When To See A Doctor
If you notice signs and symptoms of low estrogen, you should contact your doctor to discuss whats happening. You can discuss with your doctor if there are blood tests recommended to check your overall health. Make sure you are up to date on your Pap smear test, which checks for cervical cancer.
- Youve missed a period or more: This could be a sign of pregnancy or the result of certain medications, an underlying illness, or perimenopause.
- Youve not had a period for a year and start bleeding or spotting: In women who have gone through menopause, spotting or light bleeding could be caused by endometrial cancer or other serious health problems.
- You are 16 or older and have not started menstruating: This could be a sign of delayed puberty due to hormonal imbalance.
- You think you may have an eating disorder: Eating disorders can wreak havoc on your physical and mental health. They can cause deficiencies that can compromise estrogen production.
- You are feeling overwhelming sadness or having suicidal thoughts: Reach out to a mental health professional to get the help and support you deserve, and talk to your doctor about possible treatment options.
How Is Low Estrogen Treated
Women who have low levels of estrogen may benefit from hormonal treatment. Hormonal treatment is the standard for low estrogen. There are non-hormonal options to help relieve symptoms. Non-hormonal options are preferred for women at high risk for breast cancer, blood clots, stroke, or liver disease.
What You Can Do About It
If you think you might have low estrogen, the first thing to do is talk to your doctor. They can test your hormone levels to make sure this is the case. Then they can work with you to figure out why this might be happening so you can get the correct treatment.
“If you have symptoms of low estrogen, you shouldn’t tough it out. There’s help for you!” Dr. Eyvazzadeh says. “And if you don’t have a doctor that is listening and paying attention to your symptoms then find another one. A gynecologist should be able to help with symptoms of low estrogen.”
It’s important, though, to rule out menopause as a factor. “If you suspect premature menopause, you do want to see your gynecologist, because women with premature menopause need to be on hormonal therapy,” says Dr. Minkin. “The rate of premature menopause is high enough that everyone should know how to check for it and the symptoms,” says Dr. Eyvazzadeh.
Having low estrogen isnt immediately dangerous per se but it definitely affects your bodys performance on a number of levels. If youve read the symptoms and think your estrogen might be low, talk to your doctor about getting your levels tested. Your doctor can help you get your levels, and your life, back on track.
Dr. Mary Jane Minkin, MD, clinical professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the Yale University School of Medicine
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About Michelle Ayazo Md
Dr. Michelle Ayazo is a board-certified family medicine physician and Obesity Medicine specialist. As a physician, Dr. Ayazos goal is to help patients find whole-body health in a way that combines medicine with healthy lifestyle habits.
In addition to helping with hormonal imbalances, Dr. Ayazo specializes in chronic disease management, functional medicine, skin health, and much more.
Disclaimer: This blog is not intended to substitute professional medical advice. Every patient is different, so talk with your doctor to learn what treatment options are best for you.
How Does High Estrogen Affect The Body Of A Man Or Amab Person
People assigned male at birth need some estrogen for their sexual and reproductive health. But high levels of estrogen can cause:
- Erectile dysfunction.
- A condition called gynecomastia, where the breasts become enlarged.
If youre assigned male at birth and concerned about your estrogen levels, speak with an endocrinologist or a functional medicine specialist for help.
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Why Do Estrogen Levels Fall
There are many reasons why estrogen levels fall, including:
- Anorexia nervosa
- Extreme exercise or training
Drugs that block estrogen include clomiphene, which tricks the body into thinking it has decreased levels of estrogen. Also, women experience low levels of estrogen immediately after childbirth and also during breastfeeding.
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Hot Flashes During Perimenopause
Most women dont expect to have hot flashes until , so it can be a big surprise when they show up earlier, during perimenopause. Hot flashes sometimes called hot flushes and given the scientific name of vasomotor symptoms are the most commonly reported symptom of perimenopause. Theyre also a regular feature of sudden menopause due to surgery or treatment with certain medications, such as chemotherapy drugs.
Hot flashes tend to come on rapidly and can last from one to five minutes. They range in severity from a fleeting sense of warmth to a feeling of being consumed by fire from the inside out. A major hot flash can induce facial and upper-body flushing, sweating, chills, and sometimes confusion. Having one of these at an inconvenient time can be quite disconcerting. Hot flash frequency varies widely. Some women have a few over the course of a week others may experience 10 or more in the daytime, plus some at night.
