Women's Hormone Health (HRT, Menopause, PCOS/PMOS)
Personalised, doctor-led care for perimenopause, menopause, PCOS/PMOS, low libido and vaginal dryness. Symptoms are assessed carefully, with appropriate laboratory investigations and hormone replacement therapy offered only where clinically suitable for your individual needs.
What to expect
Women’s hormone health at PVT is centred on personalised, doctor-led care for perimenopause, menopause, PCOS/PMOS, low libido and vaginal dryness, with hormone replacement therapy (HRT) offered where appropriate.
Hot flushes. Broken sleep. Mood changes. Cycles that no longer feel predictable. Discomfort during sex. These symptoms are common, deserve to be taken seriously and are often highly treatable.
What’s included
Structured symptom review with validated scoring
Targeted blood tests via an accredited pathology laboratory where they add information
HRT assessment, with transdermal options preferred where suitable
Local vaginal oestrogen for dryness and discomfort (GSM)
PCOS/PMOS assessment and management
Low-dose testosterone consideration for libido, within guidelines
A written plan with scheduled monitoring
Where and what it costs
milnerton | table-view
From
R700
Initiation uses the follow-up package, billed separately at each visit. Routine reviews R700. laboratory bills bloods separately.
What happens at a hormone consult
1
Symptom review
A structured conversation plus a validated questionnaire, covering cycles, sleep, mood, flushes, libido and comfort with sex.
2
Baseline examination
A focused examination, including blood pressure and the checks that make HRT prescribing safe.
3
Targeted bloods
Blood tests only where they change the decision. Menopause is often diagnosed clinically; PCOS/PMOS and thyroid questions usually do need bloods.
4
Eligibility and safety check
Your personal and family history is reviewed against prescribing guidelines so treatment options are safe for you specifically.
5
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
Is HRT safe?
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.
Does HRT cause breast cancer?
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 should I start thinking about HRT?
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.
Are there non-hormonal options?
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.
Can PVT help with PCOS/PMOS if I am not trying to fall pregnant?
Yes. PCOS/PMOS 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.
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.
PCOS/PMOS
Polycystic ovary syndrome (PCOS/PMOS) is a common hormonal condition causing irregular periods, acne, excess hair and sometimes fertility difficulty, and it is very manageable with the right plan.
Low 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.