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02/06/2026

When women are experiencing perceived, or confirmed hair loss, all to often hormones are often the first thing that gets blamed. Not to say that hormone imbalance cannot cause hair loss, because it can, and often does.

But in many cases hair loss is actually not from a hormone imbalance and can be from low iron. Many menstruating women will be low in iron, and those with endometriosis & adenomyosis often have heavy menstrual bleeding, and/or abnormal uterine bleeding (AUB) which then results in low iron.

Even those that have not been diagnosed will have low iron, and their cause needs to be diagnosed and not just missed and dismissed, like it often is. Vegan & vegetarians are more at risk of low iron as well.

There are also a number of studies that have correlated low ferritin levels with hair loss too. A recent study of 140 women with diffuse hair loss, found 19% had iron deficiency. All patients with iron deficiency were treated with oral supplemental iron and in all patients hair loss ceased & hair regrowth occurred.

This is something that I see in clinical practice often as well.

When it comes to hair loss, other factors such as hormonal imbalance, nutrient & mineral deficiencies, certain drugs, chemotherapy, certain gynaecological conditions (PCOS etc), other health related matters, and stress, all need to be ruled out too.

Let's face it stress is often a big culprit when it comes to hair loss, and is very much often overlooked, or there is denial about it.

Before you go blaming hormones for your hair loss, make sure you have your iron levels checked, as you may actually need some supplemental iron, or even an iron infusion if your stores are below reference. Make sure you have your stress levels assessed as well, along with other factors that may be causing your hair loss.

If you need help with finding the cause of your hair loss, then contact my clinic & find out how I can help you. Contact info@drandreworr.com.au or call +61 0451 408898. In person & online consultations available not matter where you live.

02/06/2026

Even though this year has not been great on many levels, there are many great things to come out of it.

People have been made to stop, had to spend time with family, had to work from home, had to not go out and spend as much, had to take time for their health, had to realise we are not in control, and so many other things.

We could look at all these things as a negative, or see the good in each any every one of them.

More time with family. Less travel time and more productivity at work. Not spending as much on stuff we don't really need. Time to look after our health. Letting go of control issues. All great things and something that could be seen as a blessing too.

While not every person is good, and some situations are not great, learn to look at the positives of every situation and encounter we have each day. Before looking for the negative, try looking at the positive and the lesson to be learned for each person we meet, or any situation you find yourself in.

Obviously there will always be an exception to the rule, but even then, could there be a positive out of a really bad situation?

I always talk about the Chinese word for tragedy being composed of two characters. One character means crisis, and the other means opportunity. Out of every crisis, there is also opportunity if you know where to look.

Instead of training your mind to always look at the bad, or the negative things in life, train your mind to see the good in everything.

02/06/2026

In the Perimenopausal & Menopausal stages of life, many women are unnecessarily putting themselves at serious physical and emotional health risks.

Most of this is related to misperception, fear & outdated information.

The fact is, estrogen is beneficial for women, and women are also estrogen secreting beings that need estrogen to maintain physical, sexual, and emotional health until they die. Once in menopause, a woman is in menopause until the day she dies.

Estrogen is not the enemy. Misinformation is. Not all estrogens are bad for you, and many estrogens are very beneficial for a woman. Recent research has shown that estrogen replacement therapy actually decreases risks of certain cancers and other serious diseases in menopause.

Regardless of perceptions, fear & misinformation, there is enough current research to show the benefits of hormone replacement during perimenopause and menopause. Besides estrogen, women need other hormones as well.

Research has also shown that while some women are still holding off taking any form of hormone replacement therapy, women also need to know that even if they used a topical vaginal based estrogen cream during these stages of life, it could help them prevent serious disease states.

Low dose vaginal estrogens help with prevention of atrophic vaginitis, and other serious bladder & gynaecological conditions. They can help with vaginal dryness too.

Even women with breast cancer, or increase risk factors for breast cancer can take vaginal estrogen, as it only acts locally, with negligible amounts acting systemically.

