Are There Any Other Emotional Changes That Can Happen During Menopause
Menopause can cause a variety of emotional changes, including:
- A loss of energy and insomnia.
- A lack of motivation and difficulty concentrating.
- Anxiety, depression, mood changes and tension.
- Aggressiveness and irritability.
All of these emotional changes can happen outside of menopause. You have probably experienced some of them throughout your life. Managing emotional changes during menopause can be difficult, but it is possible. Your healthcare provider may be able to prescribe a medication to help you . It may also help to just know that there is a name to the feeling you are experiencing. Support groups and counseling are useful tools when dealing with these emotional changes during menopause.
What Are The Symptoms Of Low Fsh
Women and men may experience a lower sex drive, infertility or fatigue. In children and adolescents, delayed puberty is usually the only symptom. Women may also have symptoms such as: Hot flashes.Men may also have symptoms such as:Erectile dysfunction.Decreased facial or body hair.Mood changes.May 18, 2019
What Is A Normal Estradiol Level In Women
Normal estradiol levels in women vary based on factors like age, pregnancy, and menstrual cycle phases. In adult women who experience regular menstrual cycles , normal estradiol levels range between 15 and 350 picograms per milliliter . Levels can fluctuate significantly during the menstrual cycle and may be as high as 800 pg/mL and still be considered normal. During pregnancy, normal estradiol levels can reach 20,000 pg/mL. After menopause , estradiol levels are typically below 10 pg/mL for women who arenât on estrogen therapy.
Thereâs one key thing to keep in mind when it comes to normal levels: estradiol reference ranges can differ depending on the laboratory conducting the test. This is a normal part of the lab testing processâso itâs best to interpret your estradiol test results using the reference ranges provided by the laboratory used for testing.
Also Check: Dizziness During Menopause
Reference Values Describes Reference Intervals And Additional Information For Interpretation Of Test Results May Include Intervals Based On Age And Sex When Appropriate Intervals Are Mayo
1-14 days: Estradiol levels in newborns are very elevated at birth but will fall to prepubertal levels within a few days.
#Puberty onset occurs for boys at a median age of 11.5 years. For boys, there is no proven relationship between puberty onset and body weight or ethnic origin. Progression through Tanner stages is variable. Tanner stage V should be reached by age 18.
#Puberty onset occurs for girls at a median age of 10.5 years. There is evidence that it may occur up to 1 year earlier in obese girls and in African American girls. Progression through Tanner stages is variable. Tanner stage V should be reached by age 18.
*The reference ranges for children are based on the published literature, cross-correlation of our assay with assays used to generate the literature data, and on our data for young adults.
**E2 levels vary widely through the menstrual cycle.
E2: pg/mL x 3.676=pmol/L
For SI unit Reference Values, see International System of Units Conversion
Do You Need Progesterone Therapy After Menopause
Hormone replacement therapy with progesterone can be a great option to address common postmenopausal symptoms, such as hot flashes and night sweats. Another one of the benefits of progesterone after menopause is that it can also help with other symptoms and concerns.
- Vaginal symptoms, including dryness, itching, burning, and painful intercourse
- Bone loss and fracture due to osteoporosis
- Heart disease and stroke
- Mood changes and disorders like depression and anxiety
Researchers have also found several other possible benefits of progesterone after menopause.
- In one study, taking progesterone at bedtime was associated with a higher quality of deep sleep and less severe night sweats.
- Another study found that taking progesterone may improve visual and verbal memory in menopausal women. However, other studies didnÃ¢t find these same cognitive benefits.
While estrogen is often the primary ingredient in many forms of hormone replacement, youÃ¢ll also want to consider including progesterone to reduce menopausal and postmenopausal symptoms.
This is especially true if you still have your uterus. Progesterone helps thin the uterine lining and prevents endometrial hyperplasia . Doing so helps reduce the risk of developing endometrial, or uterine, cancer. ThereÃ¢s also evidence that taking estrogen and progesterone together may reduce the risk of getting colorectal cancer.
