Evan Cortland

One cortisol result reflects time and context as much as biology. Repeat sampling and clinical context are usually better than treating one number.

A raised prolactin result is a signal, not a verdict. Repeating the test under stable conditions usually matters more than a single number.

Local vaginal oestrogen can ease menopause-related dryness and discomfort, but it is not systemic HRT. Here is what it treats, and what needs a clinician.

Local vaginal oestrogen can ease menopause-related dryness and discomfort, but it is not systemic HRT. Here is what it treats, and what needs a clinician.

Cortisol tests can help diagnose adrenal disorders, but random results rarely explain midlife stress, fatigue, or burnout by themselves in daily life.

Positive thyroid antibodies can flag autoimmune thyroid risk, but they do not diagnose hormone failure or decide treatment on their own. Context matters.

What HRT does in the first decade after menopause may differ from what it does later. Here is how timing changes the risk conversation with a clinician.

Perimenopause is often described as a reproductive transition, which is true but incomplete. Oestrogen and progesterone fluctuations also touch sleep, appetite, fat distribution, muscle, liver metabolism, and insulin sensitivity. That does not mean every woman becomes insulin resistant at midlife. It means the metabolic background changes, and the usual advice to “eat less and move … Read more

AMH reflects ovarian reserve, but one blood test cannot date menopause. What anti-Müllerian hormone can tell you, and where marketing overreaches.