Always talk to a women's health medicine expert first though. And yes, women with endometriosis can benefit from vaginal & other forms of estrogen during perimenopause & menopause as well.

If you do need to find out more about the benefits of estrogen during perimenopause & menopause, contact my clinic and find out how I can help you. Contact info@drandreworr.com.au or call +61 0451 408898. In person & online consults available, no matter where you live.

01/06/2026

Weight gain can creep up on you, and nobody likes to have to admit that they have put on weight. It can make you feel horrible on all levels.

As a women's health & reproductive medicine expert, I also know how excess weight and excess body fat can be a driver for many diseases states, and also effect fertility.

When it comes to weight gain, nobody likes to admit that they are part of the issue. I think I have heard every reason as to what someone perceives has caused their weight gain. There always seems to be something to blame, except for ourselves. It is just human nature.

The one thing I know 100% for sure is that hormones are not the root cause of weight gain. Sure, they can be a very small (and I mean small) part of it, but the biggest cause of weight gain is always diet, and lack of exercise.

People often believe they have a good diet, and yet when I see their food diaries, and count the high percentage of refined foods, sugars, & refined carbohydrates, there is little doubt as to why people are putting on weight.

These foods make the body store fat, and stop the burning of fat too. They also add to inflammation in the body, and excess body fat is not only estrogenic, but also a driver of inflammation too.

Little indiscretions add up too. A biscuit here, and chocolate there, and before you know it, that's a lot of sugar and a big marker for weight gain. We also often forget that alcohol and soft drinks are big causes of weight gain.

The other thing is lack of exercise.But we need to be honest about the type of exercise too. Walking, yoga, tennis, and swimming etc, are great for the body, but they are not going to burn fat like weight baring exercises will, that is a fact. You need to use weights to burn fat, and also increase muscle.

Before we start blaming hormones for weight gain, we need people to seriously look at their diet, and how they exercise, or lack of it, because those things account for 95% of weight gain, and excess fat in the body.

This is why it is important to see a healthcare professional who can help you assess the cause of your weight gain, and help with ongoing management, support & accountability too.

01/06/2026

Many people often wonder why they are so tired, or are exhausted, or they feel emotional. Many times it gets blamed on stress, hormones, work, or something else.

The thing is, many people's emotional issues, or fatigue, or not being able to function properly, is due to lack of quality sleep. It is definitely a cause of exacerbating pain, and other symptoms they have, due to an already underlying health problem too.

When we don't sleep properly, we don't function, and the first area that is affected is out emotions. Next to be affected in the physical body.

Sleep issues can be complex, but many times people are not sleeping due to issues of the heart (emotional heart).

When the heart is at peace, it is settled, and it is allowed to be open and fully expressive. Our body and our world is at peace also. This is where life is at balance, and all the beautiful things in life can occur. When the heart is disrupted, it is completely the opposite.

High anxiety is caused by a disruption of our heart, and not feeling in control of all areas in our life. It really means we are out of control, which then creates further anxiety and not trusting of our self.

When we don't feel safe & content & supported, physically & emotionally, it also affects our sleep. This usually happens with those who are in an unstable relationship, or are on their own. When we are in a relationship where we feel safe, and in the arms of someone who we love, feel protected, and feel supported, we sleep well.

The term sleeping like a baby is a classic example. A baby that is in it's mother arms, is being nourished, being loved, and is not feeling & signs of stress in its environment, will sleep soundly. If it is the opposite, it won't sleep. The same goes for adults.

If you are experiencing sleep issues, waking lots in the night, and are not getting a decent nights sleep, practice centring yourself & calming the heart & spirit within. If you don't know how, then talk to an expert who can teach you.

When we are at peace, we sleep. When we sleep, we are better equiped to deal with the day, and our world around us. We also feel better physically & emotionally.

01/06/2026

Knowing family health history is important. Unfortunately many health issues, especially gynaecological health issues are often not discusssed in families, as it was seen as something you just don't talk about.

Many symptoms such as period pain, irregular menstrual bleeding, or heavy menstrual bleeding were often ignored because they were considered normal, when in fact they are often pointers to underlying gynaecological conditions such as Endometriosis, Adenomyosis & PCOS etc.