Recommended Reading: Which Of The Following Best Describes Possible Symptoms Of Menopause
Why Are Athletes At Risk For Low Levels Of Estrogen
Women with low body fat often do not produce sufficient amounts of sex hormones. This can be a problem for women such as athletes, models, and gymnasts. It can also be a problem for women with eating disorders. These women can experience a cessation of menstruation, known as amenorrhea. They may also develop osteoporosis — thin bones — and fractures as well as other conditions more common in older women after menopause.
What If I Have Low Lh Levels
If your results come back and show that your LH levels are below the normal range, this could be a sign of any of the following:
- You may have problems with your pituitary gland, and/or
- You may be malnourished or suffering from an eating disorder.
To improve your LH levels, there are a few different things you can do both naturally and medically.
In terms of natural solutions, a great place to start is by simply making healthy lifestyle choices. This includes getting plenty of sleep, eating a nutritious diet, avoiding alcohol and tobacco, and reducing overall stress levels. You can also try taking natural supplements like D-aspartic acid or Chasteberry, as some women have found these to be helpful for boosting LH levels.
If you have exhausted all natural options and still not having any luck, there are also medical treatments that you can try. This includes estrogen and progesterone replacement therapy, agonist and antagonist of gonadotropin releasing hormone agonists and antagonists, gonadotropins, and human chorionic gonadotropin injections to stimulate ovulation. Again, your doctor will have a better understanding of your background and can speak with you further about the best treatment option for your situation.
Medically Reviewed by Katerina Shkodzik, M.D., OB-GYN
Dr. Katerina Shkodzik is a certified OB-GYN with a special focus on reproductive endocrinology and infertility issues. She has been practising since 2015.
Also Check: Will My Marriage Survive Menopause
Blood Estrogen Levels And Breast Cancer After Menopause
Studies have shown postmenopausal women with higher blood levels of the estrogen estradiol have an increased risk of breast cancer .
A pooled analysis of data from 9 studies found the risk of breast cancer was twice as high among women with higher levels of estradiol compared to women with lower levels .
Health care providers dont use blood estrogen levels to assess breast cancer risk. However, this measure may be useful in the future .
Certain factors may increase breast cancer risk by affecting estrogen levels.
Body weight is an important example. Estrogen is produced in fat tissue. In general, higher weight means more fat tissue and higher estrogen levels. This likely explains, at least in part, the increased breast cancer risk in women who are heavy after menopause.
How Do I Know If Changes In My Periods Are Normal Perimenopausal Symptoms Or Something To Be Concerned About
Irregular periods are common and normal during perimenopause . But other conditions can cause abnormalities in menstrual bleeding. If any of the following situations apply to you, see a doctor to rule out other causes.
- Your periods are changing to become very heavy, or accompanied by blood clots.
- Your periods last several days longer than usual.
- You spot or bleed after your period.
- You experience spotting after sex.
- Your periods occur closer together.
Potential causes of abnormal bleeding include hormonal imbalances, hormonal treatments, pregnancy, fibroids, blood-clotting problems or, rarely, cancer.
How To Control Menopause Hormone Levels
In fact, there is no one magic pill that can control hormone levels in menopause. But, there is an efficient therapy that can eliminate most of these symptoms. Have you ever noticed that West women are more active at this age? They take hormone replacement therapy and live longer. The designated preparations contain estrogens and progesterone needed in our body in a small amount. So, hormone levels after menopause or during it will be stable, and women can feel comfortable.
Keep in mind, there is one myth around this therapy aimed to affect hormone levels in menopause, that a woman will get fat from these hormones. It is completely untrue. A woman is gaining weight only because of a lack of estrogens that once were normal. Without them, fat accumulates.
