Estrogen is the primary female sex hormone and is responsible for many bodily functions. Because estrogen plays a role in everything from fertility to weight management to heart health, fluctuations in the hormone can have wide-ranging symptoms.
To address the symptoms of estrogen imbalance, I recently contributed to a Giddy article on the symptoms of high and low estrogen levels. Here are some highlights from the article.
The Various Symptoms of High Estrogen and Low Estrogen
While it’s normal for estrogen levels to fluctuate over a life span and during a menstrual cycle, an imbalance in estrogen can create various symptoms.
But what are the differences in the symptoms of high estrogen and low estrogen?
Symptoms of high estrogen levels
“Too much or too little of something is never a good thing,” explained Thais Aliabadi, M.D., a board-certified OB-GYN at Cedars-Sinai in Los Angeles and the founder of Trimly, a supervised weight-loss treatment. “When estrogen levels are too high, hormonal imbalances in your body can occur. An elevated estrogen level can cause you to have a variety of different symptoms.”
Aliabadi listed the following symptoms associated with high estrogen levels:
Irregular menses
Breast swelling and tenderness
Mood problems
Decreased sex drive
Weight gain
Hair loss
Fatigue or insomnia
Too much estrogen in the body can also cause many reproductive health conditions, such as painful periods, polyps, polycystic ovary syndrome (PCOS), dense breast tissue, fibroids and increased endometriosis pain.
Sometimes excess estrogen does not cause a disease like endometriosis or breast cancer but may worsen the condition.
A number of factors can influence excess estrogen levels. Medications such as steroids and oral contraceptives can create estrogen dominance. Lifestyle factors such as weight gain can also increase estrogen in the body.
“In my practice, PCOS remains a big issue for women of childbearing age,” Aliabadi said. “With PCOS, women produce a higher level of androgens, a male hormone, which disrupts estrogen levels, leading to irregular periods, weight gain issues, hair thinning, acne and infertility down the road.”
Symptoms of low estrogen
As with excess estrogen, too little of it can produce adverse symptoms. Aliabadi listed the following as symptoms associated with low estrogen:
Hot flashes
Night sweats
Irregular menses
Vaginal dryness
Dry skin
Fatigue or insomnia
There’s a reason some of the symptoms of low estrogen sound just like the symptoms of menopause.
“Menopause is the leading cause of decreased estrogen levels in women,” Aliabadi explained.
During menopause, the ovaries stop producing as much estrogen. People with low estrogen can experience increased rates of depression.
While menopause is a leading cause of low estrogen, other factors can cause decreased production of the sex hormone.
“There are many medical conditions that can contribute to women having low estrogen levels,” Aliabadi said. “Eating disorders, such as anorexia and bulimia, may cause low estrogen levels.”
Eating disorders are often associated with the absence of periods, otherwise known as amenorrhea, which is related to lower estrogen levels.
“Genetic conditions such as Turner syndrome can cause low estrogen levels,” Aliabadi added.
Autoimmune conditions and cancer treatments, such as chemotherapy and radiation therapy, can also be a culprit in terms of creating lower estrogen levels.
Essentially, any medical treatment that can affect the ovaries, including removing them, can equate to lower estrogen levels because estrogen is predominantly produced in the ovaries.
Have questions about estrogen levels? Talk to Dr. Aliabadi
As one of the nation’s leading OB/GYNs, Dr. Thaïs Aliabadi offers the very best in women’s health and well-being. At her advanced gynecological clinic, Dr. Aliabadi and her team are able to test hormone levels and address symptoms of estrogen imbalance. If your hormonal imbalance is caused by PCOS or menopause, she can also treat and manage those conditions.
Even people without current problems should establish care with a talented OB/GYN. Don’t wait until there’s a problem to start taking care of your health!
We invite you to establish care with Dr. Aliabadi. Please make an appointment online or call us at (844) 863-6700.
The practice of Dr. Thais Aliabadi and the Outpatient Hysterectomy Center is conveniently located for patients throughout Southern California and the Los Angeles area. We are near Beverly Hills, West Hollywood, Santa Monica, West Los Angeles, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, and Downtown Los Angeles.
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Frequently Asked Questions
What are common signs of high estrogen levels in women?
