GP-Led Diagnosis & Treatment in Surbiton
Many women experience significant delays in receiving hormone health assessments through the NHS, often waiting months for appointments with minimal testing. At Lambert Medical Practice, our experienced GPs provide swift, thorough hormone health evaluations with comprehensive testing available during your first appointment.
Whether you're experiencing irregular periods, investigating fertility concerns, or seeking answers about hormonal imbalance, our private GP service offers a personalised approach with detailed hormone analysis and individualised treatment planning. We understand the impact that hormonal conditions such as PCOS, endometriosis, and thyroid dysfunction have on your quality of life, and we're committed to identifying underlying causes and providing effective management strategies.
Polycystic Ovary Syndrome (PCOS) is a hormonal condition affecting approximately 1 in 10 women of reproductive age. Characterised by irregular or absent periods, elevated androgen (male hormone) levels, and multiple small cysts on the ovaries (visible on ultrasound), PCOS significantly impacts fertility, metabolism, and overall wellbeing.
| Symptom | Impact |
|---|---|
| Irregular or absent periods | Unpredictable cycles, difficulty predicting ovulation |
| Excess hair growth (hirsutism) | Facial and body hair, affecting confidence |
| Acne and oily skin | Persistent breakouts, skin concerns |
| Weight gain or difficulty losing weight | Metabolic insulin resistance |
| Fertility challenges | Anovulation (no ovulation), reduced fertility |
| Mood changes and anxiety | Hormonal fluctuations affecting mental health |
PCOS typically involves several hormonal imbalances:
Diagnosis of PCOS requires a combination of clinical assessment, hormone blood tests, and imaging. At Lambert Medical Practice, we provide comprehensive testing to confirm diagnosis and identify underlying hormonal drivers.
Pelvic Ultrasound: If clinically indicated, we can refer you for a pelvic ultrasound to visualise the ovaries and confirm polycystic morphology. This can typically be arranged within 1-2 weeks through our private imaging partners.
Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, causing significant pain and sometimes infertility. It affects approximately 10% of women of reproductive age and is frequently under-diagnosed.
Diagnosis of endometriosis requires specialist imaging (typically MRI) or, definitively, laparoscopic surgery. Our GPs will assess your symptoms, arrange appropriate imaging referrals, and provide management options including pain relief strategies, hormonal therapies, and specialist gynaecology referrals. We can also refer to NHS services for specialist endometriosis centres where appropriate.
Hormonal imbalance can manifest in numerous ways, affecting energy, mood, metabolism, and sexual function. Beyond PCOS, common hormonal issues include:
Relative or absolute excess of oestrogen compared to progesterone can cause breast tenderness, bloating, heavy periods, mood swings, and weight gain. This may result from inadequate progesterone production, excessive oestrogen production, or poor oestrogen metabolism.
Insufficient progesterone production (luteal phase defect) may cause irregular or heavy periods, mood disturbances, anxiety, insomnia, and reduced fertility. This is particularly common in PCOS and during perimenopause.
Hypothyroidism (low thyroid) causes fatigue, weight gain, dry skin, hair loss, depression, and slowed metabolism. Hyperthyroidism (overactive thyroid) can present with anxiety, palpitations, weight loss, and tremor. Autoimmune thyroid disease (Hashimoto's and Graves') are common in women and often coexist with PCOS and other hormonal conditions.
Chronic stress and elevated cortisol can exacerbate PCOS symptoms, worsen insulin resistance, promote abdominal weight gain, impair fertility, and disrupt immune function. Cortisol testing can help identify adrenal stress and guide lifestyle interventions.
Our comprehensive hormone testing packages provide detailed assessment of your hormonal status. Choose from our specialist panels or discuss a bespoke testing approach with your GP.
LH, FSH, testosterone, SHBG, oestradiol, progesterone, AMH
TSH, free T4, free T3, thyroid peroxidase antibody
Fasting glucose, insulin, HbA1c, lipid profile
Total testosterone, free testosterone, DHEA-S, androstenedione
Our straightforward appointment process ensures you receive comprehensive assessment and testing without the NHS waiting time.
Select your preferred time online or call us. Same-day appointments often available.
Our phlebotomist performs your blood test during the appointment. Your GP reviews your medical history and symptoms in detail.
Results typically available within 3-5 days. We provide a personalised treatment plan tailored to your needs.