We take a holistic approach to hormone health. This means we look beyond symptoms and work to understand what is driving them.
For some patients, treatment may involve body-identical or bio-identical hormone replacement therapy. For others, support may also include nutrition, lifestyle changes, supplements, or targeted medical care. This page gives an overview of the hormone-related conditions we commonly assess and treat.
For full details on treatment options, please visit our main Hormone Replacement Therapy page.
Menopause is a natural stage of life, usually occurring between the ages of 45 and 55, when periods stop as hormone levels decline. Every woman experiences menopause differently. Symptoms may include hot flushes, night sweats, anxiety, fatigue, weight gain, poor concentration, bladder changes and vaginal dryness. For some women, these symptoms can have a significant impact on daily life.
Some women do well on standard HRT options. Others need a more tailored approach because of side effects, symptom patterns, medical history or personal preference. Our role is to assess what is appropriate for you, rather than applying the same plan to every patient.
Perimenopause is the transition before menopause, when hormone levels begin to fluctuate. Periods may become heavier, lighter, closer together or less predictable. Symptoms such as night sweats, hot flushes, mood changes, anxiety, poor sleep and brain fog can also appear during this time.
For some women, perimenopause is mild. For others, it can feel disruptive and difficult to understand, particularly when symptoms start before periods have stopped.
Perimenopause is often mistaken for stress, anxiety or low mood alone. While those symptoms are real, they may be linked to hormonal change. A proper assessment helps us understand whether hormone support, lifestyle changes, nutrition or another medical route is most appropriate.
Premenstrual Syndrome, or PMS, refers to physical and emotional symptoms that occur in the second half of the menstrual cycle, usually in the days before a period. Symptoms can vary from mild discomfort to changes that affect mood, sleep, work and relationships.
PMS is often linked to the relationship between oestrogen and progesterone, but stress, sleep, nutrition, thyroid function and wider health can also influence how symptoms appear.
PMS is sometimes managed with the contraceptive pill, antidepressants or talking therapies. These may help some women, but they do not suit everyone. We look at the whole picture before deciding what is most appropriate.
PMDD is a more severe form of premenstrual disorder. Symptoms usually appear in the days before a period and can cause significant emotional, psychological and physical distress.
PMDD can affect mood, sleep, concentration, relationships and day-to-day functioning. It should be assessed carefully, especially where symptoms are intense or have a clear monthly pattern.
PMDD is often treated with antidepressants or hormonal contraception. In more severe cases, ovarian suppression may be discussed in specialist settings. At Omniya, we look carefully at hormone patterns, symptom timing and wider health before recommending a plan.
If symptoms include thoughts of self-harm or suicide, urgent mental health support should be sought immediately.
Endometriosis occurs when tissue similar to the lining of the womb grows outside the uterus, including around the ovaries, fallopian tubes, bowel or bladder. It can cause painful periods, pelvic pain, fatigue and difficulty conceiving.
Adenomyosis occurs when tissue similar to the womb lining grows into the muscular wall of the uterus. It is often linked with heavy, painful periods and pelvic discomfort.
Management can include pain relief, hormonal treatment, the Mirena coil, laparoscopic surgery or, in severe cases, more invasive options. The right approach depends on symptom severity, fertility plans, previous treatment and how much the condition is affecting daily life.
Polycystic Ovary Syndrome, or PCOS, is a common condition linked with hormonal and metabolic imbalance. It can affect periods, skin, hair growth, weight, insulin resistance and fertility. Some women have very few symptoms, while others experience changes that affect their health and confidence day to day.
PCOS is often managed with weight loss advice, the contraceptive pill or medication for individual symptoms such as acne or excess hair growth. These can be useful for some patients, but we also look at the underlying hormonal and metabolic picture.
Fibroids are benign growths that develop in or around the uterus. They can vary in size and may cause no symptoms at all. For some women, they can lead to heavy bleeding, pelvic pressure, pain, bloating or fertility concerns.
Fibroids may be influenced by hormone levels, particularly oestrogen and progesterone, although each case needs to be assessed individually.
Fibroid treatment can include monitoring, medication, hormonal options, procedures to reduce bleeding, or surgery in selected cases. The right plan depends on the size and position of the fibroids, your symptoms, your age and whether fertility is a consideration.
Abnormal uterine bleeding can include periods that are unusually heavy, light, prolonged, irregular or unpredictable. Hormonal imbalance is one possible cause, but bleeding changes should always be assessed properly to rule out other medical reasons.
Management may include the contraceptive pill, tranexamic acid, intrauterine devices, endometrial ablation or surgery in selected cases. The right route depends on the cause, severity of bleeding, age, symptoms and future fertility plans.
Postnatal depression can develop in the first year after childbirth. It may be linked to hormonal changes, sleep deprivation, physical recovery, emotional strain and the adjustment to life after birth. Symptoms can affect mood, bonding, energy and day-to-day confidence.
Postnatal depression is often treated with talking therapies, antidepressants or support from the GP, midwife or health visitor. These can be important. Our focus is to consider whether hormonal or physical factors may also be contributing.
Osteoporosis is a loss of bone density that makes bones more fragile and more likely to fracture. Risk increases after menopause, when oestrogen levels fall. Bone loss can happen quietly, so assessment is important before symptoms appear.
Osteoporosis may be treated with HRT, bisphosphonates or other bone-protective medication depending on risk, age, medical history and scan results. We look at the full clinical picture before recommending a plan.
Thyroid conditions can affect metabolism, energy, mood, temperature regulation, weight and concentration. An underactive thyroid may cause fatigue, weight gain and brain fog, while an overactive thyroid may cause palpitations, anxiety, heat sensitivity or weight loss.
Some patients respond well to standard thyroid medication. Others continue to experience symptoms and need a fuller review of thyroid markers, hormone health and wider medical factors.
Premature ovarian failure, also known as primary ovarian insufficiency or early menopause, occurs when the ovaries stop working properly before the age of 45. It can bring menopausal symptoms earlier than expected and may affect fertility, bone health, cardiovascular health and emotional wellbeing.
Younger women with early menopause symptoms may not always receive the hormone support they need. A proper assessment helps confirm what is happening and whether treatment is needed for both symptom relief and long-term health protection.
Hormonal imbalance can affect ovulation, cycle regularity, egg quality, sperm health and the ability to conceive. While many couples conceive within one to two years, earlier investigation may be appropriate depending on age, cycle history, symptoms and previous fertility concerns.
Some couples are advised to wait before testing, but this is not always appropriate, particularly when the woman is over 35 or symptoms suggest an underlying issue. Early assessment can help avoid unnecessary delay.
Insulin resistance occurs when the body becomes less responsive to insulin. It can affect weight, energy, cravings, blood sugar control, cholesterol, blood pressure and long-term metabolic health. It is also commonly linked with PCOS and hormonal imbalance.
Insulin resistance is often addressed only once blood sugar has become abnormal. We prefer to identify risk earlier and build a plan that supports metabolic health before symptoms progress.
Hormonal hair loss can include thinning hair, increased shedding or excess facial and body hair. It may be linked with changes in oestrogen, androgens, thyroid function, nutrition, iron levels, insulin resistance or PCOS.
Hair loss is often treated at scalp level only. That may help, but it can miss the reason the shedding or thinning started. We look at the underlying medical picture before recommending treatment.
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