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 your consultation30 min doctor consultation · R2,890 · online or in person
Start with what you notice
Changes worth talking through
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
the main oestrogen, and what most symptoms track with
Progesterone
drawn mid-luteal where you are still cycling
LH
part of the signal that triggers ovulation
FSH
rises as the ovaries respond less
Androgens
& binding
4 markers
Total testosterone
women make it too, and low levels show
SHBG
a protein that binds hormones and affects how much is available
DHEA-S
an adrenal androgen that feeds oestrogen and testosterone
Prolactin
high levels can disturb the cycle
Thyroid
panel
3 markers
TSH
shows how your thyroid is working
Free T4
active thyroid hormone
Free T3
the most active thyroid hormone
Blood count
& iron
2 markers
FBC
checks red cells, white cells and platelets for overall health
Ferritin
your iron stores, often low with heavy periods
Metabolic
baseline
1 marker
HbA1c
shows your average blood sugar level over the past 2–3 months
+More
Reviewed in your consult
Additional tests may be recommended after your results and clinical review.
See all testsBlood work is done 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.Careful by design
A 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
Symptoms add context
What you experience is useful information, but it is not a diagnosis or a treatment decision.
Reported Hot flushes
Results need interpretation
Any relevant results are read alongside your history rather than treated as a standalone answer.
Oestradiol one reading
Follicular phaseWithin range
Luteal phaseOutside range
Excellent
Dr Raythaan AddinallMedical Practitioner
Online or in person
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.
Dr Raythaan AddinallMedical PractitionerStart 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 a full assessment pathway.
Book Consultation
Consult fee
R2890Session length
30 minIntake
IncludedBlood work
Before consultIn 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.