Menopause & Women’s Hormonal Health

Premenstrual Syndrome (PMS)

Premenstrual Syndrome (PMS) is more than just feeling a bit off before your period — for many women, it’s a debilitating hormonal disruption that impacts mood, energy, physical comfort, and quality of life.

Some women also experience PMDD (Premenstrual Dysphoric Disorder), a more severe form of PMS involving intense mood swings, anxiety, or depression before menstruation.

If you're regularly struggling with your cycle — physically, emotionally, or mentally — it’s a sign your hormones are out of sync. At our clinic, we offer comprehensive support, including hormone testing, lifestyle strategies, nutritional support, and tailored treatment plans that may include both standard HRT and bioidentical hormones (BHRT) if clinically appropriate.

Signs of PMS or Hormonal Imbalance

Mood swings, irritability, or depression before your period
Bloating, fluid retention, and breast tenderness
Cramping, fatigue, or joint pain
Insomnia or disturbed sleep
Anxiety, anger, or increased emotional sensitivity
Hormonal acne or oily skin flare-ups
Migraines or headaches linked to your cycle
Irregular cycles or spotting
Poor stress tolerance or feeling emotionally overwhelmed

What We Offer

We believe PMS is a treatable condition, not something you just have to “put up with.” Our approach focuses on identifying the root cause, supporting your cycle naturally or hormonally as needed, and helping you feel more balanced all month long.

Clinical Hormone Testing

Cycle-timed blood panels (e.g. progesterone, oestrogen, testosterone, DHEA, thyroid, cortisol)
Identification of oestrogen dominance, progesterone deficiency, or adrenal fatigue
Nutrient testing to assess magnesium, B6, and other mood-related factors

Lifestyle & Symptom Mapping

Cycle tracking and symptom analysis
Gut and liver support to aid hormone detoxification
Stress management strategies to support cortisol balance
Nutritional review, including anti-inflammatory and hormone-friendly eating patterns

Treatment Options

Bioidentical progesterone therapy for those with clear luteal phase deficiency
Standard HRT in cases of perimenopause-related PMS or when clinically indicated
Supplement protocols (e.g. magnesium glycinate, vitamin B6, DIM, omega-3s)
NESA therapy to regulate the autonomic nervous system and improve stress handling, sleep, and mood
Supportive skin and body treatments for hormone-related acne, bloating, or water retention

PMS vs PMDD – What’s the Difference?

While both involve cyclical symptoms, PMDD is a more severe form of PMS marked by:
Debilitating mood changes
Feelings of hopelessness or anger
Panic attacks or severe anxiety
Difficulty with relationships or daily function

We take PMDD seriously and provide sensitive, structured care. This may include referral for additional psychological support, use of bioidentical progesterone, or collaborative care with your GP if medication is indicated.

Why Address PMS Proactively?

Chronic hormonal imbalance can worsen over time, contributing to:
More difficult perimenopause transitions later
Fertility challenges
Ongoing skin issues, weight fluctuations, and mood disorders
Disrupted relationships and work-life strain

With early intervention, we help rebalance your hormones naturally or therapeutically, giving you freedom from the monthly rollercoaster.

What to Expect During Your Appointment

1. Detailed consultation: medical history, symptom timeline, menstrual patterns, skin changes, and emotional wellbeing
2. Optional blood testing: timed to your cycle (typically day 21 for progesterone or follicular phase for oestrogen dominance)
3. Personalised plan: this may include hormone therapy (if appropriate), supplements, lifestyle support, NESA therapy, and skin or body treatments
4. Follow-up every 3–6 months to review progress and adjust protocols as needed