Understanding hormonal imbalance
Hormones are your body's chemical messengers.
These powerful chemicals in the endocrine glands circulate around your bloodstream, telling tissues and organs what to do. They help control many of your body's major processes, including metabolism and reproduction.
When you have a hormonal imbalance, you have too much or too little of a particular hormone. Even small changes can have serious effects on your whole body.
Think of hormones like a cake recipe. Too much or too little of a single ingredient affects the final product.
Although some hormone levels fluctuate throughout your life and may only be the result of natural aging, other changes occur when your endocrine glands misinterpret the prescription.
Read on to learn more about hormonal imbalances.
Signs or symptoms of a hormonal imbalance
Your hormones play an important role in your overall health. As a result, there is a wide range of signs or symptoms that can indicate a hormonal imbalance. Your signs or symptoms will depend on which hormones or glands are not working properly.
Common hormonal conditions that affect both men and women can cause the following signs or symptoms.
- Keep in mind that these symptoms are non-specific, and do not necessarily mean that you have a hormonal imbalance.
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Signs or symptoms in females
In women of childbearing age, the most common hormonal imbalance is polycystic ovary syndrome (PCOS).
Your normal hormonal cycles also change naturally during these stages.
Symptoms of a hormonal imbalance specific to females include:
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Signs or symptoms in males
Testosterone plays an important role in male development. If you are not producing enough testosterone, it can cause various symptoms.
Symptoms of hormonal imbalance in adult males include:
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Signs or symptoms in children
Boys and girls start making sex hormones during puberty. Many children with delayed puberty will experience normal puberty, but some have hypogonadism.
Boys with hypogonadism may experience:
- lack of development of muscle mass
- a voice that doesn’t deepen
- body hair that grows sparsely
- impaired penis and testicular growth
- excessive growth of the arms and legs in relation to the trunk of the body
- gynecomastia
For girls with hypogonadism:
Causes of a hormonal imbalance
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- hormone therapy
- medications
- pituitary tumors
- injury or trauma
- Although the following conditions may initially be due to hormonal imbalances, the presence of the condition can also lead to further hormonal imbalances.
diabetes (type 1 and type 2) diabetes insipidus - hypothyroidism, or an underactive thyroid
- hyperthyroidism, or an overactive thyroid
- hyperfunctioning thyroid nodules
- thyroiditis
- hypogonadism
- Cushing syndrome, or high levels of cortisol
- congenital adrenal hyperplasia, which causes low levels of cortisol and aldosterone
- Addison’s disease
- hormone therapy
- medications
- pituitary tumors
- injury or trauma
- Although the following conditions may initially be due to hormonal imbalances, the presence of the condition can also lead to further hormonal imbalances.
- hypothyroidism, or an underactive thyroid
- hyperthyroidism, or an overactive thyroid
- hyperfunctioning thyroid nodules
- thyroiditis
- hypogonadism
- Cushing syndrome, or high levels of cortisol
- congenital adrenal hyperplasia, which causes low levels of cortisol and aldosterone
- Addison’s disease
Causes unique to women
Many causes of hormonal imbalance in women are related to reproductive hormones. Common causes include:
- menopause
- primary ovarian insufficiency, which is also known as premature menopause
- pregnancy
- breastfeeding
- PCOS
- hormone drugs such as birth control pills
Tests and diagnosis
There is no single test available for doctors to diagnose hormonal imbalances. Start seeing your doctor for a physical examination.
Be prepared to describe your symptoms and the timeline with which they occurred. List all the medications, vitamins, and supplements you are currently taking.
Your doctor may ask you questions such as:
There is no single test available for doctors to diagnose hormonal imbalances. Start seeing your doctor for a physical examination.
Be prepared to describe your symptoms and the timeline with which they occurred. List all the medications, vitamins, and supplements you are currently taking.
Your doctor may ask you questions such as:
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- How often are you experiencing symptoms?
- Does anything help relieve your symptoms?
- Have you lost or gained weight recently?
- Are you more stressed than usual?
- When was your last period?
- Are you planning to get pregnant?
- Do you have trouble getting or maintaining an erection?
- Do you have vaginal dryness or pain during sex?
- How often are you experiencing symptoms?
- Does anything help relieve your symptoms?
- Have you lost or gained weight recently?
- Are you more stressed than usual?
- When was your last period?
- Are you planning to get pregnant?
- Do you have trouble getting or maintaining an erection?
- Do you have vaginal dryness or pain during sex?


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