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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.

14/10/2026

Behind Hormones with Heart are three doctors with one shared belief: women deserve to feel heard, understood, and properly supported when it comes to their hormones.

Meet Dr Skye Scott, Dr Bianca Visser, and Dr Melinda Whitfield.

As GPs with specialised training in menopause medicine, they bring together experience across women’s hormonal health, integrative medicine, primary care, occupational health, and health education.

What really connects them is their approach to care. At Hormones with Heart, we know that no two women experience hormonal change in exactly the same way. Your symptoms, medical history, lifestyle, priorities, and experience are uniquely yours, which means your care should be, too.

Whether you’re navigating perimenopause, menopause, or simply trying to understand why you don’t quite feel like yourself, our doctors are here to listen, help you make sense of what’s happening, and explore evidence-based treatment options that are right for you. Visit bit.ly/4qcbq4y

12/10/2026

Can you use HRT after breast cancer? It’s a question without a simple yes-or-no answer.

Historically, systemic hormone replacement therapy (HRT) was generally avoided after breast cancer, largely because earlier research raised concerns about an increased risk of recurrence.

Today, the conversation is becoming more nuanced and individualised. When considering HRT after breast cancer, there are several important factors to take into account, including:

• The type of breast cancer you had
• Whether it was oestrogen receptor-positive (ER+)
• How much time has passed since your diagnosis
• Your individual risk of recurrence
• The severity and impact of your menopausal symptoms
• Your personal preferences and quality of life

For women who have had ER+ breast cancer, systemic HRT may still increase the risk of recurrence, particularly during the first 5–10 years following treatment. It therefore cannot be considered risk-free.

However, more recent expert discussions suggest that for some carefully selected women with a lower risk of recurrence, the absolute increase in the risk of distant relapse may be relatively small.

This does not mean that HRT is suitable for every breast cancer survivor. What it does mean is that the decision deserves a more personalised conversation, weighing potential risks against symptoms, wellbeing, and quality of life.

Most importantly, this is not a decision you need to navigate alone. Any consideration of HRT after breast cancer should involve shared decision-making between you, your menopause clinician, and your oncology team.

Reach out to our doctors and discuss your individual needs: bit.ly/3QY1nCX

References: Holmberg et al., JNCI (2008); Glynne et al., Menopause Consensus Review (2025/2026); Bluming & Tavris, Estrogen Matters / Cancer Journal Commentary (2022).

08/10/2026

A super insightful note from Dr Bianca about her favourite lecture at the International Menopause Society World Congress...

"One of the most thought-provoking talks I've attended was by Dr Robert Langer, one of the original researchers involved in the Women's Health Initiative (WHI), a major study that changed the way the world viewed menopause hormone therapy (MHT).

In 2002, the study made headlines when it was reported that hormone therapy increased the risk of breast cancer and other serious health problems.

The result? Fear spread around the world. Millions of women stopped taking hormone therapy, prescriptions dropped dramatically, and many doctors became reluctant to prescribe it.

But here's what many women don't know: the way the findings were communicated didn't tell the full story.

Dr Langer explained how important details were overlooked, including the age of the women in the study (the average was 63), the type of hormone therapy used, and how risks can differ depending on when treatment begins.

He also shared how he had challenged the reporting of these findings from the beginning, warning that the headlines would create unnecessary fear.

More than 20 years later, our understanding of MHT has evolved significantly.

We now know that, for many healthy women who start treatment before 60 or within 10 years of menopause, the benefits of MHT can outweigh the risks. But treatment is never one-size-fits-all.

In November 2025, the US FDA announced changes to long-standing warnings on hormone therapy products, recognising the importance of age, timing, and individual risk.

After the lecture, I asked Dr Langer why the original findings had been communicated the way they were, and why it had taken more than two decades to address these concerns.

My biggest takeaway?

Women deserve to make decisions about their health based on the best available evidence, not fear created by headlines more than 20 years ago.

My hope is that we continue moving towards a future where doctors feel confident having informed conversations about hormone therapy, and women understand both the benefits and risks of their options.

We owe the next generation better."

06/10/2026

From Rio de Janeiro to the women we care for back home....

Our very own Dr Bianca Visser has just attended the 20th World Congress on Menopause, hosted by the , joining thousands of healthcare professionals and leading experts from around the world to explore the latest research and advances in menopause medicine.

And she's returned with plenty of insights worth sharing! Some of her highlights...

BRAIN FOG DESERVES MORE ATTENTION.
New data presented at the congress suggests that brain fog affects as many as 86% of women during perimenopause and menopause, compared to 54% experiencing hot flushes and night sweats.

