← Services Women's Wellness

Your hormones aren't
the problem. They're
the messenger.

Hormonal symptoms — irregular cycles, PCOS, endometriosis, perimenopause, thyroid dysfunction, fertility challenges — are your body's way of flagging an imbalance somewhere in the system. I find it.

Root cause
Hormonal symptoms rarely originate in the hormones themselves — gut health, liver detoxification, stress response and nutrition are almost always implicated.
Genetic lens
MTHFR, COMT, and oestrogen metabolism gene variants significantly affect hormonal health. Testing reveals what your body uniquely needs — not what works on average.
10+ years
Women's hormonal health is my deepest area of clinical expertise. I've worked with hundreds of women who had been told their results were "normal."
If this sounds like you

Your cycle, your energy,
your body — not normal.

You've been told your bloods are fine. Your GP says your hormones are within range. But you know something is off — in your energy, your mood, your skin, your cycle, your weight. The frustration of being dismissed when you know your own body is one of the most common things I hear from new clients.

The truth is that standard hormone reference ranges are wide — designed to catch pathology, not to detect the hormonal imbalances that drive symptoms in otherwise "healthy" women. A functional approach reads those same results differently, and adds layers of investigation that standard medicine rarely pursues: full thyroid panels, oestrogen metabolite mapping, cortisol rhythm, and genetic variants affecting hormone clearance.

Areas of focus

Conditions I work with

PCOS

Polycystic ovarian syndrome is not a single condition — it has distinct subtypes (androgen excess, insulin-driven, inflammatory, adrenal). Identifying your subtype is the first step to effective treatment. Investigations include fasting insulin, androgens, SHBG, LH/FSH ratio, and metabolic markers.

Androgen excessInsulin resistanceCycle irregularity
Endometriosis

An oestrogen-driven inflammatory condition with significant gut, immune and genetic components. Naturopathic management focuses on oestrogen clearance (COMT, CYP1B1 variants), anti-inflammatory protocols, pain management through herbal medicine, and gut microbiome repair (the "estrobolome").

Oestrogen dominancePelvic painFertility impact
Perimenopause & Menopause

The hormonal transition of perimenopause begins years before the final period and is almost universally undertreated. I support this transition comprehensively — managing oestrogen decline, progesterone deficiency, adrenal resilience, bone density, cardiovascular risk, and cognitive health through evidence-based naturopathic medicine.

Hot flushesSleep disruptionMood & cognitionBone health
Thyroid Disorders

Hashimoto's thyroiditis is the most common autoimmune condition in women and is often underdiagnosed when only TSH is tested. I run a full thyroid panel including TPO and TG antibodies, free T3 and T4, and reverse T3, then address the autoimmune, nutrient (iodine, selenium, zinc) and gut drivers.

Hashimoto'sHypothyroidismSubclinical thyroid
Fertility & Preconception

Preconception care optimises egg quality, nutrient reserves, hormonal balance and uterine environment before conception. I work with women preparing for natural conception or IVF — addressing methylation (MTHFR), thyroid function, progesterone adequacy, and oxidative stress that affects egg and embryo quality.

PreconceptionIVF supportRecurrent miscarriage
Cycle Irregularity & PMS

Irregular periods, painful periods, heavy bleeding, severe PMS and PMDD are not normal — they signal imbalances in the oestrogen-progesterone ratio, prostaglandin pathways, nutritional status and stress response. All are highly responsive to naturopathic treatment.

Irregular cyclesDysmenorrhoeaPMDD
Work with Cassandra

You deserve answers,
not reassurance.

In-clinic in Canberra and online across Australia and New Zealand. No referral needed.

Book a consultation Nutritional medicine →
Common questions

Women's wellness
frequently asked questions

What are the signs of hormonal imbalance in women?
Common signs include irregular or painful periods, PMS or PMDD, hormonal acne, unexplained weight gain, fatigue, mood changes, poor sleep, hair thinning, low libido and fertility challenges. Many women are told their blood tests are normal — functional hormone testing reveals imbalances that standard panels miss.
What is PCOS and how is it treated naturopathically?
Polycystic ovarian syndrome is not a single condition — it has distinct subtypes including androgen excess, insulin-driven, inflammatory and adrenal, each requiring different treatment. Naturopathic treatment identifies the specific subtype through comprehensive testing and addresses the underlying drivers through targeted nutrition, herbal medicine and lifestyle medicine.
What is perimenopause and when does it start?
Perimenopause is the hormonal transition leading up to menopause, typically beginning in the early to mid 40s, sometimes earlier. It's characterised by fluctuating oestrogen and declining progesterone, causing irregular periods, hot flushes, mood changes, poor sleep, brain fog and skin changes. Naturopathic support addresses the full spectrum of hormonal, adrenal and nutritional changes involved.
What is the DUTCH test?
The DUTCH (Dried Urine Test for Comprehensive Hormones) measures sex hormones, hormone metabolites, cortisol rhythm, melatonin and organic acids. Unlike serum blood tests, it provides a detailed picture of how hormones are produced, used and cleared from the body — including oestrogen metabolism pathways relevant to skin, mood and cancer risk.
What is oestrogen dominance?
Oestrogen dominance is a state where oestrogen is elevated relative to progesterone — through excess production, impaired clearance, or insufficient progesterone. Symptoms include PMS, heavy periods, breast tenderness, mood swings and worsening of endometriosis, fibroids and hormonal acne. Treatment focuses on liver detoxification, gut health and progesterone support.
What is the MTHFR gene and why does it matter?
MTHFR variants — present in up to 40% of the population — impair folate conversion to its active form, affecting DNA repair, detoxification, neurotransmitter production and oestrogen metabolism. Impaired function is linked to elevated homocysteine, mood disorders, fertility challenges and certain skin conditions. Treatment involves specific methylated B vitamins at therapeutic doses.
Can a naturopath help with endometriosis?
Naturopathic medicine offers significant support for endometriosis — an oestrogen-driven inflammatory condition. Treatment focuses on reducing systemic inflammation, supporting oestrogen clearance through liver and gut health, managing pain through targeted botanical medicine, and reducing immune dysregulation. Naturopathic care works alongside gynaecological management, not as a replacement.