Health Watch: Perimenopause? Thyroid Problems? Your Symptoms Might Be Low Estrogen
By Emily Weaver
Updated: June 10, 2022
Originally Published: May 17, 2022
Do you frequently wake up to damp sheets (and not because of an accidental spill from your little one)? Is your skin feeling unusually dry? Are your breasts sore? Are hot flashes now a daily occurrence? Before you rush to Google “perimenopause symptoms,” consider that low estrogen levels could be the real issue.
Estrogen is a crucial hormone that supports the development and maturation of the reproductive system. It also affects natural lubrication and influences libido. While it’s normal for estrogen levels to fluctuate during the menstrual cycle, they can drop too low at various life stages, impacting both physical and mental well-being. This can happen in your 20s, 30s, 40s, or as you approach or enter menopause. Vaginal dryness and discomfort during sex may arise due to low estrogen and menopause.
It’s essential to note that menopause, low estrogen, and thyroid disorders can share similar symptoms. Thus, understanding what “low estrogen” means is vital. This comprehensive guide covers causes, unusual symptoms, and management strategies.
Why Is Estrogen Important?
Throughout your life, your healthcare provider has likely mentioned your estrogen levels. While you may know it’s important for your sex drive, estrogen plays a broader role in your body than you might think.
Dr. Emily Grant, a board-certified ob-gyn, explains that estrogen signals key processes like breast development, maintaining vaginal health, regulating the menstrual cycle, and preparing ovarian follicles for ovulation. Additionally, it helps to maintain bone density, boost cognitive function, and stabilize mood.
What Causes Low Estrogen?
Low estrogen can affect anyone, regardless of age or lifestyle. Factors such as excessive exercise, eating disorders, autoimmune diseases, or very low body fat can lead to low estrogen levels. Most commonly, issues related to the ovaries are to blame since they are the primary source of estrogen production in the body.
Dr. Grant notes that low estrogen can be caused by menopause, surgical removal of the ovaries, or damage from radiation or chemotherapy. Premature ovarian insufficiency can also occur, leading to menopause before age 40. Other causes include underactive pituitary glands and conditions like Turner syndrome or chronic kidney disease, which can disrupt hormone production.
Symptoms of Low Estrogen
Symptoms of low estrogen can resemble those of PMS or menopause and may differ from person to person. According to Dr. Grant, common signs include:
- Hot flashes
- Irregular or absent periods (without birth control)
- Tender breasts
- Dry skin
- Night sweats
- Weight gain, especially around the abdomen
- Brittle hair
- Mental fog
- Painful intercourse
- Vaginal dryness (insufficient lubrication)
- Insomnia
- Difficulty concentrating
- Chronic fatigue
- Weakened bones (osteoporosis)
Many individuals may not immediately associate these symptoms with low estrogen, often attributing them to other health issues. If you identify with several of these symptoms, consult your ob-gyn to discuss your concerns.
How Is Low Estrogen Diagnosed?
If you’re experiencing many of these symptoms and have irregular or absent periods, it’s a good idea to visit your healthcare provider. Low estrogen levels are quite common and treatable. Your doctor will likely order lab tests to rule out other potential causes such as thyroid disease. Dr. Grant explains that tests will typically check hormone levels, including thyroid-stimulating hormone, follicle-stimulating hormone, estradiol, free and total testosterone, and prolactin, along with a complete blood count to rule out anemia.
How Is Low Estrogen Treated?
Managing stress and maintaining a balanced diet are essential steps in treating low estrogen. Estradiol may be prescribed and can be administered orally, via a patch, or vaginally. Dr. Grant adds that individuals with a uterus should also use progesterone to mitigate estrogen’s effects on the uterine lining. Always consult your doctor with any questions or concerns.
For more information on this topic, you might find our other blog post helpful here. If you’re looking for in-depth resources, UCSF is an excellent reference for pregnancy and home insemination. For protection during insemination procedures, check out IntraCervicalInsemination.
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In summary, low estrogen can manifest through various unexpected symptoms that may be mistaken for other health issues. Recognizing these symptoms and seeking medical advice is crucial for effective management.