Mood swings, fatigue, weight gain, loss of libido, hair loss, constipation, acne, excess body hair, depression, changes in your menstrual cycle ... any of these symptoms could be a sign of a hormonal imbalance.
Hormonal imbalances can cause a wide variety of symptoms—largely because the human body produces more than 50 hormones. These chemical messengers govern how all the systems in the body function, including your metabolism and your reproductive system.
So what should you do if you suspect that you’ve developed some type of hormonal imbalance?
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The most important thing that you can do is make an appointment to see your doctor and find out what’s going on.
There are so many possibilities: You could have an imbalance of estrogen and progesterone, which are produced by the ovaries. Or your body could be producing too much testosterone and androgens. Or you could be experiencing some other type of hormonal disorder that’s unrelated to the sex hormones. But you need to know for sure. Don’t leave yourself guessing what’s going on with your body and your hormones.
“If you suspect a hormonal imbalance, your first step should always be seeking professional guidance to understand your unique situation,” says Dr. Michele Powers, MD, an OB/GYN with Tideline Center for Health & Aesthetics in Lake Success, New York.
For example, you could have a hormonal imbalance such as polycystic ovary syndrome (PCOS), which is when the female body produces too many androgens. You might have irregular periods and start noticing excessive amounts of hair on your body and face. However, some people have PCOS without any symptoms and don’t even realize it.
“For reproductive age women, PCOS is one of the most common conditions that leads to symptoms for which they seek care,” says Dr. Jessica Vernon, MD, an OB/GYN and associate medical director at Oula, a midwifery-based women’s health organization in New York City.
You could have some another sort of hormonal imbalance, like a thyroid disorder, that tends to affect women more often than men. The thyroid gland produces several hormones, and both overproducing and underproducing hormones can affect the reproductive system. Unusually low or high levels of thyroid hormone might cause irregular or absent menstrual periods, for example, or affect ovulation. Your doctor can order blood tests to check your thyroid function, which include checking levels of thyroid stimulating hormone (TSH).
“Whether the imbalance is linked to perimenopause, thyroid issues or something else, seek expert guidance to get to the root of the issue and develop a solution that works for you,” says Dr. Kathleen Jordan, MD, chief medical officer of Midi Health.
Essentially, you need to get the right diagnosis because the treatment or management of the imbalance will depend on the specific diagnosis.
If you’re seeking guidance on coping with menopause symptoms, Dr. Jennifer Roelands, MD, an OB/GYN and integrative medicine physician and founder of Precision Health MD, recommends that women seek out physicians who specialize in addressing menopause-related concerns.
“Ask, 'How many menopause patients do you take care of?'” she says.
Related: ‘I’m an OB/GYN—This Is the One Menopause Symptom You Should Never, Ever Ignore'
3 More Ways to Manage Unbalanced Hormones
While making time to see your doctor is crucial, you can also start taking a few other steps to manage your health if you suspect you have a hormonal imbalance:
Tracking your symptoms can also help. You could keep a diary or journal, or put notes in your phone.
Don’t just track the physical symptoms, though, says Dr. Donna Adams-Pickett, Ph.D., MD, an OB/GYN with Augusta Women’s Health & Wellness Center in Georgia. “Identify physical symptoms, but also stay attuned to psychological and behavioral symptoms,” she advises.
“This helps provide valuable context when you consult with a healthcare expert,” adds Dr. Jordan. “Noting your changes in periods, sleep, mood, and fatigue, and even concentration can be important clues to what’s going on.”
Christian Black, an adult-gerontology nurse practitioner at Novant Health Today’s Adult Primary Care in Winston, Salem, North Carolina, agrees.
“Keeping a record of symptoms, menstrual cycle changes, and any relevant lifestyle factors can also be helpful during the consultation to facilitate accurate assessment and treatment options,” she recommends.
Related: If You're Gaining a Lot of Weight In Menopause, These Are the Exact Hormones to Get Tested
Change your thinking about perimenopause and menopause.
Some experts want women to start change their thinking about the hormonal changes that do occur during perimenopause and menopause.
Dr. Suzanne Gilberg-Lenz, MD, FACOG, an OB/GYN and the author of Menopause Bootcamp, emphasizes that menopause is not a hormonal imbalance, illness, disorder or a disease—it’s merely a developmental stage of life.
“We just have to stop pathologizing everything,” she says. “It makes women victims.”
Instead, she suggests that women approach the hormonal changes that lead up to and include menopause as an important time of transition in their lives. Their bodies often do change as a result.
“I didn’t change anything, and I put on 10 pounds,” is a common refrain that Dr. Gilbert-Lenz hears from women.
And while menopause isn’t a hormonal imbalance that needs treatment in the way that PCOS does, it can create some unpleasant symptoms for some women.
For example, research shows that more than 80% of women experience hot flashes during menopause. Some women only have mild hot flashes, but for others, the hot flashes come in steamy and heavy and disrupt their lives (and often their sleep).
Thankfully, though, these and other symptoms can be managed. Hormone therapy is typically recommended as the most effective treatment for moderate-to-severe hot flashes and night sweats in women who are under 60.
Related: ‘I’m an OB/GYN, and I Swear by This One Tip for Managing Hot Flashes During Menopause’
Look for simple changes to make.
Hormone therapy is not the only strategy that women can try in order to cope with symptoms caused by the hormonal shifts of perimenopause or menopause that bother them. Some women can’t use hormone therapy, while others may just prefer not to.
“Adjusting to menopause may involve hormone therapy but also lifestyle adjustments and/or supplements can also be an aid to feeling your best,” says Dr. Jordan. “Focus on self-care: incorporating healthy habits such as exercise, nutritious eating, and proper sleep into your daily routine.”
In fact, experts tend to recommend all of those strategies as part of a healthy lifestyle. But to achieve that, you may need to start by assessing where you are right now. Take some time to look at your current lifestyle and habits and figuring out where you want to start.
“What is your goal, and what are the things that you think are the low hanging fruit for you?” Dr. Roelands asks.
That might include getting more exercise, making some simple improvements to your diet like boosting your protein consumption or eating more fruits and vegetables and finding a way to work on that stress that always manages to make an appearance in your life. Pick one area that seems doable for you, and work on that first.
Up Next:
Related: 'I’m an OB/GYN–This Is the Only Menopause Sleep Tip That Actually Works'
Sources:
Dr. Donna Adams-Pickett, Ph.D, MDChristian BlackDr. Suzanne Gilberg-Lenz, MD, FACOGDr. Kathleen Jordan, MDDr. Michele Powers, MDDr. Jennifer Roelands, MDDr. Jessica Vernon, MD"Hormonal imbalance." Cleveland Clinic"Menopausal hot flashes: A concise review." Journal of Midlife Health"Overview of the endocrine system." EPA"Polycystic ovary syndrome." Mayo Clinic"Thyroid disorders in women." Johns Hopkins Medicine"Thyroid tests." NIDDK Read More Details
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