Women's Hormone Health (HRT, Menopause, PCOS)
Women's hormone health at PVT covers doctor-led assessment and treatment of perimenopause, menopause, PCOS, low libido and vaginal dryness, including HRT where it is appropriate.
Hot flushes, broken sleep, mood that swings without warning, cycles that stopped making sense, sex that has become uncomfortable. Hormonal symptoms are real, measurable, and in most cases very treatable.
R650 first visit, R450 follow-up
Overview
Hormone care for women at PVT starts with listening. A structured symptom review, using validated menopause and PCOS scoring where relevant, is paired with targeted blood tests through Lancet. Perimenopause in particular is often a clinical diagnosis, so your doctor treats the pattern of symptoms, not just a single lab number.
Treatment is matched to you. For menopause and perimenopause that may mean HRT, with transdermal oestrogen preferred where suitable because of its safety profile. Vaginal dryness and discomfort with sex (genitourinary syndrome of menopause) respond well to local vaginal oestrogen, which can be used alone or alongside systemic HRT. PCOS management covers cycles, skin, hair, weight and fertility planning. Where low libido has a hormonal component, low-dose testosterone can be considered for women, within recognised guidelines.
Whatever is prescribed comes with a monitoring plan. Initiation typically follows the follow-up package: R650 for the first visit and R450 for a review about a month later, billed separately at each visit, so doses are checked against how you actually feel.
What happens at a hormone consult
Symptom review
A structured conversation plus a validated questionnaire, covering cycles, sleep, mood, flushes, libido and comfort with sex.
Baseline examination
A focused examination, including blood pressure and the checks that make HRT prescribing safe.
Targeted bloods via Lancet
Blood tests only where they change the decision. Menopause is often diagnosed clinically; PCOS and thyroid questions usually do need bloods.
Eligibility and safety check
Your personal and family history is reviewed against prescribing guidelines so treatment options are safe for you specifically.
Treatment plan and monitoring
You leave with a written plan, a script where treatment is agreed, and a scheduled review to check symptoms and adjust.
Frequently asked
For most healthy women within ten years of menopause, current evidence supports HRT as a safe and effective treatment for menopausal symptoms, and for many women the benefits outweigh the risks. Safety is individual, which is why your doctor reviews your personal and family history before prescribing and prefers transdermal oestrogen where suitable.
The picture is more nuanced than the headlines. Oestrogen-only HRT has shown little to no increase in breast cancer risk in major studies. Combined HRT is associated with a small increase with longer use, on the order of a few extra cases per thousand women, similar in scale to lifestyle factors such as alcohol. Your doctor will put the numbers in context for your history.
When symptoms start affecting your life, which is often in perimenopause, before periods stop. You do not need to wait for a final period or a particular age. Starting within ten years of menopause is associated with the most favourable balance of benefit and risk.
Yes. Certain non-hormonal prescription medicines reduce hot flushes, vaginal moisturisers help with dryness, and CBT-based approaches help with sleep and mood symptoms. If HRT is not suitable or not wanted, your doctor will build a plan from these instead.
Yes. PCOS care is not only about fertility. Managing irregular cycles, acne, excess hair and long-term metabolic health matters at every stage, and your plan is built around your current goals, which can change over time.
Medically reviewed by Dr D. Moodley [DOCTOR_NAME_PLACEHOLDER], HPCSA [HPCSA_NUMBER_PLACEHOLDER]. Last reviewed 1 July 2026.
Conditions this service covers
Menopause & Perimenopause
Menopause is the point when periods stop permanently, and perimenopause is the hormonal transition before it; symptoms of both are real and very treatable.
Learn morePCOS
Polycystic ovary syndrome (PCOS) is a common hormonal condition causing irregular periods, acne, excess hair and sometimes fertility difficulty, and it is very manageable with the right plan.
Learn moreLow Libido / Low Desire
Low libido is a persistent drop in sexual desire, in men or women, with many possible causes ranging from hormones to medication to life circumstances, most of them addressable.
Learn moreBook a private consult
Most patients are seen within the week at Milnerton or Table View. You can book by WhatsApp without saying why you are coming in.
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.