Most American women have hot flashes around the time of menopause, but studies of other cultures suggest this experience is not universal. Far fewer Japanese, Korean, and Southeast Asian women report having hot flashes. In Mexicos Yucatan peninsula, women appear not to have any at all. These differences may reflect cultural variations in perceptions, semantics, and lifestyle factors, such as diet.
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Which Hormones Does The Pituitary Gland Make
The anterior lobe of your pituitary gland makes and releases the following hormones:
- Adrenocorticotropic hormone : ACTH plays a role in how your body responds to stress. It stimulates your adrenal glands to produce cortisol , which has many functions, including regulating metabolism, maintaining blood pressure, regulating blood glucose levels and reducing inflammation, among others.
- Follicle-stimulating hormone : FSH stimulates sperm production in people assigned male at birth. FSH stimulates the ovaries to produce estrogen and plays a role in egg development in people assigned female at birth. This is known as a gonadotrophic hormone.
- Growth hormone : In children, growth hormone stimulates growth. In other words, it helps children grow taller. In adults, growth hormone helps maintain healthy muscles and bones and impacts fat distribution. GH also impacts your metabolism .
- Luteinizing hormone : LH stimulates ovulation in people assigned female at birth and testosterone production in people assigned male at birth. LH is also known as a gonadotrophic hormone because of the role it plays in controlling the function of the ovaries and testes, known as the gonads.
- Prolactin: Prolactin stimulates breast milk production after giving birth. It can affect fertility and sexual functions in adults.
- Thyroid-stimulating hormone : TSH stimulates your thyroid to produce thyroid hormones that manage your metabolism, energy levels and your nervous system.
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What Happens When Testosterone Levels Rise Or Fall
If your body produces too much testosterone, you may have irregular or absent menstrual periods. You may also have more body hair than the average woman. Some women with high testosterone levels develop frontal balding. Other possible effects include acne, an enlarged clitoris, increased muscle mass, and deepening of voice.
High levels of testosterone can also lead to infertility and are commonly seen in polycystic ovarian syndrome . PCOS is an endocrine condition that is sometimes seen in women of childbearing age who have difficulty getting pregnant. Women with PCOS have symptoms similar to those produced by high testosterone levels. They include:
As women with PCOS age, the presence of these risk factors increases their risk for heart disease.
By the time of menopause, women have experienced a decline in testosterone since their 20âs that does not decrease further.â That decline may be correlated to a reduced libido. Some findings indicate that testosterone replacement therapy may benefit sexual function in certain perimenopausal and postmenopausal women. Testosterone replacement is unadvised in women with breast or uterine cancer. It also may increase the chances of cardiovascular disease or liver disease. So, experts are cautious about recommendations.
List Of Low Estrogen Bladder Symptoms
Some bladder symptoms that can occur due to low estrogen include:
- Incontinence: This means that a person loses control of their bladder. This can happen in any context. However, one of the most common forms is stress incontinence. This means that a person loses control of the bladder when there is pressure on the pelvic floor, such as when coughing, running, or laughing.
- Urinary pain: A person may have pain when urinating or shortly before or after. Some people notice that their bladder feels painful or full after urinating or that they are unable to fully empty their bladder.
- Overactive bladder : A person may urinate more frequently than usual or have difficulty holding their bladder when they need to use the bathroom.
A person with low estrogen may have genital symptoms, too,
not necessary for a diagnosis. However, doctors may occasionally use:
- vaginal pH testing
- vaginal culture to assess the health of the microbiome
- tissue biopsy, in cases where treatment does not improve the symptoms
If it is unlikely the symptoms are related to menopause, a doctor may perform other tests to rule out other conditions, such as UTIs. They may also assess someones hormone levels, bladder function, or nerve function.
A number of treatments may help with symptoms. They include:
- Hormone replacement therapy : For GSM or vaginal atrophy, a doctor
Some strategies for coping include:
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Measurement Of Hormonal Parameters
For the determination of the hormonal profile, participants with overnight fast were arranged in sitting posture for 30 min before sampling, and then blood samples were drawn from the antecubital veins between 8 and 10 am. Serum samples were analyzed for follicle-stimulating hormone , luteinizing hormone , prolactin , total testosterone , estradiol , and thyroid-stimulating hormone . When abnormal values appeared, a second sample of the blood was obtained for the re-assessment. The hormonal levels were investigated using the Cobas 6,000 analyzer series in the laboratory department of the hospital. Among these hormones detected, serum estradiol levels were measured using Elecsys estradiol III kit . The lower and upper detection limits for estradiol were 28.0 and 156.0 pmol/L, respectively. In addition, the intra-assay coefficient of variation was below 10%, and inter-assay coefficient of variation was below 15%.
