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.
What Tests Are Included In This Package
Oestrogen
Oestradiol is a type of oestrogen and is the main female sex hormone. E2 is essential for egg production, protects you against bone loss, and helps regulate your cholesterol levels. Your E2 levels fall as you age so low levels can be a sign that youre menopausal. If your E2 levels are too high or low it can cause a wide range of symptoms like irregular periods, hot flashes, fatigue, headaches, sleep problems, anxiety, depression, and a low sex drive.
Luteinising hormone
Luteinising hormone plays a key role in reproduction. Mid-cycle, your LH levels increase which triggers your ovaries to release an egg ovulation. If your LH levels are too high or low you might have irregular periods and have trouble getting pregnant. High LH levels can be a sign that youre menopausal or have PCOS.
Follicle-stimulating hormone helps your ovaries to function normally and plays a key role in egg production and ovulation. Your FSH levels naturally increase as you age high levels can be a sign that you’re menopausal. If your FSH levels are too high or low you might have trouble getting pregnant.
Testosterone
Testosterone is a sex hormone that’s important for your sex drive, bone and muscle health, mood, and cognitive function. Your levels gradually drop as you age this process speeds up around menopause. If your levels are out of range you might feel tired, have a low sex drive, and have low mood.
SHBG
Thyroid function
Treatment For A Hormonal Imbalance
There are many different treatment options for hormonal imbalances. The treatment you ultimately be given will depend on which hormone exactly is unbalance as well as the underlying cause of the imbalance. Sometimes, a life event might cause such a fluctuation in your hormones, such as menopause. In that case, your treatment would be short term one. However, if you have a genetic disorder that causes a lifelong hormonal imbalance, you will need to pursue a more prolonged course of medications.
Hormone therapy is a common treatment for hormonal imbalances. Women who are witnessing uncomfortable menopausal symptoms may choose estrogen therapy. Testosterone therapy is a common choice for men with low testosterone levels or adolescents facing delayed puberty. Taking thyroid hormones can help individuals with hypothyroidism. Such hormone replacement therapies may come in the form of pills, patches, or even injections. Your doctor will help you choose the appropriate dosage by checking your hormone levels test results. This is how he will determine the right amount of supplemented hormone you will need to recreate the balance.
Bioidentical hormones can be produced by pharmaceutical companies using different doses. Examples include bi-estrogen which is 50 to 80 percent estriol combined with estradiol, or tri-estrogen which is 10 percent estrone, 10 percent estradiol, and 80 percent estriol.
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How Do Testosterone And Estrogen Differ
Testosterone, the key hormone in men, is the chief regulator of muscle tone and lean body mass, or the very essence of what gives a man his masculine appearance. A normal level of testosterone is a broad term, making deficiencies difficult to detect. The hormone is produced by the adrenal glands and testicles, with levels highest in the mornings and decreasing throughout the day.
Testosterone also regulates a mans sex drive. Lack of sexual desire and performance, often associated with low levels of testosterone, or low T, is a common complaint from men as they age and hormone levels drop. Sex drive and performance, however, require the presence of both estrogen and testosterone.
Estrogen, by contrast, is the hormone responsible for sexual and reproductive development in women and is also referred to as the female sex hormone. Estrogen is really a group of hormones that includes estrone, estradiol and estriol. Estrogen is produced in the ovaries but also by fat cells and the adrenal gland.
The Pill And Your Thyroid
Its important to note that the pill’s role in elevating TBG, Sex Hormone Binding Globulin & Cortisol Binding Globulin is well recognized. In fact, it is how researchers can verify who is & isn’t actually taking the pill in clinical trials.
It’s also listed in prescriber handbooks as a change we expect to see in labs. When TBG goes up, total thyroid hormone levels go up and free thyroid levels can go down.
Now, if you thought that total thyroid hormone was what the body utilized & that is all you measured then you might think, thyroid function is improved on birth control. However, FREE thyroid hormone is what you use, and not bound thyroid hormone .
This is why I test thyroid hormones in my patients before they start the pill and we continue to monitor symptoms & labs to ensure it is working best for them. Yes, some of my patients decide to use the pill for birth control or other reasons and I support them in doing that.
From the research, it appears progesterone, progestin, & topical estrogen do NOT elevate TBG. It is oral estrogen that influences the increase in binding proteins.
