As a Nutritionist and Women’s Wellness Coach, I often work with women who want to balance their hormones. Hormone imbalances are actually very common and there are actually over 50 hormones at work in your body! But what are the hormonal imbalance symptoms in women that you should look out for?
10 hormonal imbalance symptoms in women
1. Missing or irregular periods
The most obvious of the hormonal imbalance symptoms in women is missing or irregular periods. A healthy woman will typically have a regular menstrual cycle lasting between 21 and 35 days. Anything outside of this is considered irregular (NHS). Irregular periods are normal during puberty, after pregnancy or after coming off hormonal contraception. However, irregular or missing periods can also be a sign of hormonal imbalance. Missing or irregular periods can be due to Hypothalamic Amenorrhea (HA), Hypothyroidism or Polycystic Ovarian Syndrome (PCOS). Irregular periods can also be a sign of early menopause in women under the age of 45. If you have not had a period for more than 3 months, it is a good idea to speak to your doctor to find out what is going on.
2. Excessive mood swings or PMS
One of the most common symptoms of hormonal imbalance in women is severe mood swings during the pre-menstrual phase. It is normal to feel slightly irritable, moody or fatigued in the days before your period. However, if you are experiencing extreme mood swings or excessively low mood during the pre-menstruum this could be a sign of a hormonal imbalance. The endocrine system is complex and your hormones have systemic effects throughout the body. Imbalances in estrogen, progesterone, serotonin, thyroid hormones and cortisol can all have a negative impact on your mood and emotional regulation. It is important to check your hormone levels to understand what might be causing your symptoms.
3. Extreme period pain
Another of the most common symptoms of hormonal imbalance in women is extreme period pain. Again, it is normal to experience some level of pelvic pain during menstruation. The muscles of your uterus contract to shed the outer layers of it’s lining which is the blood you release during your period. This can cause a mild warmth and cramping sensation around the area of your womb and lower back. However, if you are experiencing intense pain, this is not normal. There are several reasons for painful periods including Endometriosis, cysts or fibroids and tension in the muscles of the pelvis. Hormonal imbalance, in particular high levels of estrogen, is associated with severe period pain.
4. Hormonal acne
Hormonal acne is something that most of us women deal with at some point in our lives. Whether is it having a face full of spots as a teenager or breakouts before your period each month, it is something you are likely familiar with. But what if your hormonal acne is excessive or chronic lasting way past your teenage years? This is one of the hormonal imbalance symptoms in women to look out for! Hormonal acne is usually found around the jaw and chin area but also on the cheeks and forehead. It can be a sign of hyper-androgenism (male hormones) as in PCOS. Hormonal acne can also arise with low progesterone. To understand the cause, you need to take a look at your symptoms holistically. You can also consider checking your hormone levels to identify any imbalances.
5. Trouble sleeping
A surprising hormonal imbalance symptom in women is insomnia. Most women wouldn’t associate their sleep troubles with their hormonal health. However, not sleeping well can also be a sign of an imbalance. Low levels of progesterone can lead to insomnia and poor sleep during the pre-menstrual phase. Imbalances in cortisol can also have a cascade effect throughout the body and cause disruption to sleep-wake cycles. In particular, sleep maintenance insomnia and early morning waking can be related to cortisol imbalances. Both progesterone and cortisol imbalance can be related to high levels of stress, whether than it physical, mental or emotional.
6. Low sex drive or sexual dysfunction
Perhaps a lesser talked about subject amongst women, or an overly normalised one depending who you ask! Low sex drive or low libido is another of the common hormonal imbalance symptoms in women. In addition, vaginal dryness and pain during sex can also be caused by hormonal imbalance. It is normal to experience fluctations in sex drive throughout your cycle with a peak during your fertile phase. Despite what we are made to believe, we are not expected to be ready to go at all times! But experiencing low libido for months on end may be a sign that something more is going on. Your reproductive hormones, especially estrogen and testosterone regulate your sex drive and your ability to be aroused. Low levels of these hormones can lead to disinterest in sex or pain during sex.
7. Changes to hair
Losing hair can be very distressing and is a sign that something is not right with your body. There are many reasons for hair loss in women including stress, anemia and dermatitis. However, hair loss is also one of the hormonal imbalance symptoms in women. Reduced levels of estrogen and progesterone, for example during menopause, can lead to hair shedding and thinning. Hypothyroidism, that is low levels of thyroid hormones, can also be an explanation for hair loss in women. When hair loss is in a male-pattern of balding this can be a sign of hyper-androgenism and PCOS. In this case, you might also experience hair growth on your face and body. Again, it is important to assess your symptoms holistically to understand the hormonal imbalance responsible for your hair loss.
8. Migraine or headaches
Many women experience headaches and migraines, especially during the pre-menstrual or menstruation phase of their cycle. This can sometimes be accompanied by nausea, dizziness and increased sensitivity to light. Rapid changes in hormones can trigger headaches, which is why they are more common around your period when your hormones levels drop suddenly. Studies show that it is likely in fluctuations estrogen which can trigger migraine headaches. This is why some women experience them more frequently during puberty, pregnancy and menopause. It may be that more women are more sensitive to headaches than others. However, adopting a healthy lifestyle to support hormonal balance may help to reduced the quantity and severity of headaches.
9. Unexplained infertility
A hormonal imbalance symptoms in women which might not be discovered until later is unexplained infertility. I recently wrote a post about infertility discussing some of the causes, risk factors and natural treatments. Infertility is not always caused by a hormonal imbalance. But having balanced hormones and regular ovulation increases fertility and chances of conception. Hormonal imbalances which can lead to infertility include high testosterone, low progesterone and low thyroid which can all affect ovulation. To check whether you are ovulating you can measure your basal body temperature and look for a sustained 0.5°C rise around the mid-point of your cycle. You can also look out for “egg white” consistency fertile mucus around the same time as a sign of healthy ovulation.
10. Weight gain and cravings
Finally, unexplained weight gain and cravings can both be hormonal imbalance symptoms in women. We all experience cravings from time to time. But if you feel like you are experiencing an insatiable hunger or desire for sweets, perhaps your hormones are to blame. Insulin and glucagon are hormones released from your pancreas which are involved in managing your blood sugar. Imbalances in these hormones can affect your appetite and cravings. Cortisol imbalances can also play a role in unexplained weight gain. When your body is stuck in fight or flight stress state, it may hang onto extra weight as a survival mechanism. If you are struggling to lose weight, despite reducing your calorie intake, you might want to focus on balancing your hormones first.
Summary of hormonal imbalance symptoms in women
hormonal imbalance symptoms in women
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