Hormone health with Dr Stavy
Hormone health.A clearer next step.
Hormone health assessment with Dr Stavy starts with your concerns, health history and results. She leads your assessment and makes decisions about prescribing, monitoring and referral. The visit gives you time to discuss what has changed. Together, you can work out what needs attention and the next step for you.
- Dr Stavy
- Your hormone-service clinician
- Your concerns
- Assessment shaped around your health
- Clear costs
- Ask about the consultation, tests and follow-up
What would you like help to understand?
You may have noticed a change in your energy or sleep. Perhaps your periods or sex drive have changed. A blood result may have raised a question. You might already have a diagnosis and want to discuss your care. You can start with the concern that matters to you. You do not need to choose a test before you get in touch.
Symptoms alone do not show that you have a hormone problem. Thyroid symptoms can have other causes. Low testosterone needs a medical review and sound test results to confirm the cause. Your history and results need to be considered together. [2][3]
Who will look after your hormone health?
Dr Stavroula Nikitopoulou, known as Dr Stavy, leads this hormone service. You can discuss hormone concerns across women’s and men’s health with her. She assesses your health and decides whether to prescribe. She also handles monitoring and decisions about referral to a specialist.
The visit gives you time to explain what has changed. You can discuss what you have tried and what you hope to learn. Dr Stavy’s consultation covers your health history, current concerns and daily life. Follow-up appointments review your results, health plan and progress.
If you already receive care elsewhere, bring details of that plan. Ask how the next step would fit with that plan. Check who will review new results and who to contact with questions. Clear responsibilities matter when more than one clinician is involved.
You can also read about the practice’s functional medicine consultations if you are deciding which appointment to ask about. Tell the practice your main concern. This helps the team direct your enquiry.
Different concerns. Different decisions.
Hormone health is a broad area. Menopause, thyroid disease and low testosterone do not share one assessment or treatment plan. The starting point depends on your concern and health history. Past test results may also help. These examples show why a “hormone balance” label is not enough. [1][2][3]
| Concern | What assessment explores | What to keep in mind |
|---|---|---|
| Menopause or changes in periods | Symptoms, life stage and the options relevant to your health. | Hormonal and other treatment options need a discussion of their benefits and risks. [1] |
| Possible thyroid problems | Whether your symptoms and thyroid blood results fit a thyroid diagnosis. | Symptoms such as tiredness or weight change are not specific to thyroid disease. [3] |
| Possible low testosterone | Symptoms, properly timed measurements and possible causes. | One low result alone does not establish the diagnosis. [2] |
| Another hormone concern | The precise question, relevant history and whether specialist assessment is needed. | Different gland-related conditions may need different clinical expertise. [4] |
What does “optimisation” mean here?
Here, hormone optimisation means care that fits your medical needs. Any treatment needs a clear purpose and a plan for review. It does not mean pushing a test result as high as possible. Diagnosis, the purpose of treatment and the risks all matter. [1][2][3]
Ask what a treatment is meant to help with. How would you judge its effect? What other options are there? The discussion should make the choice clearer. It should also explain what is uncertain. An enquiry starts a discussion about care. It does not commit you to a medicine or a test package.
Could a test answer your question?
A hormone test can help answer a specific medical question. The test you need depends on the concern. So does the way the result is read. Testing for a thyroid problem differs from testing for low testosterone. Both results need to be read in context. [2][3]
If you already have results, ask how to share the full reports with the practice. Include the date and the laboratory’s reference range where these appear. A screenshot showing only “high” or “low” may leave out details that help explain the result.
Before more tests, ask what each one would tell you. How might the result change the next step? You can also ask whether an existing report addresses that question. The practice’s testing and diagnostics guide explains the wider approach and costs to discuss.
Why can timing and repeat results matter?
For suspected low testosterone, the Endocrine Society guideline calls for a morning, fasting blood test. A repeat morning test is used to confirm the result. The symptoms and signs must also fit the diagnosis. This is one example of why a result needs context. It is not an instruction to order a panel for yourself. [2]
Follow the instructions given for the specific test you are having. Ask the practice about timing and preparation before attending. There is no single set of sample instructions that applies to every hormone test.
Can tiredness or weight change diagnose a thyroid problem?
No. An underactive thyroid can cause tiredness or weight gain. It can also make it hard to focus. But these symptoms can have other causes. Blood tests and a medical review help establish the cause. The tests include thyroid-stimulating hormone, known as TSH, and free thyroxine, known as free T4. [3]
Bring questions about both the symptoms and the report. Ask what needs more thought. Every symptom may not have the same cause.
Will everyone be offered the same hormone panel?
Tests are chosen as part of the review of your needs. The practice does not require one set hormone panel for every visitor. Ask which tests are proposed and what they would add. Check the cost of each test.
A list of tests does not tell you which ones you need. For example, guidance on low testosterone and thyroid disease uses different diagnostic approaches. The clinical question should come before choosing the test. [2][3]
What happens after the assessment?