We know the strong hereditary links with Endometriosis, Adenomyosis & PCOS etc. If say your grandmother had issues with her menstrual cycle, or had pain etc, then there is good chance that your mother has these issues, and you will too. If you are a mother and have menstrual issues, then there is an extreme likelihood that your daughter/s will too.

Just because a gynaecological condition has never been diagnosed in a family, it does not mean that you can't have any issues. When things are normalised, or when things are missed &dismissed early on (which happens often), then serious gynaecological issues get overlooked in families.

I often see patients surprised to hear about the hereditary component of many gynaecological conditions, when in fact the signs & symptoms are blatantly obvious. I think there is always some sense of guilt with mothers of teenage women, when in fact nobody should feel guilty about issues they have no control over.

As humans, we all have dodgy genes in families, and it is definitely nobodies fault.

But while it is nobodies fault, acknowledging family hereditary conditions is important, and early intervention is crucial.

If you have daughters, and have had gynaecological issues yourself, or have a diagnosed gynaecological condition, please make sure you get them early care & treatment. It will save them years of hardship & suffering.

If you need help with getting your daughter, or yourself, diagnosed, or receiving proper treatment & management for gynaecological issues, then contact my clinic and find out how I can help you. Contact info@drandreworr.com.au or call +61 0451 408898. In person & online consults available, no matter where you live.

31/05/2026

Perimenopause & Menopause are normal stages of life. Perimenopause & Menopause are not disease states, and are a normal life transition that should not be feared.

Once in menopause, a woman is in menopause for life. Menopause is not just a phase of symptoms that comes and goes and then it is over. Far from it.

The problem with these stages of life is that many women are confused about what these stages of life hold for them, many have also been told lots of misinformation, and some are still holding on to outdated myths about hormone replacement therapy.

While Perimenopause & Penopause are normal stages of life that should not be feared, we do need to be fully aware of serious health conditions that will present themselves, if a woman does not replace crucial hormones and nutrients her body will become deficient in. Osteoporosis, atrophic vaginitis, urogynaecological conditions, cardiovascular disease, dementia, and certain cancers are just to name a few things that can, and do happen in these stages of life.

Many of these disease states do not even present with symptoms until the disease has fully progressed, and certain cancers can develop with very minimal symptoms at all.

The sad fact is that many women wait to long to do something about preventing these serious disease states, and once some have formed & progressed, it could actually be too late. This is why I said that "If you wait, it could be too late".

This is why early intervention and prevention measures should be looked at during perimenopause, or even earlier.

This is also why it is important to see a qualified women's health expert early on, and not try and manage these stages of life yourself, and be careful where you are getting your information from too.

If you do need help with prevention of serious diseases that can, and do develop during the Perimenopausal & Menopausal stages of life, then contact my clinic and find out how a qualified women's health expert can help you.

Contact info@drandreworr.com.au or call +61 07 0451 408 898. In person & online consults available, no matter where you live.

31/05/2026

There are many myths, misperceptions, and BS information out there when it comes to Perimenopause & Menopause. There is even more BS information out there when it comes to hormone replacement therapy in these stages of life.

Firstly, menopause is not just a short lived stage of life that you go through, and then it is all over. Once you are in Menopause, you are in Menopause until the day you die. That is a fact

If you don't manage this stage of life properly, you will end up with some serious health issues, and maybe end up with a shortened life expectancy.

Secondly, during Perimenopause & Menopause, Hormone Replacement is not just about the alleviation of hot flushes, night sweats and a few other symptoms.

Hormone Replacement Therapy is crucial during these stages of life, and is a proactive approach to preventing disease, that can not only affect a woman's physical and mental wellbeing, but also shorten her life expectancy.

Hormone Replace Therapy does not equate to cancer. That myth has long been disproven, and people need to stop gaslighting themselves with this myth too.

The fact is that once the bodies production of certain hormones ceases, or become less functioning, the only way to top up a bodies supply of hormones is by hormone replacement therapies.

