Hormonal Imbalance And Women
Female hormones are powerful chemical messengers that regulate the reproductive system and influence many other vital systems. When they are present in the body in the proper amounts and ratios, they work in concert with one another to promote optimal health and well-being. However, when female hormonal imbalance becomes an issue, the consequences can manifest themselves throughout the body, taking a toll on a woman’s health and quality-of-life. When the condition is accurately identified and treated, the balance of female hormones can be corrected, reducing the symptoms and health risks associated with hormonal imbalance.
What Happens During An Estrogen Test
Estrogens can be tested in blood, urine, or saliva. Blood or urine is usually tested in doctor’s office or lab. Saliva tests can be done at home.
For a blood test:
A health care professional will take a blood sample from a vein in your arm, using a small needle.
After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes.
For a urine test:
Your health care provider may ask you to collect all urine passed in a 24-hour period. This is called a 24-hour urine sample test. For this test, your health care provider or a laboratory professional will give you a container to collect your urine and instructions on how to collect and store your samples. A 24-hour urine sample test generally includes the following steps:
- Empty your bladder in the morning and flush that urine down. Do not collect this urine. Record the time.
- For the next 24 hours, save all your urine passed in the container provided.
- Store your urine container in the refrigerator or a cooler with ice.
- Return the sample container to your health provider’s office or the laboratory as instructed.
For an at-home saliva test, talk your health care provider. He or she can tell you which kit to use and how to prepare and collect your sample.
What Should I Do If I Have A Hormonal Imbalance
The testing is complete, the results are in, and it appears as though you may be experiencing some kind of hormone imbalance or age-related hormone change. While this may be frightening, its important to remember that hormone imbalances are often easily resolved.
Depending on the severity and the cause of your hormone issue, you may be able to resolve the issue naturally via careful lifestyle adjustments. In other cases, you may consider replacing the hormones your body is lacking in order to restore balance. This treatment option is called hormone replacement therapy, and its a very common first line of defense against hormone problems of all kinds.
A good hormone health practitioner will help you understand your treatment options and create a comprehensive plan that makes sense for you. With their support, you can find the best path toward symptom relief and optimal health.
If you are interested in hormone testing, BodyLogicMD can help. The practitioners in the BodyLogicMD network are experts in hormone replacement therapy and dedicated to helping patients achieve hormonal balance. Using a functional approach to medicine, each patient is treated as a whole individual, receiving nutrition and lifestyle counseling in addition to any necessary medications. If you need a hormone balance test or are looking for a specialist to interpret the results, contact a local practitioner today. Or take the BodyLogicMD Hormone Balance Quiz to better understand the impact of hormones.
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What Day Should Estrogen Levels Be Checked
When evaluating female estrogen levels, day 3 is when estradiol, along with follicle stimulating hormone and luteinizing hormone blood tests will be performed.
Testing at the beginning of the cycle, along with FSH can help us understand brain-ovarian communication. Measuring FSH and LH is important to assess how the brain is talking to the ovaries.
When Should FSH Levels Be Checked?
For fertility or evaluating ovarian reserve, FSH is tested on day 3 of your cycle. If you cannot have lab testing done, most providers are fine testing between days 2-4. Remember, day 1 is the first day of your period.
Testing on or around day three of your cycle can be helpful in evaluating PCOS diagnosis as well. Note, this test alone will not diagnose PCOS. FSH and LH can help us understand how the brain is talking to the ovaries and the hormones can help us know how the ovaries respond to that message.
Why Test Estradiol?
During your reproductive years, estradiol or E2 is the predominant form of estrogen. As we transition into menopause, estrone or E1 becomes the most common circulating estrogen. This is important to understand because depending on the phase of life you are in, your estrogen levels and the type of estrogen will vary.;
If you are in a phase of life where you should be having periods, you need to check estradiol.
Testing Estrogen Days 19-22 of Cycle
Can A Hormonal Imbalance Impact Your Fertility
When reproductive hormone levels are out of range, that can disrupt the standard process of hormone regulation and impact your menstrual cycle. Period and ovulation changes, no matter why they’re happening, can make it harder to get pregnant. Conception requires an egg to be released during ovulation before fertilization by sperm cycle disruptions can make it harder to pinpoint ovulation and time sex or insemination around the days you’re most likely to get pregnant.
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How And When Will The Patient Find Out The Results
Results are returned to the doctor or specialist nurse who is looking after the patient. They may be contacted immediately to discuss the results or wait until they are next seen in clinic.
Results must be interpreted in the context of other medical details.; With endocrinology in particular, the same numerical result may signify health in one person, but a problem in another.; Patients should discuss results with their doctor rather than trying to interpret them themselves.