What Are The Symptoms Of Pituitary Gland Problems
Large pituitary adenomas , which are benign tumors that develop on your pituitary gland, can put pressure on or damage nearby tissues. This can cause the following symptoms:
- Vision problems .
- Hormonal imbalances from pituitary hormone excess or deficiency.
Pituitary hormone imbalances can cause many different symptoms depending on which hormone is affected, including:
- A lack of growth or excess growth in children.
- Male and female infertility.
Its important to talk to your healthcare provider any time youre experiencing new, persistent symptoms. They can order some simple blood tests to see if your symptoms are related to hormone issues or something else.
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How You Know Your Estrogen Is Low
The symptoms of low estrogen can seem confusing when they first develop, because estrogen contributes to so many of your physical functions. You could see symptoms including:
- Mood swings or depression
- Disruptions in your menstrual cycle
- Painful or uncomfortable intercourse
- A decrease in your bone density
In addition to being uncomfortable to experience, low estrogen can also permanently damage your fertility. Get your symptoms checked out by a medical professional sooner, not later!
Once weve tested and confirmed your low estrogen, the care team at Morris Medical Center can get started re-balancing your hormones. With treatment, you can improve your quality of life and prevent the development of health issues related to your low estrogen.
How Estrogen Levels Affect Your Body
Having consistently low levels of estrogen can affect your reproductive system as well as other systems in your body.
Estrogen is the hormone that’s mainly responsible for sexual development in girls as they reach puberty. Some of its other functions include:
The type of HRT therapy, the mode of administration, and the dosage that you are prescribed depend on many factors. These include the underlying cause, severity, and symptoms of your low estrogen.
Basic facts about HRT include:
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What Causes Erectile Dysfunction
Whilst erectile dysfunction may be related to both mental and physical disorders, in approximately 80% of cases, medical conditions may play a contributory role. It is therefore important for all patients experiencing erectile dysfunction to be reviewed by their GP.
Some endocrine conditions are associated with erectile dysfunction and include those that cause a low testosterone level , although the mechanism by which this results in erectile dysfunction is not yet fully known, and some men can continue to have normal sexual function despite low levels of testosterone. Prolactin is a hormone produced by the pituitary gland within the brain. Certain conditions can cause a raised prolactin level , which can suppresses the production of other hormones from the pituitary gland, and therefore in turn result in low testosterone levels. Low testosterone levels can subsequently predispose to erectile dysfunction.
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What Are The Signs And Symptoms Of Erectile Dysfunction
Erectile dysfunction is the inability to either achieve or maintain an erection. This may happen either occasionally or regularly, but may occur only in certain situations depending on the cause .
Where erectile dysfunction is predominantly due to a physical cause, patients may describe a gradual onset of symptoms, which may occur across a variety of settings and different stimuli. Where the psychological component is the main factor, patients may describe a sudden onset in symptoms with erectile dysfunction varying dependent on the situation.
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Menopause Fatigue: Why Am I So #$%@ing Tired
Fatigue is prevalent in todayâs 24/7 world. Youâre constantly on, juggling work, family, friends, volunteering, and much more. Itâs no surprise that your energy levels feel like theyâre constantly low. But perimenopause can make it feel like your energy has bottomed out. Some days, it isnât just âI donât want to exercise todayâ tired, itâs âIâm not sure I can get out of bed todayâ tired.
Feeling fatigued all the time regularly tops the list of symptoms every time we survey women. About 85 percent of women report experiencing exhaustion that isnât relieved with more sleep. Of those 66 percent said fatigue interfered with their quality of life.
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Stop Overtraining And Undereating
You probably know how passionate I am about helping women heal their bodies from overtraining and undereating!
And unfortunately, hormonal imbalances, including low estrogen, are just another symptom of this all too common phenomenon.
Training too hard and for too long is a huge stressor on our bodies.
And when you combine overtraining with not consuming enough calories, hormone imbalances are bound to show up.
Stress and the inflammatory cytokines produced from constant, strenuous exercise actually down-regulate your sex hormones. This can lead to symptoms of low estrogen, along with a variety of other hormonal imbalances.
If you think you might be overtraining, heres an article I wrote on some of the classic signs to watch out for.
And if you need help shifting your mindset and routine from a pattern of overtraining and undereating to one that is more health promoting, Im here to help!
Ive helped hundreds of women, both in my online programs and as private coaching clients, recover their health from the effects of overtraining and undereating.
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