Sembhi Integrative Medicine

Sembhi Integrative Medicine Sembhi Integrative was founded by Dr. Aerin Sembhi, MD, Seattle.

Supporting whole-body health for those with endometriosis, histamine disorders, dysautonomia, hypermobility, hormonal and metabolic dysfunction, preconception, postpartum, perimenopause.

05/15/2026

For decades, women with PCOS have been told this condition was primarily about their ovaries.

But many women intuitively knew that explanation never fully fit their experience.

Because the symptoms often extend far beyond irregular periods:

fatigue,

insulin resistance,

anxiety,

inflammation,

weight changes,

fertility struggles,

mood symptoms,

and feeling confused about what’s going on in their bodies.

This week, an international consensus published in The Lancet proposed renaming PCOS to:
Polyendocrine Metabolic Ovarian Syndrome (PMOS).

The new name recognizes something important:
this is not simply an ovarian condition.

It is a whole-body condition involving hormones, metabolism, inflammation, and stress physiology.

And for many women, hearing that can feel deeply validating.

Because struggling with symptoms does not mean you are lazy, failing, or lacking discipline.

It means the body may need more support than it has been given.

Comment “gather” to learn more about the conversation we’re hosting in Seattle on May 19.

- Dr. Aerin

A lot of women are surviving by becoming incredibly high-functioning while quietly feeling terrible.And eventually that ...
05/15/2026

A lot of women are surviving by becoming incredibly high-functioning while quietly feeling terrible.

And eventually that starts to feel “normal.”

This conversation is for the woman who knows something feels off —
even if she can’t fully explain it yet.

You are not lazy.
You are not weak.
And you are not imagining this.

Join us for an intimate evening conversation about:

hormones
fertility
mood
postpartum depletion
stress physiology
and why women so often stop feeling like themselves.
Only 8 spots available.

Comment “GATHER” and I’ll send the details.

05/14/2026

Your cycles are not just about fertility.

They reflect:

hormone health,
stress physiology,
metabolism,
nutrition,
and whether the body has what it needs to thrive.
And when something is off, it does not mean your body is broken.

It does not mean you failed.
And it does not require perfection to support healing.

Often, it means the body has been adapting to stress, undernourishment, inflammation, hormone imbalance, or unmet physiologic needs for longer than anyone realized.

And the body is often far more responsive than women have been taught to believe.

Comment “gather” for more

-Dr. Aerin

For decades, women were taught that low-fat eating was the path to health — especially women trying to stay “skinny” or ...
05/13/2026

For decades, women were taught that low-fat eating was the path to health — especially women trying to stay “skinny” or get back to a pre-baby body.

The hormone story tells a different one.

Cholesterol is the raw material your body uses to make s*x hormones. Fat-soluble vitamins fuel ovulation, fertility, mood, and recovery. And most “low-fat” packaged foods quietly replaced fat with sugar — which raises insulin and disrupts the entire hormone system.

If you’ve struggled with cycles, mood, fertility, or postpartum recovery and you’ve been eating “clean and low-fat” for years, this is worth a closer look.

This is the kind of conversation Cindie Brown, CNM, ARNP and I are having at the intimate evening I’m hosting in Seattle on May 19.

Comment “gather” for details.

—Dr. Aerin

You’ve been to your doctor. The labs came back normal. You’ve been told to give it time, get more sleep, try meditation....
05/12/2026

You’ve been to your doctor. The labs came back normal. You’ve been told to give it time, get more sleep, try meditation.

But something is still off.

On Tuesday, May 19, I’m hosting a small, in-person evening at my Seattle office with my colleague Cindie Brown, CNM, ARNP. It’s the kind of conversation I wish more women got access to about what’s actually happening in the body during the years around fertility, postpartum recovery, and early motherhood.

This is for you if you:

— Are preparing for pregnancy, trying to conceive, or recovering from a loss — Are months or years postpartum and still don’t feel like yourself — Have struggled with cycle changes, PMS, mom rage, mommy brain, fatigue, or hair loss — Have been told your symptoms are normal but suspect something deeper is going on

Cindie will walk through how progesterone and ovulation shape mood and fertility. I’ll cover what happens to those systems through pregnancy and the postpartum years — including the surprising reason some women struggle for months or years after a baby and others don’t.

Eight seats. Light refreshments. Real conversation.

Comment “gather” and we’ll send you the link to reserve.

05/11/2026

One molecule. One sharp drop. A surprising amount of what women describe as “I just don’t feel like myself.”