If you want a deep dive into the Birth Control-Thyroid Connection, then you can read all about it in this article.
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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.
Hormone Level Testing In San Antonio Tx
Are you in the San Antonio, TX area looking for hormone level testing? The Wellness & Aesthetics Medical Center is here for all your hormone level testing needs. During your appointment, Dr. Williams will explain the role of restoring hormonal balance and discuss hormone level testing.
At the Wellness & Aesthetics Medical Center, you can take the first step in correcting a hormonal imbalance by having hormone level testing. To schedule your appointment with Dr. Williams, call or contact us online today!
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What Is Hormonal Imbalance In Men
The most common hormonal imbalances in men are related to testosterone levels. Men may experience low levels of testosterone due to disorders, like hypogonadism for example when the testes cannot produce an adequate supply of testosterone. More commonly, aging is the underlying cause, with testosterone production gradually diminishing over time, beginning around age 40. For some men, levels fall so low that the body’s basic needs for the hormone cannot be fulfilled, which can lead to many of the symptoms listed above. Other factors that can contribute to low testosterone levels include excessive stress, poor diet, obesity and regular excessive alcohol use.
When To Test Progesterone
Progesterone levels are highest 5-7 days following ovulation, which is within our luteal phase . This is why testing is recommended days 19-22 of a 28 day cycle.
Even though were commonly told that women ovulate like clockwork on day 14 of their cycle, unfortunately, this isnt always the case. Its a great idea to track your basal body temperature and evaluate your cervical mucus to get an idea of when and if you are ovulating. Or you can use over-the-counter LH strips which can help you dial in the day you ovulate.
Ive got a whole article devoted to this practice, but the general idea is pretty simple, but can take some time. When you ovulate, your body temperature rises and your vaginal discharge becomes the consistency of stretchy egg whites. If you keep an eye on these changes to your body, theres a pretty good chance you can approximate when youre ovulating.
For a lot of women, this will mean that testing for progesterone should happen on roughly day 19-22 of their cycle. Again, this recommendation could change if youre not ovulating day 14 of your cycle which is actually pretty common, or if your typical cycle is shorter or longer than 28 days. Track your cycle for a few months before and talk to your doctor so that they can tell you the best day to test progesterone.
If you feel confused, talk to the provider ordering your test.
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How To Test Cortisol Levels
Cortisol levels are measured with lab tests. These may be blood tests, which measure levels of the hormone in the bloodstream, or saliva tests, which measure cortisol levels in a saliva sample. Cortisol testing is typically done early in the morning, when levels are normally highest. Often, to produce the most accurate results, testing is repeated in the afternoon of the same day. Cortisol testing is often done in conjunction with ACTH level tests, since this pituitary gland hormone works to regulate cortisone levels. ACTH tests measure levels of the hormone in the bloodstream.
Getting tested can be done through your health care provider, who can order your tests for you, take your blood or saliva samples or send you to a lab to have them done. Then, your provider will let you know your results once they are delivered to his or her office.
You can also order these lab tests yourself online or over the phone from independent testing services, like Health Testing Centers. Ordering your own tests is generally less expensive, since you skip the cost of an office visit, and more efficient, since the results are delivered directly to you.
However, it is important to note that if your tests show that your cortisol and/or ACTH levels are abnormal too high or too low following up on those results with a visit to your healthcare provider is essential. Abnormal levels of these important hormones require further examination and testing.
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
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What Can You Learn From Hormone Testing
In some cases, hormone testing can unveil a major imbalance indicative of, say, a thyroid condition or polycystic ovary syndrome . But even a slight hormonal shift away from the optimal range can have an impact on your well-being. “There are a lot of conditions that fall on the imbalance spectrum,” says Dr. Masutto. “Your cycle can be thrown off a little, or you could have PMS or premenstrual dysphoric disorder . can even put you into premature ovarian failure, which is something that can be really life-altering.”
Once your doctor knows exactly which hormones are causing your distress, they’re able to offer a more targeted treatment. In the western medical tradition, drugs are often the answerbirth control pills, thyroid meds, or antidepressants, to name a few. And while there are certainly many cases in which pharmaceuticals are necessary, some doctors prefer to treat more moderate hormone imbalances through food and lifestyle modifications.
