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.
Estrogen Testing In Men
Men also have estrogen, although their levels are usually lower than they are in women. Estrogen levels that are too low or too high in men can lead to health problems.
A man might have an estrogen test to:
- Check if puberty is delayed
- Diagnose enlarged male breasts, a condition with doctors call gynecomastia
- Find if high estrogen levels are due to low levels of testosterone or androgen –two key hormones in men
- Find tumors that make estrogen
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Commonly Asked Questions About Female Hormones
What is the lifelong role of estrogen in female health?
Most people think estrogen is primarily responsible for reproduction, but it also helps with bone, skin and cardiovascular health. In addition, it affects thyroid hormone production. During menopause, estrogen levels decline along with the production of progesterone and testosterone. Hormone replacement therapy , which means replacing lost hormones by re-introducing them into the body, is often suggested to offset the positive benefits of estrogen and can be helpful in reducing common symptoms of menopause. But some studies show that artificial doses of estrogen carry risks and have been linked to cancer, dementia, strokes and arthritis. Never assume that hormone replacement therapy is the right thing to do without consulting your healthcare provider.
What is Puberty? Hormones that control puberty
Puberty is the time in life when children begin to show changes through hormone secretions that indicate they are about to become adults physically. In girls, the most obvious sign of puberty is the onset of menstruation. It can happen anywhere between the ages of 9 17, with a median age of 12. The menses, or monthly cycle, is interrupted during pregnancy and typically ends when the ovaries stop secreting steroid hormones a stage known as menopause.
What are the hormonal milestones in a females life?
What Causes Hot Flashes?
Why do I feel so different during my monthly cycle?
Why dont men have monthly cycles?
What Are The Treatment Options
Hormone replacement therapy is one of the most common treatments of low hormone levels.
For people experiencing menopause, premature menopause, or primary ovarian insufficiency as well as after oophorectomy or chemotherapy estrogen therapy can offer some relief. Estrogen therapy alone is recommended for those who have had a hysterectomy. You can take estrogen in different forms, generally estrogen pills and estrogen patches.
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Why Is It Important To Keep Hormone Levels Incheck
A balance in the level of hormones in your body is vital to your health. Even a slight imbalance can have adverse effects and cause severe health issues. This is why it is important to keep a keep a track of your hormone levels. Typically, you can visit the doctor every now and then and undergo testing.
But for many, scheduling a doctors appointment is a hassle, and they are looking for ways to check their hormone levels at home. But is this as reliable as a hormone blood test at your doctors office?
How To Control Menopause Hormone Levels
In fact, there is no one magic pill that can control hormone levels in menopause. But, there is an efficient therapy that can eliminate most of these symptoms. Have you ever noticed that West women are more active at this age? They take hormone replacement therapy and live longer. The designated preparations contain estrogens and progesterone needed in our body in a small amount. So, hormone levels after menopause or during it will be stable, and women can feel comfortable.
Keep in mind, there is one myth around this therapy aimed to affect hormone levels in menopause, that a woman will get fat from these hormones. It is completely untrue. A woman is gaining weight only because of a lack of estrogens that once were normal. Without them, fat accumulates.
Accordingly, hormone therapy will help you to avoid such things, and menopause and hormone levels care will keep you fit. Moreover, doctors are trained enough to determine the right strength and dosages of a hormonal treatment so that a woman does not even notice any ailments or negative consequences. If you have a chance to undergo it, use this option because as of now it is the most efficient solution invented by dedicated experts for moderating and controlling hormone levels in menopause.
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When Is The Best Time To Test Your Hormones
Dr. Jolene Brighten is a prominent leader in womens medicine and award winning naturopathic physician. She is an international speaker, clinical educator, medical advisor within the tech community, and considered a leading authority on womens health. Dr. Brighten is also part of the MindBodyGreen Collective and a faculty member for the American Academy of Anti Aging Medicine. Her work has been featured in the New York Post, Forbes, Cosmopolitan, Huffington Post, Bustle, The Guardian, and ABC News.
Part of this post originally appeared on the Dr. Jolene Brighten blog on August 1, 2020, and has been reposted with permission.
