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Hormones with Heart

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Hormones with Heart

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An innovative online women’s hormone health clinic for South Africa, supporting pre-, peri- and postmenopause with accessible, personalised, evidence-based care through virtual consultations and tailored treatment plans.

16/09/2026

That stiff, painful shoulder might be more connected to menopause than you think.

Frozen shoulder, also known as adhesive capsulitis, is a condition that causes pain, stiffness, and a gradual loss of movement in the shoulder. And while it can affect anyone, it is more commonly seen in women between the ages of 40 and 60, which overlaps with the perimenopause and menopause years.

So, what’s the connection?

In this reel, Dr Skye unpacks how hormonal changes during menopause may play a role in joint and connective tissue health, why frozen shoulder can become more common during this stage of life, and what you can do if your shoulder suddenly doesn’t move quite like it used to.

If shoulder pain or stiffness is affecting your everyday life, don’t simply put it down to getting older. Speak to a healthcare professional about what you’re experiencing and the treatment options available to you.

Save this reel for later, or share it with someone navigating perimenopause or menopause.

14/09/2026

Irritability in your 40s doesn’t happen in isolation.

Hormonal changes can affect sleep, mood, energy and emotional regulation - at the same time that many women are navigating peak career pressure, raising children, maintaining a relationship, supporting ageing parents and carrying the invisible work of family life.

That’s a lot for one nervous system.

Your irritability isn’t a moral failing, and it doesn’t mean you’re ungrateful or “too much.” It may be a signal that something needs attention: your hormones, your sleep, your workload, your boundaries - or all of the above.

You deserve curiosity, support and appropriate medical care - not shame.

Save this for the day everything feels too loud, and share it with someone who needs to feel less alone.

11/09/2026

Oestrogen tablets and patches are not metabolically identical.

A large UK study found oral HRT was associated with an additional 9 cases of a clot per 10,000 women treated annually which is also relatively not such a big number. No significant increase was detected with transdermal HRT.

These are population estimates, not individual predictions. Treatment should be personalised according to symptoms, medical history, dose and formulation.

Seek urgent care for one-sided leg swelling, sudden breathlessness, chest pain, coughing blood or collapse.

*Please note that this content is for educational content only. Do not change prescribed treatment without consulting your clinician.

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04/09/2026

Women’s Health Q&A

Q: Can women in their 40s fall pregnant easily?

A: Pregnancy remains possible until menopause, but natural fertility declines substantially with age, particularly after 35 and more steeply after 40.

A woman aged 40 or older who wants pregnancy should seek preconception or fertility assessment without delay.

Those over 35 should generally seek assessment after 6 months of trying, or sooner if cycles are irregular or there is known endometriosis, tubal disease or male-factor risk.

As always, it’s best to chat to your healthcare provider about your options.

02/09/2026

Dr Bianca shares a bit about her background and why she’s excited to be part of the Hormones with Heart team…

Book a women's wellness consultation with Dr Bianca: bit.ly/3QY1nCX

31/08/2026

Women’s Health Q&A:
What should you expect when coming off the contraceptive pill?

Your body may take a little time to find its natural rhythm again.

Ovulation can resume quickly after stopping the pill, although it may take a few months for your cycle to become regular. The pill itself does not cause long-term infertility, but factors such as age, or the original reason you started taking it, may become more apparent once you stop.

Another consideration is s*x hormone-binding globulin (SHBG), which can sometimes remain elevated after stopping the pill. Because SHBG binds to free testosterone, this may have an impact on libido for some women.

And an important reminder: if pregnancy isn’t part of your plan, you’ll need to consider another form of contraception as fertility can return quickly.

Every woman’s experience is different. If you’re thinking about coming off the pill, understanding what’s happening hormonally can help you navigate the transition with greater confidence.

28/08/2026

Menopause can be a time to rethink the way we move our bodies.

In this video, Dr Melinda explains why higher intensity is not always better during menopause.

With hormones already shifting and the body navigating additional physiological stress, constantly pushing harder can sometimes add to the load.

Instead, she encourages more conscious, lower intensity movement that supports the body rather than placing it under further strain.

Think walking, strength training at an appropriate intensity, Pilates, yoga, mobility work, and movement that leaves you feeling energised rather than depleted.

The goal is not to stop exercising. It is to become more intentional about how you exercise and to recognise that what your body needs may change during perimenopause and menopause.

Listen to your body. Move with it, not against it.

27/08/2026

We’re often asked: “Is Hormones with Heart only online?"

Yes, and that’s by design.

We believe virtual consultations are particularly well suited to menopause and perimenopause care, giving women access to expert, personalised support from the comfort and privacy of their own space.

Through a video consultation, you still have a meaningful, face-to-face conversation with your doctor. There is time to talk through your symptoms, your health history, what you’ve already tried, and the different treatment options available to you, including HRT where appropriate.

But perhaps one of the most valuable parts of a Hormones with Heart consultation is simply having the time to talk.

Menopause can affect far more than physical symptoms. It can influence how you feel, think, work, sleep, connect and experience everyday life.

Our consultations give you the space to explain what you are actually experiencing, ask the questions you have been carrying, make sense of the changes you have noticed and, importantly, work with your doctor to create a plan that feels right for you.

Sometimes, having someone listen, understand and help you find a way forward can make all the difference.

When was the last time you felt truly listened to when it came to your hormones? Find out more bit.ly/4h1vx2A

25/08/2026

Hormones influence far more than we often realise, from our mood and sleep to our bones, brain, heart, and overall wellbeing.

In this reel, Hormones with Heart doctor Dr Melinda Whitfield explains why hormones matter, and how HRT can help support women through perimenopause and menopause.

HRT isn’t right for everybody, but for many women, it can offer significant benefits when prescribed according to their individual health, symptoms, and needs.

The key? Understanding your options and making an informed decision with the right medical guidance.

24/08/2026

Hormonal changes can affect far more than your menstrual cycle.

Sleep disruption, persistent fatigue, anxiety, changes in mood, brain fog, body aches and a general sense of not feeling like yourself can all become part of the picture during perimenopause and menopause.

The challenge is that these changes don’t always look or feel obviously hormonal. And when symptoms are considered separately, it can be difficult to understand what’s really going on.

For women in South Africa, accessing informed, personalised menopause care can also be challenging. There is no single approach that works for everyone - your symptoms, health, circumstances and treatment needs are uniquely yours.

Hormones with Heart was created to bring a more individualised approach to menopause care.

Through compassionate, expert-led and evidence-based support, we want to help women understand their changing hormones, make sense of their symptoms and feel informed about the choices available to them.

Menopause is a transition, not a diagnosis of what you should simply put up with.

Understand the change. Explore your options. Find care that’s right for you.

Learn more: bit.ly/4f09tVi

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