Singapore Women's & Children's Medical Group

Uncovering the Little-Known Signs of Hormonal Imbalance in Women: What You Need to Know

hormonal imbalance in women
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Hormonal imbalance in women refers to a condition where there are either too much or too little of certain hormones in the body. Hormones are chemical messengers that regulate various bodily functions, including metabolism, growth and development, sexual function, and mood.

Signs and Symptoms of a Hormonal Imbalance

Signs and symptoms of a hormonal imbalance in women can vary depending on the specific hormones that are affected and the severity of the imbalance. Some common signs and symptoms of a hormonal imbalance in women include:

  • Irregular periods or missed periods
  • Heavy or painful periods
  • Hot flashes or night sweats
  • Mood swings, irritability, or depression
  • Fatigue or low energy
  • Weight gain or difficulty losing weight
  • Changes in sex drive or sexual function
  • Vaginal dryness or discomfort during sex
  • Breast tenderness or swelling
  • Changes in appetite or cravings
  • Digestive problems such as bloating, constipation, or diarrhea

It is important to note that these symptoms can also be caused by other factors, and not all women with hormonal imbalances will experience all these symptoms.

Little-Known Signs of Hormonal Imbalance

While some signs of hormonal imbalance in women are commonly recognised, there are some other signs that are often overlooked.

Here are a few:

  • Hair loss or thinning: Hormonal imbalances, particularly changes in levels of testosterone or estrogen, can lead to hair loss or thinning in women.
  • Dry skin or acne: Hormonal imbalances can affect the skin’s oil production, leading to either dry skin or increased acne breakouts.
  • Insomnia or poor sleep: Fluctuations in hormone levels can disrupt sleep patterns, leading to insomnia or poor quality of sleep.
  • Memory issues or brain fog: Hormonal imbalances can affect cognitive function, leading to issues with memory or concentration.
  • Digestive problems: Hormonal imbalances can affect digestion and lead to symptoms such as bloating, constipation, or diarrhea.
  • Chronic headaches: Hormonal imbalances can trigger headaches or migraines in some women.
  • Changes in body odor: Hormonal imbalances can affect sweat gland activity, leading to changes in body odor.

Causes of Hormonal Imbalance in Women

Hormonal imbalances can be caused by a variety of factors, including stress, age, diet, genetics, and underlying medical conditions. Some of the most common causes of hormonal imbalances in women include:

  1. Menstrual cycle: Fluctuations in hormones such as estrogen and progesterone during the menstrual cycle can cause hormonal imbalances, leading to symptoms such as irregular periods, mood swings, and bloating.
  2. Polycystic ovary syndrome (PCOS): This hormonal disorder affects the ovaries and can lead to imbalances in hormones such as estrogen, progesterone, and testosterone. PCOS can cause symptoms such as irregular periods, weight gain, and excess hair growth.
  3. Thyroid disorders: The thyroid gland produces hormones that regulate metabolism, and imbalances in these hormones can cause symptoms such as weight gain, fatigue, and mood changes.
  4. Menopause: As women go through menopause, levels of estrogen and progesterone naturally decrease, leading to hormonal imbalances that can cause symptoms such as hot flashes, vaginal dryness, and mood changes.
  5. Lifestyle factors: Factors such as stress, lack of sleep, poor diet, and sedentary behavior can all contribute to hormonal imbalances in women.
  6. Medications: Certain medications, such as hormonal birth control or hormone replacement therapy, can cause hormonal imbalances in women.
  7. Environmental toxins: Exposure to certain chemicals and toxins in the environment, such as pesticides or endocrine-disrupting chemicals, can also disrupt hormone levels in women.

Managing Hormonal Imbalance

To manage hormonal imbalances, women may need to make lifestyle changes, take medications, or undergo hormone replacement therapy, depending on the underlying cause and severity of symptoms.

Some strategies that can help manage hormonal imbalances include:

  • Eating a healthy diet that includes plenty of fruits, vegetables, and whole grains
  • Getting regular exercise
  • Getting enough sleep
  • Reducing stress through relaxation techniques such as meditation or yoga
  • Avoiding exposure to toxins and chemicals that disrupt hormone levels
  • Taking prescribed medications as directed Hormone replacement therapy (HRT), which may involve taking estrogen, progesterone, or a combination of hormones to balance hormone levels and manage symptoms.

When hormonal imbalances are left untreated, they can lead to a range of health problems and complications. Some possible consequences of untreated hormonal imbalances in women include infertility, osteoporosis, diabetes, depression and anxiety, cardiovascular disease and cancer.

If you suspect you have a hormonal imbalance, it is important to speak with a specialist to determine the underlying cause and develop an appropriate treatment plan.

Reviewed by Dr Loke Kah Leong on 30 March 2023.
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Dr Loke Kah Leong
Obstetrics & Gynaecology

Singapore Women’s Clinic (Tampines) Pte Ltd
A wholly owned subsidiary of   Singapore Women’s & Children’s Medical Group
Blk 821 Tampines Street 81
Singapore 520821
Tel: +65 67863188

Dr Loke Kah Leong is an Obstetrics & Gynaecology specialist with extensive years of experience in the management of obstetrics and gynaecological conditions and practices at Singapore Women’s Clinic (Tampines). He has been in private practice since 1991 and provides general obstetric and gynaecological services. These include preconception health screening, antenatal care, pre-natal diagnosis, ultrasounds, pap smears, female fertility issues, contraception, and management of common gynaecological problems.

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