Common signs of high estrogen levels in women include irregular menses, breast swelling, mood problems, decreased sex drive, weight gain, hair loss, fatigue, and insomnia. Consequences of high estrogen can lead to reproductive health conditions such as painful periods, PCOS, dense breast tissue, fibroids, and increased endometriosis pain. High androgens in PCOS disrupt estrogen levels causing irregular periods, weight gain, hair thinning, acne, and infertility issues.
Can high estrogen cause weight gain in women?
High estrogen levels in women can lead to weight gain. Excess estrogen disrupts hormonal balance, contributing to weight fluctuations and affecting metabolism. Consult with a healthcare provider to address symptoms and manage estrogen levels.
Can high estrogen levels cause mood swings and anxiety?
High estrogen levels can cause mood swings and anxiety.
How does high estrogen impact menstrual cycles and fertility?
High estrogen levels can lead to irregular menstrual cycles, decreased sex drive, and infertility. Imbalances in estrogen levels disrupt ovulation and the overall reproductive process, affecting fertility. Monitoring estrogen levels and seeking medical guidance can help manage these challenges.
How does high estrogen affect fertility in women?
High estrogen levels can disrupt fertility in women by causing irregular periods, weight gain, hair thinning, acne, and potential infertility issues. Conditions like PCOS, which result from high estrogen levels, may impact ovulation and overall reproductive health.
Can high estrogen levels cause fatigue and lethargy?
High estrogen levels can lead to fatigue and lethargy as one of the symptoms. An excess of estrogen can disrupt hormonal balance, affecting energy levels and causing tiredness. It is essential to address these symptoms to maintain overall health and well-being.
What are physical symptoms of estrogen dominance?
Physical symptoms of estrogen dominance may include irregular menses, breast swelling and tenderness, mood problems, decreased sex drive, weight gain, hair loss, fatigue, insomnia, painful periods, polyps, dense breast tissue, fibroids, and increased endometriosis pain.
How does high estrogen affect emotional well-being in women?
High estrogen levels can impact emotional well-being in women by causing mood problems, decreased sex drive, fatigue, and insomnia. These symptoms can significantly affect a woman's quality of life and overall mental health. It is essential to address hormonal imbalances to support emotional well-being.
What are diagnostic tests for high estrogen levels?
Diagnostic tests for high estrogen levels typically involve blood tests to measure the levels of estrogen in the body accurately. Additionally, imaging tests, such as ultrasounds or MRIs, may be utilized to investigate any potential underlying causes of the elevated estrogen levels, such as ovarian issues or tumors. Additionally, a thorough medical history and physical examination may provide valuable insights into the potential reasons for the high estrogen levels.
Can high estrogen levels cause fluid retention and bloating?
Yes, high estrogen levels can cause fluid retention and bloating. This can lead to symptoms like weight gain and a bloated feeling due to the hormonal imbalance, impacting overall body water regulation.
What are the most common symptoms of high estrogen in women?
High estrogen symptoms include irregular menses, breast swelling, mood problems, decreased sex drive, weight gain, hair loss, fatigue, and insomnia. It can lead to reproductive issues like PCOS, painful periods, dense breast tissue, fibroids, and increased endometriosis pain.
How does high estrogen impact libido in women?
High estrogen levels can impact libido in women by causing a decreased sex drive as a symptom. This hormonal imbalance can lead to changes in sexual desire and functionality, affecting overall sexual health and satisfaction.
What link exists between fatigue and estrogen levels?
High estrogen levels can lead to symptoms like fatigue. Estrogen imbalance affects energy levels and overall well-being. Elevations or decreases in estrogen can cause fatigue due to their impact on the body's hormonal balance. It's essential to address hormonal levels for optimal energy and health.
Can estrogen imbalance affect menstrual regularity?
An imbalance in estrogen levels can significantly affect menstrual regularity. High estrogen levels can lead to irregular periods, while low estrogen levels, as seen in conditions like amenorrhea, can cause a lack of menstruation. Maintaining a balanced estrogen level is crucial for healthy menstrual cycles.
How might excess estrogen influence mood disorders?
An excess of estrogen can contribute to mood disorders by causing emotional imbalances and affecting neurotransmitters in the brain. This hormonal imbalance can lead to symptoms like mood swings, irritability, anxiety, and even depression, impacting overall mental well-being.
