Doctor-led
HPCSA-registered practitioner.
Doctor-led carePerimenopause & menopause care · Cape Town
Women's Hormonal Optimisation Consultation
Hot flushes, broken sleep, brain fog, periods changing? Thirty minutes with a doctor on what your hormones are actually doing, and what's worth doing about it.
Book online or in person30 min doctor consultation · R2,890 · online or in person
Start with what you notice
Changes worth talking through
Hot flushes
Night sweats
Insomnia
Brain fog
Mood swings
Irregular periods
Joint pain
Low libido
Hormonal change can feel different from person to person. Select any themes you would want to raise; your choices stay only on this page and are not submitted.
Watch first - 60 Sec
This consult, explained in under a minute
Context first
History read alongside any results.
No fixed panel
Tests chosen after clinical review.
No obligation
Next steps may include none at all.
Hormone testing is easy
- 01
Book your slot
30 minutes at 183 Bree Street, symptom form sent ahead.
- 02
Results explained
Oestrogen, cycle hormones and thyroid, read by a doctor.
- 03
Follow your plan
A 24-week plan reviewed as your body changes.
Bloodwork chosen for female hormone optimisation
Ovarian
& cycle
4 markers
Oestradiol
A form of oestrogen, interpreted alongside your symptoms, sex and life stage.
Progesterone
Measures a hormone involved in the menstrual cycle and pregnancy. Results depend on when the sample is taken in the cycle.
LH
Measures luteinising hormone, which helps regulate ovulation and testosterone production.
FSH
Measures follicle-stimulating hormone, which supports egg development in the ovaries and sperm production in the testes.
Androgens
& binding
4 markers
Total testosterone
The total amount of testosterone in your blood, including protein-bound and free hormone.
SHBG
A protein that binds sex hormones and affects how much is freely available.
DHEA-S
A hormone made mainly by the adrenal glands that can be converted into other sex hormones.
Prolactin
Measures a pituitary hormone involved in breast milk production. Raised levels can affect reproductive hormone function.
Thyroid
panel
3 markers
TSH
A hormone from the pituitary gland that signals the thyroid to produce thyroid hormones.
Free T4
Measures thyroxine (T4) that is not bound to blood proteins. It is interpreted alongside TSH to assess thyroid function.
Free T3
Measures triiodothyronine (T3) that is not bound to blood proteins. T3 is the more active thyroid hormone.
Blood count
& iron
2 markers
FBC
Measures red blood cells, white blood cells, platelets and haemoglobin.
Ferritin
Measures a protein that stores iron. Ferritin can also rise with inflammation, so it is interpreted alongside other results.
Metabolic
baseline
1 marker
HbA1c
Reflects your average blood sugar over roughly the previous two to three months.
+More
Reviewed in your consult
Additional tests may be recommended after your results and clinical review.
See all testsBlood work is required before your consultation, so your results are reviewed with you in the session.
Cycling females: FSH, LH and oestradiol on day 2-4; progesterone mid-luteal, approximately day 19-22 depending on cycle length.
Perimenopausal, post-menopausal or amenorrhoeic females may generally be drawn on any day, with status documented for interpretation. Additional tests may be required after clinical review.
Blood tests are from
R3,550An estimate, not a quote, and billed separately from the consult fee.
Excellent
A consultation built around context, not a score
In person at 183 Bree Street in the Cape Town City Bowl, or by secure video anywhere in South Africa with any pathology drawn at a lab near you. Either way there is space to explain what has changed, ask questions and understand why a next step may or may not be useful.
Book online or in personA conversation first, not a conclusion from symptoms
Symptoms alone cannot confirm a hormone-related condition. A doctor can consider your health history, other possible explanations and any relevant results together.
Ovarian & cycle4 markers
Androgens & binding4 markers
Thyroid panel3 markers
Blood count & iron2 markers
Metabolic baseline1 marker
What you experience is useful information, but it is not a diagnosis or a treatment decision.
Reported Hot flushes
Any relevant results are read alongside your history rather than treated as a standalone answer.
Oestradiol one reading
Follicular phaseWithin range
Luteal phaseOutside range
Start here
Book your
hormonal health assessment
Thirty minutes, and you will know where you stand. Which hormones to measure, what your symptoms point to, and whether treatment is the right next step.
This is a focused hormonal assessment with Dr Addinall. It does not include comprehensive metabolic testing, a full longevity roadmap, or ongoing concierge oversight. For deeper optimisation, patients may transition into the Baseline 360 health assessment.
Looking for men's hormone care? Explore the men's hormone optimisation consultation.
Book online or in person
Consult fee
R2890Session length
30 minIntake
IncludedRequired
Blood workIn person at 183 Bree Street, or online anywhere in South Africa.
How it works
Hormone care, explained
A doctor-led review of your symptoms, history and life stage, before anything is recommended.
Bloodwork is selected after clinical review, not sold as a fixed panel.
Discussed with their trade-offs, including when no treatment is the right answer.