Routine results are produced within one working day;providing additional measurements are not required, for example, if it has to be double-checked.; Results on samples sent to reference laboratories for special tests may take one to four weeks to return.
Hormone Testing: What To Check And Why
Questions about hormone testing are common among my patients and on social media. Women want to know which hormones they need to check and why. They also want to know what hormones and other biomarkers can be tested at home. In this video and accompanying article, I cover the biomarkers that I check for myself and my patients approximately once per quarter. Note that not all biomarkers I discuss below have been validated for blood spot testing versus the gold standard of a blood draw for serum testing, which is what I use for treatment decisions. Still, one can infer trends and screen for problems to investigate further. My highest recommendation is to perform serum testing for all treatment decisions, though that may be difficult during quarantine and lockdown. I created this video to show the blood spot test that I am performing in lockdown, even with the caveat that it is not considered the gold standard for all tests mentioned in this article.
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Hormone Testing At Cedars
You benefit from the expertise of endocrinologists, doctors who specialize in treating hormone disorders. Many of our endocrinologists completed additional training through fellowships and have decades of experience. All of our experts stay up to date on the latest hormone testing practices.
We order appropriate tests based on your symptoms, allowing us to quickly pinpoint the source of the problem. And we detect subtle signs of a hormone imbalance, so you receive an accurate diagnosis. Once we confirm a diagnosis, we’ll discuss your personalized care recommendations. Treatments may include:
- Medical therapy for endocrine disorders
- Endocrine surgery
Serum Or Blood Testing
Most serum hormone tests define the normal range of hormones very broadly, which is a distinct disadvantage to their use. After a womans blood has been drawn, a portion of the blood sample is used to measure hormone levels. Most serum testing measures the level of free hormone , the level of the total hormone , or a calculated combination of both free and total levels of hormone. It is not an accurate reflection of the bioavailable hormone . In addition, the results of the serum hormone tests are often inconsistent, especially if the hormone value indicated is in the low-normal range. Serum testing is less helpful in monitoring women using transdermal forms of hormones, as the hormone is bound to the red blood cell surface and does not register in the serum in very high amounts.
Many women whose serum hormone test results are normal cannot understand why they continue to experience the symptoms of hormone imbalance.
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At Home Hormone Testing Kits Are They Reliable
If you search online, you will find a variety of hormone testing kits. There even are different forms of kits, such as finger prick kits, urine strip tests or saliva testing. But which one is the best to use?
When checking your hormone balance, you want to make sure that the result youre getting is accurate, and that it gives you the correct values of your hormone levels in your blood. So it is key that the test you are using is reliable and accurate.
When looking to check your hormones, its good to know that there are two different forms of hormones free hormones and bound hormones, meaning that they are bound to a protein such as sex hormone binding globulin . If the hormones are bound to a protein, they are not active on the target tissue.
In saliva testing, only the free hormones are measured, as they are the ones that reach the saliva. It therefore can give you lower results of your hormone levels than they actually are in your blood. Also, saliva testing can be influenced by your diet, time of day and even the amount of saliva you have in your mouth. Therefore, saliva testing is currently not considered accurate or precise enough for hormone testing.
What Is A Hormonal Imbalance
A hormonal imbalance occurs when your hormones are not produced at the proper levels. You can have many different types of hormonal imbalances. Sometimes, the imbalance means a deficiency in the given hormone while in other times, there might be an overflow. The kind of hormone that is imbalanced will play a major role in determining how the sign and symptoms will manifest and what would be the associated risks involved.
Though there are a few common life transitions that can cause a hormonal imbalance, such as menopause or pregnancy, you can struggle with such a problem at any point in your life. Both men and women can experience hormonal imbalances. Children, adolescents, adults, and the elderly may also find their hormones out of balance.
Because hormones and their functionalities are so varied, there’s no one single way to detect a hormonal imbalance. A wide range of issues can indicate that something is amiss with your hormones. This is one of the reasons why your best bet is to get tested occasionally, especially when you start developing uncommon symptoms.
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What Are The Signs And Symptoms Of Low Estrogen In Men
In men, male menopause may result from too little estrogen in addition to lower testosterone levels, at least according to some recent studies. Diminished libido, strength and energy are the main symptoms. However, testosterone levels tend not to fall as sharply in aging men as estrogen does in women who are post-menopausal. Further research is needed to determine if changes that come with aging are due to hormonal declines and if so, which hormones are the culprit.
How Does Menopause Affect Hormone Levels
Menopause is not just about one moment when women do not have a period anymore. During this natural occurrence, there are three main stages. The first one is called perimenopause which lasts approximately 3-5 years. The symptoms of it, are irregular menstruation bleeding, hot flashes, night sweats, insomnia, and psycho-emotional disorders such as irritability, aggression, and even panic. Here the hormone levels start fluctuating.
