Hormone Optimisation Consultation

The Hormone Optimisation Consultation at The Metabolic Clinic addresses the hormonal underpinnings of metabolic dysfunction, recognising that unexplained weight gain, fatigue, mood disturbance, and difficulty losing weight despite diet and exercise often have a hormonal root cause that standard GP assessments fail to identify.

The service covers the full spectrum of hormonally-driven metabolic conditions in both men and women. For women, the clinic specialises in polycystic ovary syndrome (PCOS) — Singapore's most common endocrine disorder, affecting 6–10% of women of reproductive age — as well as perimenopausal and menopausal hormone changes. PCOS management combines insulin-sensitising strategies (metformin, lifestyle intervention, GLP-1 therapy where indicated),…

For men, the clinic evaluates hypogonadism (low testosterone) — a condition increasingly recognised as contributing to central obesity, insulin resistance, reduced lean muscle mass, fatigue, low libido, and depression. Assessment follows Endocrine Society guidelines with morning total testosterone, sex hormone binding globulin (SHBG), LH, FSH, and prolactin. Where deficiency is confirmed, testosterone replacement therapy (TRT) options are discussed,…