What role does estrogen play in water retention?
Estrogen can contribute to water retention by affecting sodium and water balance in the body, leading to bloating and swelling. It can also influence kidney function, impacting fluid retention levels. Maintaining proper estrogen levels is essential to regulate water retention effectively.
Are breast changes indicative of estrogen fluctuations?
Yes, breast changes like swelling and tenderness can be indicative of estrogen fluctuations. These changes may occur due to both high and low estrogen levels in the body. Monitoring such changes can help assess estrogen levels and potential hormonal imbalances.
Does estrogen excess exacerbate premenstrual symptoms?
Excess estrogen can exacerbate premenstrual symptoms, including mood swings, breast tenderness, and irritability. It can also lead to irregular periods and weight gain. Monitoring estrogen levels with a healthcare provider is important for managing these symptoms effectively.
How is osteoporosis linked to estrogen levels?
Osteoporosis is linked to estrogen levels as estrogen plays a vital role in bone health. Low estrogen levels, as seen in menopause, can lead to bone loss, weakening bones, and an increased risk of osteoporosis due to estrogen's role in maintaining bone density.
Can estrogen imbalance disrupt sexual desire?
Estrogen imbalance can disrupt sexual desire due to its effects on hormone levels. High estrogen can lead to mood problems and decreased sex drive, while low estrogen levels, such as in menopause or certain medical conditions, can also impact libido negatively. Balancing estrogen levels is crucial for maintaining sexual health.
Is weight gain a sign of estrogen issues?
Weight gain can be a sign of estrogen issues. Hormonal imbalances, like high estrogen levels, can lead to weight gain. Estrogen dominance can affect metabolism and fat distribution, potentially causing weight changes. Consulting a healthcare provider is recommended to address concerns about estrogen levels and weight gain.
Are anxiety levels impacted by estrogen changes?
Changes in estrogen levels can indeed impact anxiety levels. Low estrogen levels, such as during menopause, can lead to increased anxiety and mood swings. On the other hand, high estrogen levels can also cause mood problems, which can include heightened anxiety levels.
Could headaches signify altered estrogen states?
Headaches can indeed signify altered estrogen states, as fluctuations in estrogen levels can impact blood vessels in the brain, potentially leading to headaches. It's essential to consider hormone levels when experiencing persistent headaches.
How might elevated estrogen affect skin health?
High estrogen levels can impact skin health by increasing the risk of conditions like acne and hair loss. This hormonal imbalance can disrupt sebum production, leading to skin issues such as oily skin, acne breakouts, and hair thinning.
Do hormonal shifts impact hair growth patterns?
Hormonal shifts can indeed impact hair growth patterns. Estrogen, androgen, and progesterone levels play key roles in maintaining hair growth and shedding cycles. An imbalance in these hormones can lead to hair thinning, hair loss, or changes in hair texture and density.
Can estrogen irregularities alter body fat distribution?
Estrogen irregularities can indeed alter body fat distribution. High estrogen levels may lead to weight gain, while low estrogen levels can also impact fat distribution. Balancing estrogen levels is crucial for maintaining a healthy body composition.
How does estrogen impact cardiovascular risk factors?
Estrogen can impact cardiovascular risk factors positively by contributing to healthy cholesterol levels, promoting better blood vessel health, and potentially reducing the risk of heart disease. However, imbalances or fluctuations in estrogen levels may have adverse effects on cardiovascular health, leading to increased risks for conditions like high blood pressure and heart disease.
Might high estrogen levels affect sleep quality?
High estrogen levels can lead to symptoms like fatigue or insomnia. This can affect sleep quality, contributing to disruptions in rest patterns. It's important to monitor hormone levels and discuss concerns with a healthcare provider for tailored advice and management.
Are mood swings related to estrogen changes?
Mood swings can be related to estrogen changes. High estrogen levels may result in mood problems, while low estrogen levels, often seen in menopause or certain medical conditions, can also affect mood. It's important to consult a healthcare provider for personalized advice and treatment.
Does estrogen affect memory and concentration levels?
Estrogen can affect memory and concentration levels. It plays a crucial role in brain function and cognitive abilities. Changes in estrogen levels, such as during menopause, can impact memory, focus, and overall cognitive function. Consulting a healthcare provider for personalized advice is recommended.
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