The second stage is called menopause. It means there are no more periods, and a lady cannot give birth to children. Also, this stage is diagnosed only with a doctor after she was 12 months straight without menstrual bleeding. Here thelevels are decreased. And, the symptoms are the same, however, a woman can also experience memory problems, and decreased libido.
Finally, the last stage is the postmenopause. And, it lasts for the rest of your life. Nevertheless, all the stages are critical for ladies. Because hormonelevels during menopause are not stable, and they do not provoke symptoms only but may affect the development of a disease. For instance, nodes and polyps can occur in the uterus, benign fibroids in malignancies, and also, hormone levels in menopause may bring some discomfort in your intimate zone, such as vaginism.
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When To Test Insulin
If youre trying to get to the bottom of a PCOS diagnosis, you will need to evaluate insulin. If you have a family history of diabetes or your clinician suspects insulin dysregulation, this is a test they will likely order.
Typically, insulin is tested while fasting along with blood glucose. Because of this, the test is commonly done first thing in the morning.
It is recommended that biotin be stopped at least 72 hours before testing.
Fasting insulin is a good place to start, but you may need to do a glucose challenge as well. Finding out what your insulin looks like after you eat can also be helpful. Your doctor will help determine the right tests for you.;
When To Test Cortisol
We cant always get a full picture of whats going on with your hormones without looking at the adrenals, which produce the stress hormone cortisol.;
Cortisol is involved in your stress response, hair loss, blood sugar regulation and more. In time of stress, the body will shift into preferentially making cortisol over progesterone. Read more about the importance of cortisol here.
Cortisol blood tests are best performed in the morning, along with Adrenocorticotropic hormone , because this is when levels are highest. ACTH is produced in the pituitary gland and helps your adrenals to function. For a more comprehensive picture of adrenal function, a 4-point salivary or urinary cortisol is best. Cortisol can be tested at any time of the month.
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When Is The Best Time To Test For Hormonal Imbalance
Estradiol needs to be tested on day 3 of the menstrual cycle to get the most clinically meaningful results. Doctors call day 3 the baseline because thats when E2 is most stable, before levels begin to rise. Aiming to test on day 3 puts you right at the beginning of the follicular phase and is the best time to get a clear read of these baseline levels.
Progesterone testing is most valuable in the luteal phase of the cycle.
Prolactin, testosterone, and TSH levels are more stable throughout the menstrual cycle and can be tested any day of the month.
How Can I Find Out If I Have A Hormone Imbalance
The only way to confirm a hormone imbalance is to test your hormone levels. Both blood tests and saliva tests are proven techniques in assessing a hormone imbalance. i-screen uses blood tests to accurately determine sex hormone and thyroid hormone levels, but prefers saliva testing to assess cortisol levels. This is because cortisol levels follow a diurnal pattern which means tests must be conducted throughout the course of the day this makes blood testing inconvenient.
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When Should I Test
When it comes to checking your reproductive hormones, timing matters. In women under 40, its best to test hormone levels on around day 21 of their cycle, if they typically have 28-day cycles. If a woman has longer cyclesfor instance, 40-day cycles then its best to test hormones about 7-10 days prior to their period due date. This is because its best to assess a womans progesterone level during her mid-luteal phase. If youre not menstruating regularly, testing can be done at any time.
Testing may vary, so make sure you follow instructions on the kit and/or consult your doctor.
Diagnosis Of Womens Hormonal Imbalance
Since the symptoms of female hormone imbalance are also common signs of a number of other diseases and health conditions, women experiencing them should see a physician for a thorough physical examination. If other underlying medical conditions are ruled out, hormone level testing is the next step. Hormone levels can be measured through saliva testing and/or blood tests. Establishing an accurate diagnosis of hormone imbalance may require several tests, done at intervals, as hormone levels fluctuate throughout a woman’s menstrual cycle and may change greatly from one day to another.
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Check Your Hormone Levels From The Convenience Of Home
If youâre concerned about your hormone levels, you can use the information here on how to know if you have a hormonal imbalanceâplus speaking with a healthcare providerâto help inform your next steps.If youâre interested in hormone testing at home, consider the following tests :
- Womenâs Hormone Test – Lets you learn your levels for 10 key hormones, including estrogen, progesterone, cortisol, and thyroid hormones.
- Thyroid Test – Check the 3 main thyroid hormones , plus thyroid antibodies.
- Womenâs Fertility Test – Test your levels for 5 hormones that help support ovarian function and pregnancy.
- Men’s Health Test – Check your cortisol, DHEA-S, estradiol, and testosterone.