Understanding PMS in Adolescence

Understanding PMS in Adolescence

Many teens don’t realise that what they’re experiencing each month may be more than just “bad mood” or cramps. PMS (Premenstrual Syndrome) can start early, with physical and emotional symptoms that disrupt school, relationships, or self-esteem. This post explains how PMS shows up in adolescence, how common it is, what helps, and when to seek support.

Read More
Progesterone-only HRT in perimenopause: what you need to know

Progesterone-only HRT in perimenopause: what you need to know

Progesterone-only HRT is increasingly requested by women in perimenopause, often because sleep, anxiety and night sweats feel unmanageable and they’re wary of oestrogen or synthetic progestogens. But progesterone-only isn’t a standard NHS pathway — largely because guidance is oestrogen-led and progesterone’s established role is womb protection. The emerging evidence (including perimenopause-specific trial data) suggests progesterone can help some women, but it isn’t a complete solution for many perimenopause symptoms. Here’s how to make an evidence-based, personalised decision.

Read More
The Impact of Stress on Female Hormones

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.

Read More
SSRIs, SNRIs and Mirtazapine: Choosing the Right Antidepressant for Hormone-Sensitive Mood Disorders
PMDD, Medical treatments, Treatment & Management Georgina Standen PMDD, Medical treatments, Treatment & Management Georgina Standen

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.

Read More
Methylation, the MTHFR Gene, and PMDD: What’s the Connection?

Methylation, the MTHFR Gene, and PMDD: What’s the Connection?

Could your genes and folate metabolism influence your premenstrual mood? New research suggests that the MTHFR gene — which affects how we process folate and regulate brain chemistry — may play a role in PMS and PMDD. Dr Georgina Standen explains what methylation is, what the latest studies show, and how to support healthy folate levels through diet and supplements.

Read More
When IBS Meets Hormones: How Menstruation, PMS & Menopause Impact Your Gut—and Why Personalised Care Matters
PMDD, Menopause, Women's Health, How PMDD Affects Your Life Georgina Standen PMDD, Menopause, Women's Health, How PMDD Affects Your Life Georgina Standen

When IBS Meets Hormones: How Menstruation, PMS & Menopause Impact Your Gut—and Why Personalised Care Matters

Many women notice their IBS worsens around their period, during PMS, or in perimenopause — yet few are told that hormones directly influence gut sensitivity and motility. In this article, we explore the science behind hormone-related IBS and explain how personalised, cycle-aware treatment can transform symptoms.

Read More
Hormones and Sleep During the Menopause
Menopause, Am I Perimenopausal? Georgina Standen Menopause, Am I Perimenopausal? Georgina Standen

Hormones and Sleep During the Menopause

Hormones play a powerful role in how well we sleep — from cycle-related changes to the dramatic shifts of perimenopause and menopause. In this blog, Dr Georgina Standen explains how oestrogen, progesterone, cortisol and melatonin interact with the brain’s sleep systems, why insomnia becomes more common in midlife, and which treatments and lifestyle strategies truly make a difference.

Read More
Vitex agnus-castus (Chasteberry) and PMS: Can Nature Support Your Hormonal Health?

Vitex agnus-castus (Chasteberry) and PMS: Can Nature Support Your Hormonal Health?

Vitex agnus-castus (chasteberry) is one of the most researched herbal options for PMS and PMDD, helping to balance prolactin and support the natural rhythm of oestrogen and progesterone. In this article, Dr Georgina Standen explains how Vitex works, what the latest evidence shows, who it’s suitable for, and how to use it safely—alone or alongside conventional treatments—to support mood, cycle regularity and premenstrual wellbeing.

Read More