How we can Help
Menstrual, Fertility, Perimenopause & Menopause Care. Expert specialist care for infertility, contraception, PCOS, PMDD, perimenopause, menopause and bleeding concerns across the lifespan.
PCOS
What is PCOS?
Polycystic ovary syndrome (PCOS) is a common hormone condition that can influence your periods, fertility, skin and hair, weight, and overall wellbeing. It affects an estimated 2–26 in every 100 women and presents differently from person to person — there’s no one “typical” PCOS. While there’s no cure, PCOS is highly manageable, and many people feel significantly better with the right plan.
How PCOS shows up now
In the short term, you might notice irregular or absent periods, acne or excess hair growth, weight gain that’s hard to shift, low mood or anxiety, and even daytime sleepiness or snoring. These symptoms can be frustrating, but they’re treatable. Lifestyle foundations—balanced nutrition, regular physical activity, and sleep—are often as effective as medication. When needed, we also use targeted treatments to regulate cycles, protect the womb lining, and support skin, hair, and fertility goals.
PCOS and pregnancy
PCOS can affect getting pregnant and is linked with a higher chance of gestational diabetes. If you’re expecting, you’ll typically be offered a glucose test between 24 and 28 weeks. The good news: with preconception planning, early screening, and tailored pregnancy care, most people with PCOS have healthy pregnancies and healthy babies.
Long-term health
Over time, PCOS is associated with insulin resistance and a higher risk of type 2 diabetes (especially if you’re over 40, have a family history of diabetes, had gestational diabetes, or live with obesity), as well as high blood pressure and cholesterol that can impact heart health. Very infrequent periods (fewer than three per year) can allow the womb lining to build up, slightly increasing the risk of endometrial cancer—something we can reduce with regular progestogen exposure or cycle control.
What we offer
Our Women’s health service provides end-to-end PCOS care: clear diagnosis and education; realistic lifestyle guidance; safe options to regulate periods and protect the womb lining; fertility and preconception planning with stepwise ovulation support; second opinions during prenatal care; appropriate metabolic screening when indicated; compassionate support for navigating the varied health and personal circumstances of your women’s health journey; and ongoing follow-up tailored to your goals. The care we offer is personalized to your goals so you can feel in control, now and for the future.
Infertility
What is infertility?
Infertility means not achieving pregnancy after 12 months of regular, unprotected intercourse (or 6 months if you’re 35+). Beyond the emotions it can bring, infertility can sometimes signal underlying health issues—such as PCOS, endometriosis, thyroid disorders, or metabolic concerns—that deserve long-term attention.
How we support
Infertility can feel overwhelming, isolating, and urgent all at once. You’re not alone—and you’re not “behind.” We offer gentle, evidence-based care that starts with listening to your story, reviewing cycles and lifestyle, and completing targeted testing for both partners. From optimizing natural conception and ovulation to stepwise treatments, our plans are realistic and paced to your comfort. We routinely support concerns such as PCOS, irregular cycles, recurrent loss, endometriosis, thyroid or prolactin issues, and male-factor challenges.
Your path is unique, so your plan will be too. We focus on the foundations—cycle tracking, nutrition, sleep, and stress—then add the right medical options when needed (e.g., ovulation induction, luteal support, and coordination with IUI/IVF programs). Along the way, we provide clear education, second opinions, and compassionate counselling resources. Whether you’re just starting to try, seeking answers after months of uncertainty, or looking for a thoughtful second opinion, we’ll meet you exactly where you are. Depending on the cause, we may recommend ongoing checks of cycle health, thyroid and metabolic markers, iron and vitamin levels, and bone health, alongside support for mental wellbeing.
PMDD
What is PMDD?
