Hormone-Related Conditions

Migraine attacks linked to oestrogen withdrawal around menstruation or during perimenopause. We stabilise hormonal fluctuations to prevent attacks.

• Migraine around menstruation (days -2 to +3)
• Worsening migraine in perimenopause
• Prolonged, severe attacks
• Associated nausea and light sensitivity

Systemic neuroimmune condition with hormonal abnormalities including blunted HPA axis, low DHEA, and subclinical thyroid dysfunction.

• Profound fatigue >6 months
• Post-exertional malaise
• Unrefreshing sleep
• Brain fog

Chronic sleep disruption driven by progesterone deficiency, cortisol rhythm dysregulation, and melatonin decline.

• Difficulty falling asleep
• Frequent night waking
• Night sweats disrupting sleep
• Unrefreshing sleep

Anxiety and depression with clear hormonal aetiology — perimenopausal, testosterone-deficiency, thyroid-related, and cortisol-driven.

• Low mood worsening with hormonal changes
• Anxiety linked to cycle or perimenopause
• Irritability and emotional volatility
• Brain fog and poor concentration

Oestrogen-dependent chronic inflammatory condition. Hormonal management to reduce pain and slow progression alongside surgical care.

• Severe period pain
• Chronic pelvic pain
• Pain during intercourse
• Heavy or irregular periods

Bone density loss driven by oestrogen deficiency, testosterone decline, and vitamin D insufficiency. Hormonal approach to bone protection.

• Low bone density on DXA
• History of low-trauma fracture
• Early or surgical menopause
• Loss of height

GI symptoms that fluctuate with menstrual cycle, stress, or hormonal transitions. We address the hormonal triggers standard gastroenterology overlooks.

• Bloating worsening around menses
• Alternating constipation and diarrhoea
• Symptom flares with hormonal changes
• Stress-triggered GI symptoms