Hormonal Health | Clinical Focus | Dr Bapoo
Clinical Focus

Hormonal health

Hormones are a messaging system. When regulation drops, signals become noisy: sleep becomes light, moods swing, cycles change, energy becomes unstable, and inflammation often rises. Treatment is not about forcing hormones. It is about restoring the conditions that allow stable signalling and predictable recovery.

What disrupts hormonal balance

Hormonal symptoms usually sit on top of deeper system drivers. If those drivers are missed, treatment becomes “temporary control”. I look for the dominant driver and treat it first, then layer support to stabilise the whole pattern.

Stress physiology and nervous system load

When the system stays on alert, ovulation timing, sleep depth, appetite, and mood stability can shift. Many cycle and menopausal symptoms worsen when stress load is high or sleep is poor.

Metabolic and insulin instability

Blood sugar swings can amplify cravings, fatigue, mood volatility, and inflammation. This is a common driver in PCOS-type patterns and weight resistance, and it directly affects reproductive hormone signalling.

Inflammation and tissue sensitivity

Inflammation can increase pain, swelling, heat signs, clotting, and headaches, and can aggravate endometriosis-type patterns. The goal is to reduce inflammatory load before pushing stimulation or tonification.

What I assess in the first visit

Hormones follow rhythms. I map your rhythm precisely and look for the point where the system loses stability. The timing of symptoms is often more important than the symptom label.

Cycle and symptom mapping

  • Cycle length, bleed length, and whether timing changes month to month.
  • Pain, clotting, spotting, breast tenderness, headaches, and mood timing.
  • Ovulation clues: mid-cycle pain, discharge patterns, temperature shifts (if tracked).
  • Sleep pattern and early waking patterns across the month.
  • Energy and appetite rhythm: crashes, cravings, evening “second wind”.

System drivers

  • Stress load, tension holding, anxiety patterns, and how quickly you switch off.
  • Digestion: bloating, reflux, stool quality, food reactions.
  • Metabolic signs: thirst, frequent urination, sugar cravings, weight resistance.
  • Heat/cold patterns, swelling, and circulation signs.
  • Tongue and pulse to confirm the underlying pattern.

How treatment is structured

Hormonal work responds best to a staged approach. We first restore regulation, then stabilise rhythm, then build resilience so it holds. This is especially important if you have long-standing symptoms or flares triggered by stress and sleep disruption.

Stage 1: Stabilise regulation

Calm nervous system load, reduce flare triggers, improve sleep depth, and settle digestive reactivity. This is often where mood volatility, headaches, and early waking begin to soften.

Stage 2: Restore rhythm

Improve cycle predictability, reduce pain and inflammatory patterns, and support clean phase transitions across the month. Timing and sequencing are matched to your presentation.

Stage 3: Build resilience

Strengthen recovery capacity so symptoms stay stable under real life pressure. This is where long-term reliability is built, including steadier mood, better sleep, and improved stress tolerance.

What you should notice early on More stable energy, fewer cravings, calmer PMS window, improved sleep depth, reduced headaches, and better predictability of symptoms.
This page is educational and does not replace medical care. If you have very heavy bleeding, sudden severe pelvic pain, fainting, suspected pregnancy complications, or rapidly worsening symptoms, seek urgent medical help. Do not stop prescribed medication without medical supervision. See Disclaimer.