I get a ton of questions from women who are confused about their hormones. When youre trying to figure out why you feel so crappy every month, it can be frustrating trying to get access to the appropriate tests. It can be even more frustrating to suffer terrible symptoms and yet have no diagnosis because your bloodwork comes back normal. Part of the problem is you simply dont know when is the best time to test hormone levels. In this article, Im outlining some of the more common testing recommendations I make for women in my medical practice.
Common Symptoms Of A Hormonal Imbalance
Hormonal imbalances can cause many different symptoms. Some common issues to look out for include:
- Fatigue
- A bulge in the neck
- Puffy face
Many symptoms of a hormonal imbalance can be misleading. For example, both weight gain and weight loss can be symptomatic of a hormonal imbalance. So, it’s really difficult to just rely on symptoms to understand which specific hormone is the root of the problem. This is when getting tested becomes handy.
If you’re having trouble falling asleep, you may have low progesterone levels that are usually in charge of helping you fall asleep. On the other hand, high progesterone levels could be problematic as well, as these will make you feel sleepy even if you’re getting enough rest.
Low melatonin gives your body a signal that it’s time to rest. Low estrogen can give you night sweats that can be unbearable for many.
If you’re struggling with any symptom of a possible hormone imbalance, you need to get tested. Your hormone levels will depict the root cause of the symptoms you are experiencing and, you will be able to target them properly.
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Advice Before Doing This Test
If you’re on hormonal contraception
Your results will only show what your hormone levels are from hormonal contraception the insights might be less useful. This includes the oral contraceptive pill, implant, ring, injection, and hormone replacement therapy .
If you just stopped hormonal contraception
Wait 3 months before doing this test this allows time for your natural cycle to return. If you were using the contraceptive injection, we recommended waiting a year.
If you use an oestrogen or testosterone cream/gel
If you use a topical oestrogen-containing or testosterone-containing cream or gel, always use a glove when applying it. Contact with your fingers could affect your finger-prick oestrogen or testosterone result.
If you’re breastfeeding
Breastfeeding can affect your hormone levels which can make it difficult to accurately interpret your results. We recommend waiting until you’ve stopped breastfeeding before doing this test.
If you’re pregnant
Dont do this test if you’re pregnant as we won’t be able to interpret your results.
Preparing For Hormone Testing At Cedars
We explain the tests you need and answer any questions you may have.
Here’s what to expect:
- Stop certain medications: We let you know whether to stop taking drugs such as oral steroids or estrogen supplements before your test.
- Visit one of our labs: You go to a Cedars-Sinai lab and provide a blood, urine or saliva sample. If you need stimulation or suppression testing, we let you know in advance how long you’ll need to stay.
- Collect samples at home: If we need samples over a period of time, you may be able to perform testing at home. We give you special containers for collecting saliva or urine samples and detailed instructions on how to handle them.
- Receive more than one form of hormone testing: Blood testing is one way we evaluate hormone imbalances. We may recommend additional tests, including stimulation or suppression tests, to learn more about what’s causing the imbalance.
- Undergo other forms of testing: For problems such as tumors or a possible cancer diagnosis, we use imaging to learn more about their size, location and nature.
Have Questions or Need a Second Opinion?
To make an appointment or refer a patient, call us or send a message to the Endocrinology care team.You can also have us at your convenience.
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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.
Is This Test Still Useful If I Am Using A Form Of Contraception
If you are taking a progesterone only form of contraception such as progesterone-only pill, progesterone implant, or Minerva coil then this test is still useful as these forms of conception do not suppress normal production of FSH, LH, or oestradiol. This test is not useful if taking a combined form of conception e.g the combined oral conceptive pill .
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Androgen Excess And Hormone Imbalance
There are other forms of hormone imbalance too like those that arises from excess androgens in PCOS. Usually you can check these hormones when you check the others. You would not want to check when you are menstruating because the production of these hormones is going to be lowest at this time. These hormone levels may be much higher later on in the cycle. Specifically the hormones that are important to look at and understand how they are funneling through the body are dhea, dhea sulfate, total and free testosterone, sometimes dihydrotestosterone and definitely hydroxy-progesterone.