Accordingly, hormone therapy will help you to avoid such things, and menopause and hormone levels care will keep you fit. Moreover, doctors are trained enough to determine the right strength and dosages of a hormonal treatment so that a woman does not even notice any ailments or negative consequences. If you have a chance to undergo it, use this option because as of now it is the most efficient solution invented by dedicated experts for moderating and controlling hormone levels in menopause.
Ask A Laboratory Scientist
This form enables patients to ask specific questions about lab tests. Your questions will be answered by a laboratory scientist as part of a voluntary service provided by one of our partners, American Society for Clinical Laboratory Science. Please allow 2-3 business days for an email response from one of the volunteers on the Consumer Information Response Team.
Recommended Reading: Is Dizziness A Symptom Of Perimenopause
Symptoms Of An Estrogen Imbalance
The most common symptoms that can be brought on by an estrogen imbalance during menopause include:
- And other menopause symptoms
Keep in mind that while it is extremely common for an estrogen deficiency to provoke these symptoms, many women suffer from estrogen excess during menopause as well. Having high levels of estrogen in the body provokes similar symptoms as those of low estrogen.
The surest way to diagnose an estrogen imbalance in the body – whether high or low – is to see your doctor for appropriate testing.
Will I Start Menopause If I Have A Hysterectomy
During a hysterectomy, your uterus is removed. You wont have a period after this procedure. However, if you kept your ovaries removal of your ovaries is called an oophorectomy you may not have symptoms of menopause right away. If your ovaries are also removed, you will have symptoms of menopause immediately.
You May Like: Is Dizziness A Symptom Of Menopause
How Does Menopause Affect Estrogen Levels
During menopause, your body goes through major hormonal changes, decreasing the amount of hormones it makes particularly estrogen and progesterone. Estrogen and progesterone are produced by the ovaries. When your ovaries no longer make enough estrogen and progesterone, hormone therapy can be used as a supplement.
Why Do I Need An Estradiol Test
Your doctor may order an estradiol test if female or male sex characteristics arent developing at the normal rate. An estradiol level thats higher than normal indicates that puberty is happening earlier than usual. This is a condition known as precocious puberty.
Lower levels of estradiol may indicate late puberty. The test can help your doctor find out if there are problems with your adrenal glands. It can also help determine if treatment for hypopituitarism, or decreased function of the pituitary gland, is working.
Your doctor may order estradiol testing to look for causes of:
- infertility in women
Your doctor may also order an estradiol test if your menstrual cycle has stopped and youre having symptoms of menopause. During and after menopause, a womans body will gradually produce less estrogen and estradiol, contributing to the symptoms experienced during menopause. A test of your estradiol level can help your doctor determine if youre preparing to enter menopause or youre already going through the transition.
The estradiol test can also indicate how well the ovaries are working. Therefore, your doctor may also order this test if you have symptoms of an ovarian tumor. The symptoms include:
Don’t Miss: Dr Yael Swica
What Affects The Test
You may not be able to have the test, or the results may not be helpful, if:
- You use hormone therapy after menopause.
- You use birth control pills, patches, or rings and other forms of hormonal birth control.
- Within 1 week before your test, you had a test that uses a radioactive substance, such as a bone scan.
- You use certain medicines, such as clomiphene or steroids .
- You have high levels of sugar in your urine caused by diabetes.
What Causes High Estrogen
There are two main factors that will drive higher than normal levels of estrogen:
The enzyme that makes it, aromatase, works faster when there are higher levels of insulin in your blood. What causes higher levels of insulin is a higher intake of high glycemic index starches and sugars. So, in order to correct this, we look to reducing the intake of these foods.
Its your livers job to remove estrogen. It does this through a series of steps known as phase I and phase II liver detoxification. These steps are dependent on a number of co-factors for them to work normally. These include pyridoxal-5-phosphate, vitamin B12, methyltetrahydrofolate , magnesium, indole-3-carbinol, and calcium-d-glucarate.
Eating more leafy greens and vegetables like kale and broccoli supply these. Otherwise, they can be taken in supplement form to assist efficient liver detoxification of hormones.