Cindie Brown, CNM, ARNP and I are going deeper on May 19 in Seattle.

Comment “gather” for details.

—Dr. Aerin

This experience completely changed the way I think about postpartum recovery.Not as “bouncing back.”Not as trying harder...
05/11/2026

This experience completely changed the way I think about postpartum recovery.

Not as “bouncing back.”
Not as trying harder.
Not as layering wellness routines onto an already overwhelmed body.

But as giving the body the right support in the right phase.

I think many women are walking around believing they’re failing motherhood, when their bodies are actually asking for support.

If you’ve felt unlike yourself for longer than anyone prepared you for, you are not alone.

On May 19, Cindie Brown and I are hosting a small evening in Seattle on hormones, fertility, mood, and postpartum recovery through a more integrative and physiology-based lens.

Comment “GATHER” and I’ll send you the link to learn more.

There’s a narrative that motherhood inevitably leaves women scattered, exhausted, emotionally reactive, forgetful, overw...
05/09/2026

There’s a narrative that motherhood inevitably leaves women scattered, exhausted, emotionally reactive, forgetful, overwhelmed, or unlike themselves.

But the reality is more nuanced than that.

The maternal brain is actually designed to adapt in remarkable ways. Research shows motherhood changes the brain to increase attunement, vigilance, emotional processing, bonding, and responsiveness to a baby’s needs.

In many ways, “mommy brain” is an upgrade.

But when a woman is deeply depleted, chronically stressed, under-slept, inflamed, hormonally dysregulated, or carrying years of physiological strain into motherhood it’s common instead to feel:

anxiety
irritability
brain fog
emotional overwhelm
exhaustion
feeling unlike yourself
And too many women assume this means they’re failing.

Often, it means the system needs support.

Not generic wellness advice.
Not “try harder.”
Not more self-judgment.

Specific, phased, physiology-based support.

This is part of the conversation Cindie Brown and I will be having on May 19 at our intimate in-person evening in Seattle on hormones, mood, fertility, and the long arc of motherhood.

8 seats total. Comment “gather” to learn more.

Mommy brain. Hair loss. Mom rage. Catching every illness your toddler brings home.These are some of the most common thin...
05/08/2026

Mommy brain. Hair loss. Mom rage. Catching every illness your toddler brings home.

These are some of the most common things I hear in clinical practice — and individually, each gets dismissed as “just motherhood.”

But when several of them show up in the same woman, in the same year, they’re often pointing to something specific. Something measurable. Something most postpartum panels don’t test for.

This week is Maternal Mental Health Awareness Week, and Mother’s Day weekend. Two good reasons to talk about a piece of postpartum recovery that gets quietly overlooked — and that disproportionately affects mood.

I just published a new blog post: Postpartum Zinc Deficiency: The Overlooked Nutrient Affecting Mood, Hair Loss, & Recovery. It walks through:

— Why zinc gets depleted in pregnancy and breastfeeding — What zinc deficiency actually feels like postpartum — The exact lab panel I order, how to talk to your doctor about it, food sources of zinc and supplement cautions.

If you’ve been told everything looks normal but you know something is off — this is a lab worth asking about.

Comment “zinc” for the link.

And if this is resonating, stay tuned for more on an upcoming in person class where my midwife colleague Cindie Brown and I go even deeper and give you real tools for fertility, mood, and postpartum recovery.

Warmly,

Dr. Aerin

—

Sometimes you don’t need an answer. You need a list of people you can trust.Motherhood can be so joyful... and it can al...
05/07/2026

Sometimes you don’t need an answer. You need a list of people you can trust.

Motherhood can be so joyful... and it can also feel heavy — especially when you’re juggling more than you have time for, and you’re not sure where to turn for the things that aren’t quite right but don’t feel like an emergency.

So for Mother’s Day, I’m sharing something practical: a curated list of providers I’ve come to trust in Seattle and the Pacific Northwest, plus a handful of nationwide resources. Pelvic floor PTs, lactation consultants, postpartum doulas, midwives, perinatal mental health specialists, baby- and toddler-friendly fitness, and more. Every name on it is someone I would refer a patient to.

Bookmark it, come back whenever you need it.

Comment “resources” for the link.

Happy Mother’s Day to those who celebrate. And to those for whom this weekend feels hard, I’m thinking of you too.

—Dr Aerin

Address

6204 8th Avenue Northwest, Suite B
Seattle, WA
98107

Telephone

+12069461564

Website

https://drsembhi.kartra.com/page/heartmath_class, https://drsembhi.kartra.com/page/SIM#uc8wDeC

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