The next step depends on what the assessment shows. Dr Stavy is responsible for prescribing decisions, monitoring and referral decisions in this service. A consultation does not guarantee that hormone treatment will be appropriate. The diagnosis matters. Guidance also calls for a review of possible benefits, risks and your own health needs. [1][2]
You may need more tests or specialist input before deciding on treatment. For example, low testosterone assessment includes looking for its cause. In women, low hormone levels may relate to the ovaries or the pituitary gland. These causes need different forms of assessment. These distinctions can affect the care route. [2][4]
Review the person and the plan
Monitoring is about how you are doing as well as relevant measurements. Low testosterone guidance calls for checks during treatment. These include symptoms, unwanted effects and blood results. Thyroid treatment also needs blood-test review. This helps avoid too much or too little treatment. The checks depend on the condition and your care. [2][3]
Ask what will be reviewed and when you should return. Check how to raise concerns between visits. There is no single follow-up timetable for every hormone concern. Your plan should make the next review and responsibility for it clear.
Come with your questions.
Leave room for a conversation.
Before the visit, note the main change you want to discuss. When did it start? How does it affect your daily life? You do not need a perfect timeline. Focus on what you most want the appointment to address.
Bring a list of medicines and supplements. Include past diagnoses and any current care plan. If you have test results or letters from another clinician, ask the practice how to provide them. Mention any practical needs when you book.
What will it cost?
Ask the practice for the cost of the hormone consultation. Check the price of any tests and follow-up too. No fixed hormone-service fee is listed here. A starting price for a different visit is not a quote for this service.
You can review the practice’s published fees and cost information before making an enquiry. Check what the appointment includes. Are tests charged separately? Is there a fee for a visit to discuss results? This helps you decide how to proceed.
Questions before you enquire
What does a hormone-health assessment involve?
It is a consultation about your hormone concerns, health history and relevant results. Dr Stavy is responsible for the hormone service, including assessment, prescribing where appropriate, monitoring and referral decisions. The discussion helps establish what needs attention and which next steps may fit your needs. It does not guarantee a particular test or treatment.
Do symptoms always mean I have a hormone problem?
No. Symptoms such as tiredness, weight change or reduced sex drive do not establish a hormone diagnosis on their own. Thyroid symptoms can overlap with other health concerns, and low testosterone requires both clinical assessment and reliable measurements. Discuss the symptoms and any results together so the cause is not assumed. [2][3]
Does everyone need the same hormone blood tests?
Testing is selected as part of the individual assessment. There is no single mandatory hormone panel described for every person using this service. Ask what each proposed test would add, whether previous results are useful and what it would cost. Follow the preparation instructions supplied for your specific test.
Will a consultation mean I receive hormone treatment?
An assessment does not guarantee a prescription. Dr Stavy considers prescribing as part of the hormone service where appropriate. The decision depends on the clinical findings and a discussion of possible benefits, risks and alternatives. Menopause and low testosterone guidance both call for attention to the person’s circumstances when considering treatment. [1][2]
Would I see Dr Stavy or Mr Kachrilas?
Dr Stavy is responsible for the hormone service described on this page across women’s and men’s hormone concerns. Mr Stefanos Kachrilas leads the separate men’s health programme. Tell the practice which service you want to discuss when you enquire so the appointment and clinician can be made clear before you book.
Who arranges monitoring and follow-up?
Dr Stavy is responsible for monitoring and referral decisions within this hormone service. Follow-up reviews results, the health plan and progress. Ask which checks your plan requires, when you should return and how to raise concerns. The schedule depends on the condition and treatment; one interval does not apply to every hormone concern. [2][3]
How much does a hormone consultation cost?
Ask the practice to confirm the hormone-consultation fee and what it includes before arranging an appointment. No separate hormone-service tariff is shown here. Also ask about the cost of any proposed tests, prescriptions and follow-up. A starting price for another consultation type should not be taken as a quote for this service.
Medical sources and further reading
- European society of endocrinology clinical practice guideline for evaluation and management of menopause and the perimenopause. M. Lumsden, O. Dekkers, S. Faubion, Angelica Lindén Hirschberg, C. Jayasena, I. Lambrinoudaki, Yvonne Louwers, J. Pinkerton, A. Šojat, Leonie van Hulsteijn. European journal of endocrinology, 2025. DOI: 10.1093/ejendo/lvaf206.
- Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. S. Bhasin, J. Brito, G. Cunningham, F. Hayes, H. Hodis, A. Matsumoto, P. Snyder, R. Swerdloff, Frederick C W Wu, Maria A. Yialamas. The Journal of clinical endocrinology and metabolism, 2018. DOI: 10.1210/jc.2018-00229.
- Hypothyroidism: A Review. L. Chaker, Maria Papaleontiou. JAMA, 2025. DOI: 10.1001/jama.2025.13559.
- Society for endocrinology guideline for understanding, diagnosing and treating female hypogonadism C. Jayasena, K. Devine, Katie A Barber, A. Comninos, G. S. Conway, Anna Crown, M. C. Davies, Ann Ewart, Leighton J Seal, Arlene Smyth, Helen E Turner, L. Webber, R. A. Anderson, R. Quinton. Clinical Endocrinology, 2024. DOI: 10.1111/cen.15097.
What patients say about Dr Stavy
Read patient feedback in its original context on Google, then compare it with the service, clinician and fee information on this site. Individual reviews describe personal experiences and do not predict clinical outcomes.
Make space for your health.
Whether you are concerned about a new symptom, an existing result or your current care, start by telling the practice what you would like to discuss with Dr Stavy. Ask about the appointment and costs so you can choose your next step.
Hormone healthWith Dr Stavy
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