Healthy estrogen levels are vital for both men and women. If the levels are either low or high, there are natural medicine strategies to restore healthy hormone balance.
Read Also: Light Headedness And Menopause
What Should My Fsh Level Be During Menopause
For example, in a normal perimenopausal woman, its not unusual for her FSH level to be low one day and then quite high the next. Estradiol levels. Estradiol is the main form of estrogen found in premenopausal women. A normal level is 30-400 picograms per millileter , but after menopause, it falls below 30 pg/mL.
What Should My Estradiol Level Be During Pregnancy
Levels can fluctuate significantly during the menstrual cycle and may be as high as 800 pg/mL and still be considered normal. During pregnancy, normal estradiol levels can reach 20,000 pg/mL. After menopause , estradiol levels are typically below 10 pg/mL for women who arent on estrogen therapy.
See the box below for the normal ranges for each phase. Oestradiol levels below 200 pmol/L can be normal for a woman during the follicular phase. On the other hand it may be a sign that she is commencing peri-menopause.
Recommended Reading: Early Menopause After Tubal Ligation
What Happens When Testosterone Levels Rise Or Fall
If your body produces too much testosterone, you may have irregular or absent menstrual periods. You may also have more body hair than the average woman. Some women with high testosterone levels develop frontal balding. Other possible effects include acne, an enlarged clitoris, increased muscle mass, and deepening of voice.
High levels of testosterone can also lead to infertility and are commonly seen in polycystic ovarian syndrome . PCOS is an endocrine condition that is sometimes seen in women of childbearing age who have difficulty getting pregnant. Women with PCOS have symptoms similar to those produced by high testosterone levels. They include:
What If Progesterone Levels Are Out Of Balance
If progesterone levels fall too low, you may have irregular bleeding during your menstrual cycle, your cycles might become more spaced apart, or you might not have any menstrual cycle at all. Miscarriage and ovulation problems are a couple other possible consequences of a progesterone hormone imbalance, as well as headaches, hot flashes, mood changes, and reduced libido.
And if you have high progesterone levels? You might experience common high progesterone symptoms like vaginal dryness, mood changes, and fatigue. To address these symptoms, your healthcare provider may recommend hormone therapy through progesterone supplements of some kind.
In women, a higher than normal level of LH is seen:
- When women of childbearing age are not ovulating
- When there is an imbalance of female sex hormones
- During or after menopause
- When the ovaries produce little or no hormones
In men, a higher than normal level of LH may be due to:
- Absence of testes or testes that do not function
- Problem with genes, such as Klinefelter syndrome
- Endocrine glands that are overactive or form a tumor
In children, a higher than normal level is seen in early puberty.
A lower than normal level of LH may be due to the pituitary gland not making enough hormone .
Recommended Reading: Is Dizziness A Symptom Of Menopause
Whats Considered A High Estradiol Level
Elevated estradiol levelsâtypically beyond 350 picograms per milliliter in adult women who have regular menstrual cyclesâcan occur with certain medical conditions that lead to overproduction of the estrogen hormone. Polycystic ovarian syndrome , in which there are many ovarian follicles simultaneously producing estradiol, is an example of how high estrogen levels can develop. Elevated levels of estradiol can also be the result of certain hormone supplements, liver disorders, or elevated levels of androgens .
Why Do Estrogen Levels Rise
During puberty, it’s normal for levels of estrogen to rise. Thatâs because this hormone fuels changes in a young girl’s body. For example, it plays a role in the development of breasts, a more mature curved figure, fuller hips, and pubic and underarm hair.
In addition, high levels of estrogen are seen in women who are extremely overweight. Estrogen levels rise during a healthy pregnancy, and increased estrogen levels may be seen with tumors of the ovaries, testes, or adrenal glands.
Some drugs, such as steroid medications, ampicillin, estrogen-containing drugs, phenothiazines, and tetracyclines can increase estrogen levels.