MENOPAUSE MATTERS IN THE WORKPLACE.
An insightful presentation highlighted the positive association between menopausal hormone therapy (MHT), job satisfaction, and women's ability to remain active and engaged in the workforce.

SEXUAL WELLBEING IS AN IMPORTANT PART OF MENOPAUSE CARE.
Packed discussions explored the physical, psychological, and social complexities of sexual health, reminding us that comfortable, pain-free intimacy matters and that there are often effective ways to improve it.

THE CONVERSATION AROUND TESTOSTERONE CONTINUES.
A debate featuring world-renowned expert Prof Susan Davis drew such an incredible crowd that attendees were standing outside the lecture hall!
..and much more

We're grateful to Dr Bianca for bringing these global conversations, fresh perspectives, and valuable learnings back to our team and, ultimately, to the women we support every day.

01/10/2026

Progress isn’t always a straight line; it can involve finding the right treatment, listening to your body, and adjusting along the way.

When one of our patients began her treatment plan with us, she was struggling with severe anxiety, low mood, disrupted sleep, and a growing need to withdraw from the people and plans she once enjoyed. At one point, her anxiety reached 10/10, her mood dropped to as low as 1/10, and she found herself cancelling plans because everything felt overwhelming.

With ongoing support, her treatment was carefully adjusted and monitored over the following weeks, and gradually, things began to shift.

She started wanting to see people again, and felt motivated to go out. Her anxiety settled, and her mood became more consistently positive. She began exercising again.

Recently, her symptom tracker has started telling a different story to what it did at the beginning: anxiety consistently at 0/10, less pain, better sleep overall, more social connection, and repeated days where her mood reached 10/10.

“Feeling amazing, positive and motivated,” is what she eventually shared and we love to hear.

Treatment is deeply individual, and finding what works can take time. But this is why personalised menopause care matters - it’s not simply about prescribing hormones, but about listening, monitoring, adjusting, and working together to help you feel more like yourself again.

If you’re struggling with symptoms of perimenopause or menopause, you don’t have to figure it out alone.

Let's chat: bit.ly/4h1vx2A

28/09/2026

Do your hot flushes place you at higher risk? And what about those of us who don't have them?

Menopause medicine has traditionally been organised around bothersome symptoms. Even if you ask clinicians what they associate with menopause, they are likely to say hot flushes! Some of us will never experience a hot flush, but we will all be affected by the precipitous drop in hormone production at a physiological level. Vasomotor disturbance, sleep disruption, altered bleeding, mood symptoms and genitourinary complaints are only the facade of this transition. A more interesting question is, is there a difference in impact between women who have symptoms and women who don't?

Follow the link in our bio to learn more from Dr Melinda.

25/09/2026

“I’m so excited to be providing care and education to women around the country.” - Dr Bianca Visser

Meet Dr Bianca, one of the doctors behind Hormones with Heart and part of our small, passionate team committed to helping women feel heard, informed, and supported throughout their hormonal health journey.

As an online, doctor-led clinic, we're helping make compassionate, evidence-based hormone healthcare more accessible to women across South Africa, wherever they may be.

Because access to the right information, the right support, and a doctor who truly listens can make all the difference.

Book with Dr Bianca: bit.ly/3QY1nCX

22/09/2026

Want practical, doctor-written guidance on perimenopause and menopause, delivered straight to your inbox?

Visit bit.ly/3VcKl5E to subscribe to our newsletter for hormone health insights, expert articles, and more.

We look forward to welcoming you to the community!

18/09/2026

Women's Health Q&A

Q: At what age can I have my tubes tied?

A: There isn’t a specific age that makes it the “right” time.

In South Africa, an adult with the capacity to make an informed decision may consent to female sterilisation. Because the procedure is intended to be permanent, however, careful counselling is an important part of the process.

Before making the decision, your healthcare provider should talk you through what the procedure involves, highly effective reversible contraceptive alternatives, the possibility of failure and ectopic pregnancy, potential operative risks, and the possibility of future regret.

Research suggests that people who undergo sterilisation at a younger age may be more likely to experience regret later. This doesn’t mean age should determine or restrict your choice. Rather, it highlights the importance of having an open, informed conversation about your circumstances, future plans, and available options.

Ultimately, the “right time” is individual. It’s about having the information you need to make a voluntary decision that feels right for you and your future.

Have a women’s health question you’d like our doctors to answer? Send it our way for our next Q&A.

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.

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