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What is Reproductive Endocrinology?
Reproductive endocrinology focuses on conditions related to hormones that influence menstrual health, fertility, and reproductive function.
These conditions often involve disrupted hormone production or signalling and can include irregular or absent periods, polycystic ovary syndrome (PCOS), premenstrual disorders such as PMS and PMDD, early or delayed puberty, and menopause-related hormonal changes.
Care in this field aims to restore hormonal balance, improve wellbeing, and support reproductive goals.
Want to learn more about Dr. Brown’s specialties?
Menopause
Menopause is the natural stage when menstrual periods permanently stop as the ovaries reduce hormone production, often bringing symptoms like hot flushes, sleep disturbance, mood changes and vaginal dryness.
Treatment options include lifestyle adjustments, menopausal hormone therapy (MHT), non-hormonal medications for symptom relief, and local hormonal treatments for vaginal symptoms. Dr James Brown is one of only a handful of clinicians who can offer hormonal implants in Sydney.
It is important that care is tailored to each woman’s health needs and preferences.
PMDD
Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome caused by an intense sensitivity to normal hormonal changes, leading to significant mood, emotional, and physical symptoms in the luteal phase of the menstrual cycle.
Treatment options include lifestyle changes, antidepressant medications (often taken only during the symptomatic phase), hormonal treatments such as the oral contraceptive pill or ovulation-suppressing therapies, and supportive therapies like counselling and cognitive behavioural therapy, all tailored to help stabilise symptoms and improve quality of life.
PCOS
Polycystic Ovary Syndrome (PCOS) is a common hormonal condition where the ovaries produce higher-than-usual levels of androgens, often leading to irregular periods, acne, excess hair growth, and difficulties with ovulation or fertility.
Treatment focuses on managing individual symptoms and may include lifestyle changes to improve metabolic health, medications to regulate periods or support ovulation, treatments for skin and hair concerns, and long-term strategies to reduce risks such as diabetes and cardiovascular disease.