There are also many options with hormone replacement therapy, and not all of them are synthetic and chemically made. Some of these options are bioidentical to the hormones you have in your body already. That is a fact.

As humans we are living longer, and because of this, we also now need to replace our bodies with hormones, and other crucial supplements, to keep it functioning optimally until the day we die. Without these crucial things being replaced, our bodies, and our minds, start to decline and may cease to function entirely.

If you are in your mid forties (perimenopausal), or in menopause, and want to live longer, and prevent your body from having preventable diseases, then contact my clinic and find out how a qualified women's health expert can help you. Contact info@drandreworr.com.au or call +61 0451408898. In person & online consults available, no matter where you live.

30/05/2026

When a persons body stops producing insulin, we have to replace insulin in that person's body, or they will die.

When a persons thyroid stops working, or is taken out, we have to replace Thyroid stimulating hormone with a replacement, which is usually thyroxine.

When the ovaries begin to fail, or slow/stop in their production of estrogen... We ???

Well the simple answer would be that we replace the body with hormones to replace the one that is no longer being made, and that hormone being estrogen.

Unfortunately many are not doing this, and it is leading to brittle bones, atrophied vagina's, cardiovascular disease, increased ageing, severe mental health issues, and even early death.

There are no amounts of foods and supplements that can help replace what needs to be replaced by an actual deficient, or near non-existent hormone.

Let me explain it like this. When you fill up a car with petrol, we can add some additives to the petrol to make the car run better, look after the engine, and also get better fuel economy. But, when that tank of petrol gets low, and then gets down to below it's reserve, no amount of additives are going to help you keep that car running. Unless you top that car up with the petrol and fuel that it needs, your car is going to stop, and that is a fact.

The same goes for a woman's ovaries, and the hormones it helps produce. When those ovaries reserves run out, and their is no more estrogen being made, or not enough to keep the body in optimal health, unless you top that body up with the estrogen it needs, the body will bare the consequences, and certain things will cease to function.

Worse still, it could lead you to an early grave, where the body ceases to function at all, just like our car without petrol.

This is why early intervention during the perimenopausal stage of life is crucial.
If you are over 40 years old, and in the perimenopausal stage of life, or are in the menopausal stage of life, then contact my clinic and find out how a women's health medicine expert can help you navigate these stages of life properly.

Contact info@drandreworr.com.au or call +61 0451 408898. In person & online consults available.

30/05/2026

There is a lot of misinformation about perimenopause & menopause, and unfortunately some of it comes from healthcare providers who haven't done extra study & training, don't understand fully women's health medicine, and don't understand the hormone pathway.

Besides that, unfortunately there is also lots of misinformation out there on all levels. Because of this, women lose out and it can affect them on all levels.

What all need to know is that there is a huge difference between symptom management, and disease prevention. Just as there is a huge difference between a hormonal imbalance, and hormone & nutrient deficiency.

Anyone can do symptom management, and there are lots of supplements/medicines that can provide symptom management. This is where women get suckered in, with all sorts of smoke & mirror treatments, and then pay dearly for it.

While symptom management is easy, and can help to a point, it will only get you so far. But disease management isn't that easy, especially if a woman has left it to late, or relied on symptom management, which does not prevent diseases, or them becoming worse.

In perimenopause, hormones & essential nutrients can be rapidly depleting for some, but for many their symptoms are mainly due to hormonal imbalances, which can easily be rectified with the right treatments. But, we need to remember that this time is also crucial for disease prevention. This is why early intervention is so important, and this is especially true for women in perimenopause.

Once a woman is in menopause, she is in menopause for life. Not only are nutrients depleting at a rapid rate, so are her hormones. Once the well is dead & dried up so to speak, the only way to fill that well up, is with replacement.

This means replacement of nutrients, and replacement of hormones. If that replacement does not happen early enough, women will end up with terrible disease states that will effect them greatly, physically & mentally.

If you need help with properly navigating periomenopause & menopause, with a qualified women's health expert, then contact my clinic and find out how I can help you. In person & online consults available, not matter where you live.

Dr Andrew Orr

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