Skip to content

Hormone care · Cape Town

Your bloodwork has answers your willpower doesn't.

Fatigue, flat libido, broken sleep and moods that swing are easy to blame on yourself. Often they are hormonal, measurable on a morning blood test, and treatable under proper monitoring. Men's and women's pathways run side by side here.

Pick your lane 

Men

Testosterone, measured properly

  • Fatigue that sleep does not repair
  • Libido gone quiet, fewer morning erections
  • Workouts that stopped paying off
  • Flat mood, short fuse, no drive

Two morning blood tests and a safety baseline before anything is prescribed. If TRT is right for you, it comes with scheduled monitoring. If your levels are normal, you get told so.

The men's hormone service

Women

Menopause, HRT and PCOS, taken seriously

  • Hot flushes and 3am wake-ups
  • Cycles that stopped making sense
  • Mood swings, brain fog, anxiety that is new
  • Dryness or discomfort during sex
  • Stubborn acne or excess hair (possible PCOS)

Validated symptom scoring, bloods only where they change the decision, HRT with transdermal options preferred, and local treatment for dryness. Reviewed a month in, adjusted to you.

The women's hormone service

The morning rule 

Why we draw bloods before 10am

Testosterone peaks early and slides through the day. The same man can look deficient at 4pm and normal at 8am, so we only diagnose on morning values.

Testosterone level through the dayAn illustrative curve showing testosterone highest between 6am and 10am, the window in which PVT draws diagnostic bloods, then falling through the afternoon and evening.DRAW WINDOW06:00 to 10:006am10am2pm6pm10pmLEVELyour testhappens hereafternoon dip: up to a third lower

One assessment, two pathways 

Both lanes start the same way: symptoms scored, morning bloods drawn, then a plan matched to what the numbers actually show.

  1. 1

    Symptom review with a validated questionnaire

  2. 2

    Morning bloods at the lab

  3. 3

    Eligibility and safety check

  4. 4

    Treatment plan with scheduled monitoring

Common questions about hormone care 

You test rather than guess. A validated symptom questionnaire plus targeted morning bloods at the blood lab settle whether testosterone, thyroid, perimenopause or PCOS explains what you are feeling. Either answer is useful: confirmed causes get treated, and a normal result points the search somewhere better.

Medically reviewed by Dr D. Moodley [DOCTOR_NAME_PLACEHOLDER], HPCSA [HPCSA_NUMBER_PLACEHOLDER]. Last reviewed 1 July 2026.

Get the blood test

One morning appointment settles what months of wondering cannot. Book at Milnerton or Table View.

R650 private doctor consult, paid upfront by cash or card. It covers the assessment, test selection, explanation of your first results, and a script where clinically appropriate. Lab tests are billed separately by the blood lab (Lancet). Medical aid is optional: you claim back yourself if you have it.