“From a holistic medical perspective, I would recommend that a woman with hormone imbalances use botanical medicines, acupuncture, nutritional supplements, and lifestyle and dietary therapy,” says Dr. Steelsmith. Dr. Masutto says Parsley Health takes a similar approach, adding that she’s not averse to prescribing medication in some cases. “Utilizing prescription or compounded hormone replacement can help alleviate symptoms and help you get your life back so you can work on the lifestyle changes that are needed,” she says.
A Full Thyroid Investigation
Why you might need it: The thyroid regulates metabolism, including body temperature, heart rate, growth, energy production, the musculoskeletal system and brain health: basically every cell in the body needs thyroid hormones to function. If youre struggling to lose weight or have a low mood, its worth exploring the thyroid hormones.
What will it tell you? An imbalance of either high or low levels of TSH are linked to hyperthyroidism . If you get your thyroid tested by your GP, they usually just test some of the thyroid hormones .
But its also worth looking at FT3 levels when FT4 is normal and hyperthyroid is suspected. FT3 levels are usually raised and are the first to show change. Low levels of T3 are linked to depression.
Make the most of your moods and hormones, we have vitamins, tools and tips to help you support you better,
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When Is The Best Time To Test Hormone Levels
If youre struggling with a hormone imbalance, testing your sex hormones can help you understand where the issue is rooted. Evaluating estrogen, progesterone and testosterone can be helpful in understanding which hormones are driving your symptoms.
Hormone levels arent static throughout the monthand this is why so many women get within range blood test results.
Info On Getting Your Hormones Tested
Heavy periods, prolonged acne and fatigue that you cant shift, even after a full nights sleep and a cup of coffee, arent things to be ignored. They could be little signals that something is out of balance, below the surface.
Hormones are central to how your body functions. The chemical messengers that are produced in your endocrine glands and travel around your bloodstream work as part of an intricate symphony to influence your behaviour, mood, metabolism, menstrual cycle, sexual function and much more.
So if they are even a tiny bit out of balance, the result can profoundly affect your well-being, with symptoms ranging from headaches and cravings to excess facial hair, lack of energy or bloating, intense pain or bleeding during your period. You can see this clearly in the negative effects of prolonged adrenal stress, in some cases leading to hypothyroidism or difficulties getting pregnant, Moodys in-house registered nutritionist Lola Ross says.
Of course all hormones fluctuate, some rhythmically such as melatonin some in response to a moment in time like adrenaline, then throughout the month as well as when we age. But if youre noticing more long-term problems, then its something to take note of and examine further, rather than just put up with.
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How Is Low Testosterone Diagnosed What Treatments Are Available
Most healthcare providers will measure their testosterone levels by having a blood test, doing a physical exam and having the patient describe his symptoms. Finally, they may order additional tests to rule out other possible diagnoses.
Testosterone is sometimes prescribed for men with low testosterone. Almost all hormone supplements and testosterone treatments are available in different forms, including lozenges, patches, gels and creams.
Because of the limited knowledge regarding this condition, challenges in having a proper diagnosis, as well as the possible side effects of treatments, HRT should not administer for men without proper testing, retesting and consultation with a healthcare provider to discuss the pros and cons. One may want to consider an endocrinologist who specializes in hormones.
More Information About Hormone Testing
Hormone levels change as you agesome change throughout the day. We use hormone testing to detect and evaluate hormone imbalances that may be making you sick. We often conduct hormone testing using a blood sample, but some tests require urine or saliva samples.
We frequently test levels of:
- Estrogen and testosterone
- Adrenal gland hormones, such as cortisol
- Growth hormone, prolactin and other pituitary gland hormones
- Thyroid hormones, such as thyroxine
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What Are Phytoestrogens And Environmental Estrogens
Phytoestrogens are estrogen-like compounds from plant sources. The two main classes are isoflavones, found in soy products, and lignans, found in whole grains and some fruits and vegetables. It has been proposed that these products could be used as an alternative to hormone replacement therapy . Initial studies have shown the relief of some menopausal symptoms, such as hot flashes, but there is more research yet to be done.
Environmental estrogens are chemicals, either natural or man-made , that mimic the effect of estrogen and may cause disorders such as infertility, overgrowth of the endometrial lining, premature breast development, and feminization in young males. They tend to stay in the body for long periods of time and are being studied for their long-term effects.