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Hormonal concerns
When your hormones feel out of balance
Irregular periods, mood changes, low libido or tiredness can have several hormonal causes. Finding the right one is the first step.
Why it happens
In perimenopause, estrogen and progesterone swing up and down from month to month, which can cause irregular or heavy periods, breast tenderness, mood changes and poor sleep. Other conditions can cause similar symptoms and are worth checking, such as thyroid disease, PCOS, insulin resistance and anaemia.
What we check
- Your periods, symptoms and their timing
- Thyroid function
- Blood sugar and insulin resistance
- Hormone tests where they help (they aren't always needed in perimenopause)
- Blood count and iron
- Pelvic ultrasound for heavy or irregular bleeding
How it can be treated
- Treating thyroid, PCOS or insulin resistance if found
- Managing heavy or irregular periods
- HRT or other hormonal treatment where suitable
- Support for mood, sleep and libido
- Contraception advice in perimenopause
Treatment is decided after a consultation and depends on your health, tests and preferences.
Not sure where to start?
Take the free assessment. It takes about 10 minutes, and Dr Anagha's team will call you to discuss your answers.