27/01/2026
Something I learned when I established the Training Academy for doctors was just how individual truly is.
One of the key pillars of our training was understanding that during perimenopause, oestrogen is not always low. In fact, it can often be very high, with significant fluctuations.
Yet even now, I still see many younger women entering perimenopause being prescribed and as a default, when oestrogen may not be required at all. Often, it is progesterone, the first hormone to decline, that may be needed, sometimes just cyclically to begin with.
This level of nuanced, personalised training is something we were teaching years ago, and I continue to see women struggling with worsening symptoms because their oestrogen is already high and then topped up further.
This is why two-way conversations with healthcare providers matter. Understanding what is actually happening with your hormones is key. Yes, hormone testing can be controversial and levels change day to day, but for women who are still cycling, testing on day 21 (or other day/s subject to test) can give part of the picture when combined with a comprehensive understanding of symptom patterns.
I see far too many women with what are described as “crazy” symptoms that are simply signs of excess oestrogen.
Just something to consider 💛
Please always consult your GP or specialist when considering hormone treatment, supplements, or lifestyle changes.