Keep in mind not all insurances are going to pay for all these lab tests. In this case it may make more sense to do a urine test. These test provide a full hormone profile of all these hormones plus others. By looking at all these you can see which enzymes are up regulated and turned on and which ones are turned off based on the relative levels of the different hormones.
For example, you may do a dhea level and it looks really low but your dhea sulfate is really high. This suggests the enzyme between dhea and dhea sulfate is working relatively good and the the enzyme that breaks dhea sulfate into androstenedione is moving much slower. This is where you get the clues to understand what you need to do to fix the imbalance or create balance.
If you want a customized plan on checking and treating your hormone imbalance, click in the link below to get started.
Your Periods Are Very Light Short Or Totally Missing In Action
Some women would call this a blessing, but experiencing “barely there” bleeding or no bleeding at all isn’t healthy. A short period and only light bleeding can indicate low estrogen levels. If you’ve been crash dieting or restricting your food for a long time, you may have depleted your body of important micronutrients that are necessary for estrogen production.
Try: Adding in more protein. Hormones are made from amino acids, and you can’t get your estrogen up if you can’t make enough of it from your food.
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Do All Patients Need Blood Tests For Hormone Levels
Dr Aziz-Scott: Although treatment is bespoke to you, patients will follow a similar patient journey, and in the initial consultation, blood tests for hormone levels are required for all patients. In some cases, women may come to the clinic with blood tests conducted externally by their GP, or another healthcare professional.
We do see patients that have had a Dried Urine Test for Comprehensive Hormones . The DUTCH test is a urinary assessment of hormones and can provide a great deal of useful information about the different hormone systems in the body. It is very useful in assessing how estrogen is metabolised and this is a very important factor to consider once you are on BHRT as certain estrogen metabolites can be toxic and increase breast cancer risk.
Depending on a patients individual situation, we may be able to work with DUTCH test results, but serum blood hormone levels are the gold standard of testing to provide an accurate baseline. Many clinics offer finger prick tests, but we opt for serum blood tests as these are less likely to provide erroneous results and unnecessary additional costs if repeats needed. Once we begin treatment, the monitoring process is also much more efficient with serum blood tests.
Your Marion Gluck Clinic doctor will advise you of the tests required during your consultation and will explain the options for how you can have blood drawn.
When Is The Best Time To Test Other Hormone Levels
Your sex hormones arent the only ones you may need to look at to understand the cause of your hormone symptoms.
When to Test InsulinIf 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 DHEADehydroepiandrosterone is a crucial anti-aging hormone the body can convert into estrogen or testosterone. It is an important marker of adrenal function and is a hormone that declines with age. DHEA can be tested at any time of the month and is typically done alongside a cortisol test.
*The goal here is to measure at minimum TSH, Free T4, and T3 so you get a picture of what the brain says, how the thyroid responds, and the the bodys ability to activate the thyroid hormone you actually use.
From the research, it appears progesterone, progestin, and topical estrogen do NOT elevate TBG. It is oral estrogen which influences the increase in binding proteins.
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Is It Time To Get Your Hormone Levels Checked
Bottom Line: You can get to the root cause of fatigue, memory loss and more
James B. LaValle, RPh, CCN
James B. LaValle, RPh, CCN, a clinical pharmacist and board-certified clinical nutritionist based in Foothill Ranch, California. He is author of four books, including Your Blood Never Lies: How to Read a Blood Test for a Longer, Healthier Life and Cracking the Metabolic Code: 9 Keys to Optimal Health. JimLaValle.com
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Weve all had routine blood teststo check our cholesterol levels, blood glucose, thyroid hormone and other important health indicators. But theres a lot that you could be missing.
To get a fuller picture: Talk to your doctor about blood tests that check levels of hormones that are often overlooked. As chemical messengers that affect virtually every function in your body, these hormones play a crucial role in everything from your immune system and brain health to your sex drive, mood and energy levels.
The problem is, such hormone levels are usually tested only when a problem is suspected. But many integrative-health experts now recommend annual testing of specific hormone levels for adults over age 30, especially to learn more about*
Cortisol is the King Kong of hormoneslevels of all other hormones can be affected, in one way or another, by ones cortisol levels.