps That Could be Addressed by Restorative Reproductive Medicine
Public Awareness, Perceptions, and Preferences in Fertility Treatment: Secondary Analysis of Two Public Surveys

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Ovulation is not just about getting pregnant. It is the primary hormonal event of the entire female cycle — and when it is missing, whether because of a medical condition, a lifestyle pattern, or years of hormonal contraception, the consequences build quietly throughout the entire body, often long before anyone notices.
In this episode of Cycle Wisdom, Dr. Monica Minjeur makes the case that ovulation is not optional — it is necessary for long-term health. Through Charlotte's story, a 28-year-old who had been on the birth control pill since age 17 and came off to find her cycles never returned, the bone density of a 50-year-old, and an underlying PCOS/PMOS diagnosis that had been masked for over a decade, you will see what years of suppressed ovulation can silently cost.
You will learn:
Why ovulation — not just a period — is required to produce progesterone, and what the downstream consequences are for bone, brain, cardiovascular, and endometrial health when it is absent
Why a period does not confirm ovulation — and why a withdrawal bleed from hormonal contraception is not the same physiologically as an ovulatory cycle
What chronic anovulation actually does to cholesterol, bone density, mood, and long-term cancer risk — and what restoring ovulation can change even after years of suppression
If you have been told your period means your hormones are regulated — this episode will show you why that answer is not complete. Learn more or schedule a free discovery call at radiantclinic.com.

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Most women think perimenopause happens in their late 40s. But for many women, the hormonal shift begins quietly in their mid-to-late 30s — with symptoms that are almost always dismissed as stress, anxiety, or just getting older. By the time perimenopause is recognized, most women have already been living with it for years.
In this episode of Cycle Wisdom, Dr. Monica Minjeur walks through what perimenopause actually looks like, why progesterone is almost always the first hormone to change, and why recognizing this transition early is one of the most important things a woman can do for her long-term bone, cardiovascular, and brain health. Through Andrea's story — a 37-year-old with regular cycles and no obvious symptoms who turned out to be in early perimenopause — you will see how the signals are often there long before anyone connects them to the right diagnosis.
You will learn:
Why progesterone declines first — often years before estrogen shifts — and what that means for PMS, sleep, anxiety, and cycle changes
Why a normal FSH does not rule out early perimenopause — and what cycle charting reveals that lab work alone cannot
What the treatment approach looks like for each stage of the perimenopausal transition — and why bioidentical progesterone is almost always the right starting point
If you have been told your labs are normal but your cycles and symptoms tell a different story — this episode will help you understand what is actually happening and what to do about it. Learn more or schedule a free discovery call at radiantclinic.com.

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Vitamin D is one of the most commonly deficient nutrients in reproductive-aged women — and one of the most consistently overlooked in a fertility workup. It is not actually just a vitamin. Vitamin D functions as a hormone with receptors in the ovaries, uterus, placenta, and immune system. And the research on what happens to ovulation, implantation, and pregnancy when levels are low is compelling enough that no fertility evaluation should leave it out.
In this episode of Cycle Wisdom, Dr. Monica Minjeur walks through exactly what vitamin D does in the reproductive system, why the standard prenatal vitamin dose is almost never enough, and what optimal levels actually look like — versus what most labs report as normal. Through Priya's story, a woman who had been taking a prenatal vitamin for two years and still had a vitamin D level of only 18, you will see how a simple, inexpensive intervention can be part of a picture that changes everything.
You will learn:
How vitamin D receptors throughout the reproductive system influence follicle development, endometrial thickness, implantation, and immune tolerance for early pregnancy
Why most prenatal vitamins contain only 400 IU — and why most women need 4,000 to 5,000 IU daily to reach and maintain optimal levels
How to find the RIGHT supplement for suboptimal Vitamin D: Vitamin D3 with K2 (version menaquinone-7 or MK-7)
What the research shows about vitamin D deficiency during pregnancy and its impact on the long-term health of your baby — including risks of multiple sclerosis, asthma, type 1 diabetes, ADHD, and autism spectrum disorder
If your vitamin D has never been tested as part of a fertility evaluation — this episode will show you exactly why it should be. Learn more or schedule a free discovery call at radiantclinic.com