Premenstrual dysphoric disorder (PMDD) is a severe, hormone-sensitive mood condition. Symptoms appear in the luteal phase (the week or two before a period) and lift once bleeding starts or within a few days. Unlike “typical PMS,” PMDD causes marked changes in mood—irritability, sadness, anxiety, emotional swings—as well as physical symptoms like bloating, breast tenderness, and sleep changes. What makes PMDD different is the degree of impact: it interferes with work, study, relationships, and day-to-day functioning.
Impact on health and daily living
PMDD can feel like a monthly storm. People describe losing productivity, canceling plans, or struggling with concentration and decision-making. It may strain relationships, lower self-esteem, and worsen existing anxiety or depression. Sleep, appetite, and energy can swing widely, and some individuals experience periods of intense emotional distress or intrusive thoughts during their worst days.
Chronicity across the lifespan
PMDD is cyclical and can persist for years. Symptoms often begin in the teens or 20s, can flare during life transitions (postpartum, perimenopause), and typically improve after menopause. Because it’s pattern-based, confirming the diagnosis usually involves tracking symptoms across two or more cycles to show the clear “on–off” relationship with the menstrual cycle.
Management and how we help
Effective care combines lifestyle, psychological, and medical options—tailored to your goals. Our services include clear diagnosis with cycle tracking and education; personalized lifestyle and sleep plans; evidence-based medication management (including luteal-phase strategies); options for hormonal regulation; counseling referrals and mind–body supports; coordination with mental health and psychiatry when needed; and ongoing follow-up so your plan adapts as life changes. You don’t have to navigate PMDD alone—we’ll meet you where you are and help you feel like yourself again.
Perimenopause
What is perimenopause?
Perimenopause is the natural transition leading up to menopause—the time when ovaries gradually make fewer hormones and periods become irregular. It can last a few years (sometimes longer) and often starts in the 40s, or even earlier, though timing varies. Common signs include changes in cycle length or flow, hot flashes, night sweats, sleep disruption, mood shifts, brain “fog,” headaches or migraine changes, vaginal dryness, lower libido, and new PMS-like symptoms. Contraception is still needed until 12 months after the final period.
Impact on life and health
Symptoms can affect work, relationships, exercise, and sleep—leaving you tired, less focused, or not quite yourself. Heavier or unpredictable bleeding may be inconvenient or concerning and sometimes needs assessment. Over time, the drop in estrogen can influence cholesterol, blood pressure, weight distribution, bone density, pelvic floor and vaginal health, and comfort with intimacy. The good news: effective options exist, and small, consistent changes often make a big difference.
What we offer
We provide compassionate, evidence-based perimenopause care tailored to your goals. This includes clear diagnosis and cycle/symptom tracking; realistic lifestyle strategies for sleep, stress, movement, and nutrition; non-hormonal options (e.g., therapies for hot flashes, mood, and sleep); and hormonal therapies when appropriate (menopausal hormone therapy, contraceptive options, and vaginal estrogen for genitourinary symptoms). We also evaluate abnormal bleeding, review migraine and clot risk, offer contraception and fertility counselling, check bone and heart health when indicated, support sexual wellbeing and pelvic floor concerns, and coordinate mental-health resources. Whether you want gentle tweaks, a structured plan, or a thoughtful second opinion, we’ll meet you where you are and help you feel like yourself again.
Hyperemesis gravidarum
What is HG?
Hyperemesis gravidarum (HG) is a severe form of pregnancy sickness that starts early (usually before 16 weeks) and goes far beyond “normal morning sickness.” It involves relentless nausea with or without vomiting, trouble keeping food or fluids down, and a major impact on daily life. People with HG can develop dehydration, heartburn, weight loss, and sometimes excess saliva; about a third of those with extreme weight loss may feel unwell for the rest of the pregnancy. HG is one of the most common reasons for hospital admission in pregnancy, and it’s linked to complications for both mother and baby if not treated early. Many patients report that their symptoms were minimized or dismissed, which adds to distress. HG needs prompt, active care and close follow-up to reduce risks and help you feel better—we take it seriously and treat it early.