All blogs
- Adolescence
- Am I Perimenopausal?
- Complex cases
- Do I Have PMDD? (Recognition & Diagnosis)
- How Menopause Affects Your Life
- How PMDD Affects Your Life
- Lifestyle & self-management
- Lifestyle & self-management menopause
- Medical treatments
- Medical treatments menopause
- Menopause
- PMDD
- Therapeutic approaches
- Treatment & Management
- Treatment & Management Menopause
- Understanding Menopause (The Science Explained)
- Understanding PMDD (The Science Explained Simply)
- Women's Health
PMDD and the Gut Microbiome: What’s Evidence, What’s Hype, and What Actually Helps
The gut–brain axis is one of the most talked-about areas in women’s health. But what does the evidence actually say about PMDD and the microbiome? This article separates science from hype and offers practical, evidence-informed guidance.
PMDD and Bipolar Disorder: why the overlap matters more than you think
PMDD and bipolar disorder can look similar, but the difference lies in the pattern. Understanding this can change everything about your treatment and recovery.
Pharmacogenomics and Antidepressants
Struggling with antidepressants? Pharmacogenomic testing explores how your genes influence medication response—helping explain side effects, guide prescribing, and personalise treatment.
When Medicine Meets Uncertainty: A More Honest Way to Care for Hormones and Mood
In women’s hormonal health, the most honest answer is not always certainty. This blog explores why embracing complexity leads to better, more personalised care for PMDD and hormone-related mood symptoms.
Acceptance and Commitment Therapy (ACT) for PMDD: Is There a Role?
ACT is gaining attention as a potential therapy for PMDD, but what does the evidence actually say? This article explores whether it can help and where it fits in treatment.
Why You Feel “Burnt Out” in the Follicular Phase with PMDD
If you feel a surge of energy after your period—only to crash into exhaustion again—you’re not imagining it. Many women with PMDD experience a hidden cycle of overcompensation and burnout. Here’s why it happens and how to break the pattern.
Who Should You See for PMDD? (And Why It’s So Often Missed)
PMDD doesn’t belong to one specialty. Discover who to see, why it’s often missed, and how a holistic GP-led approach can transform care.
Understanding the biology: why GnRH works in PMDD
GnRH analogues are one of the most effective treatments for severe PMDD. This guide explains how they work, the difference between agonists and antagonists, and what the latest evidence shows.
Why PMS and PMDD Feel So Different for Different Women: The Science Behind Hormone Sensitivity and Personalised Treatment
PMS and PMDD aren’t just about hormone levels—they’re about how your brain responds to them. This blog explores why symptoms differ between women and how treatment can be tailored to your unique hormonal pattern.
PMDD, work, and why this conversation matters
PMDD can be life-altering, particularly when symptoms disrupt work and daily functioning. In the UK, this may bring legal protections under disability law, alongside access to workplace adjustments and financial support. Here’s what you need to know.
PMDD and Relationships: Why It Feels So Hard—and What Actually Helps
Sirona Health (Dr Georgina Standen) – Specialist in Menopause, PMS and Women's Health
Nocebo, Somatisation, and Physiological Sensitivity
Why do some symptoms feel overwhelming despite normal tests? This evidence-based guide explores the nocebo effect, somatisation, and physiological sensitivity—helping you understand your body in a more compassionate, scientific way.
Dialectical Behaviour Therapy (DBT) in PMDD: can skills change the cycle?
PMDD is not just about hormones, it is about how the brain responds to them. This blog explores how DBT can help women manage emotional intensity and regain a sense of control.
Self-Compassion and Hormonal Mental Health: The Missing Piece in Women’s Wellbeing
Hormones influence your mood—but how you respond to yourself matters just as much. Learn how self-compassion can transform PMS, PMDD and perimenopausal mental health.
PMS and Nutrition: What Actually Helps (and What Doesn’t)
Can nutrition really improve PMS symptoms? This evidence-based guide explores what works, what doesn’t, and how to support your body through your cycle.
PMS and ADHD
Hormonal fluctuations across the menstrual cycle can significantly affect ADHD symptoms in women. Understanding the link between oestrogen and dopamine can help explain monthly changes in focus, mood and motivation.
PCOS and PMDD: The Overlooked Link Affecting Your Hormones, Mood, and Mental Health
PCOS and PMDD are more connected than you think. Learn how hormonal sensitivity, metabolism, and brain chemistry interact—and how to treat the root cause.
When Menopause Affects Your Mind: Why Some Women Struggle More Than Others
Many women entering perimenopause don’t just experience hot flushes — they experience anxiety, insomnia and a loss of emotional resilience. For women with a history of PMS or postnatal depression, hormonal sensitivity may mean a more personalised HRT approach is needed.
The Impact of Stress on Female Hormones
Stress can affect every part of the female hormone system, from ovulation and cycle regularity to sleep, mood and long-term wellbeing. In this blog, Dr Georgina Standen explains how acute and chronic stress influence oestrogen, progesterone and cortisol, the symptoms that can follow, and the most effective lifestyle, medical and complementary approaches to restoring balance.
SSRIs, SNRIs and Mirtazapine: Choosing the Right Antidepressant for Hormone-Sensitive Mood Disorders
A major Lancet study published in 2025 has highlighted how antidepressants differ in their physical effects — from weight and blood pressure to heart rate and sleep. For women managing hormone-linked mood disorders such as PMDD, postnatal depression, or perimenopausal anxiety, understanding these differences can help guide safer, more personalised treatment choices.