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Estrogens Low
  Estrogens Low
 Signs, symptoms, indicators
 Conditions that suggest it
 Contributing risk factors
 Conditions suggested by it
 It can lead to...
 Treatment recommendations
 


Menopause is the time when symptoms of low estrogen levels usually manifest themselves. Low estrogen levels, however, can be a problem for premenopausal women also and when that is the case, natural estrogen supplementation is often well advised.





Signs, symptoms & indicators of Estrogens Low:
Lab Values - Common  Rapid pulse rate

Symptoms - Aging

  Reduction in breast fullness
 Low levels of estrogen, typically experienced at menopause, can cause sagging breasts. Sagging that occurs prior to menopause is not reversible by hormone replacement therapy.

  Health declining with age

Symptoms - Gas-Int - General

  Meal-related bloating

Symptoms - General

  Fatigue that worsens during the day
  Constant fatigue
  Fatigue induced by light exertion
 Lethargy and lack of vitality are early signs that your anti-aging hormones (such as estrogen and progesterone) are diminishing.

Symptoms - Head - Eyes/Ocular

  Dry eyes

Symptoms - Metabolic

  Major/very great/moderate unexplained weight gain

Symptoms - Mind - General

  Poor/reduced mental clarity

Symptoms - Nervous

  Facial burning/tingling
 Lowered estrogen levels can cause all sorts of unusual symptoms. The body's thermostat fluctuates, causing flushing and circulation changes which sometimes result in tingling of the face.

Symptoms - Reproductive - Female Cycle

  Having hot flashes
  Hot flashes between/hot flashes during & after period
  Mood swings during menstrual cycle
  Poor concentration during cycle

Symptoms - Skeletal

  Joint pain/swelling/stiffness

Symptoms - Skin - General

  Excess perspiration

Symptoms - Sleep

  Sweating mildly at night or night sweats
 Night sweats or their daytime version, hot flashes, may be the first symptom of low estrogen. In both cases, the profuse sweating follows a brief but intense wave of heat, usually in the face and chest.

Conditions that suggest Estrogens Low:
Circulation  Atherosclerosis
 Low estrogen levels raise LDL-C (bad) cholesterol, while lowering HDL (good) cholesterol, both of which contribute to atherosclerosis. Supplemental estrogen reduces this risk, at least partially by increasing the HDL particle size which confers some protection against heart disease.

Hormones

  High Female Testosterone Level
  Low Sex Drive

Lab Values

  Low Total Cholesterol

Mental

  Depression
 Low estrogen levels trigger the brain to release MAO, an enzyme in the brain which breaks down and destroys the neurotransmitter, serotonin. Estrogen increases the destruction of this enzyme. The lower your MAO enzyme levels the better you probably feel, since MAO breakdowns serotonin. Low serotonin levels are associated with depression.

  Poor Memory
  Low Self-Esteem

Metabolic

  Insomnia
  Migraine/Tension Headaches
 Women must first be exposed to elevated estrogen levels before low estrogen levels will trigger headache activity. Constant low levels of estrogen, as in menopause, are less likely to be associated with increased headache pattern.

Musculo-Skeletal

  Osteoarthritis
 In studies of older women, a lower risk of osteoarthritis was found in women who had used oral estrogens for hormone replacement therapy. The researchers suspect that low estrogen levels could increase risk for the disease, but further studies are needed.

Pain

  Low Back Pain

Skin-Hair-Nails

  Excessive Sweating
  Dry skin

Uro-Genital

  Vaginal Dryness
 The most common cause of vaginal dryness is lack of estrogen.

  Vaginitis/Vaginal Infection
 A decrease in estrogen results in several vaginal changes. The vaginal lining becomes thinner and more fragile resulting in an increased risk of bacterial infection.

  Urinary Stress/Urge Incontinence
 The cause of urinary stress incontinence in women is usually pelvic relaxation resulting from childbirth and the aging process. These changes become more pronounced following menopause as estrogen deficiency allows atrophy of the genitourinary tissues.


Counter-indicators:
  Pregnancy-Related Issues
 Hormone levels fluctuate at different stages of pregnancy, making it difficult to isolate any underlying imbalances during this time.

Risk factors for Estrogens Low:
Aging  Premature/Signs of Aging

Hormones

  Hypopituitarism

Symptoms - Food - Beverages

  (High) green tea consumption
 High intake of green tea has been associated with higher levels of sex hormone binding globulin (SHBG) and lowered levels of serum estradiol (estrogen) concentration in women.

Uro-Genital

  Menopausal Issues
  Postmenopausal Issues
  Perimenopausal Issues

Estrogens Low suggests the following may be present:
Hormones  Hypopituitarism

Estrogens Low can lead to:
Circulation  Atherosclerosis
 Low estrogen levels raise LDL-C (bad) cholesterol, while lowering HDL (good) cholesterol, both of which contribute to atherosclerosis. Supplemental estrogen reduces this risk, at least partially by increasing the HDL particle size which confers some protection against heart disease.

Hormones

  Low Sex Drive

Skin-Hair-Nails

Counter-indicators:
  Night Sweats

Recommendations and treatments for Estrogens Low:
Hormone  Estrogen Replacement

Lab Tests/Rule-Outs

  Test for Hormones


KEY
Weak or unproven link
Strong or generally accepted link
Proven definite or direct link
Very strongly or absolutely counter-indicative
Highly recommended


GLOSSARY

Atherosclerosis
Common form of arteriosclerosis associated with the formation of atheromas which are deposits of yellow plaques containing cholesterol, lipids, and lipophages within the intima and inner media of arteries. This results in a narrowing of the arteries, which reduces the blood and oxygen flow to the heart and brain as well as to other parts of the body and can lead to a heart attack, stroke, or loss of function or gangrene of other tissues.

Bacteria (Bacterial, Bacterium)
Microscopic germs. Some bacteria are "harmful" and can cause disease, while other "friendly" bacteria protect the body from harmful invading organisms.

Cholesterol
A waxy, fat-like substance manufactured in the liver and found in all tissues, it facilitates the transport and absorption of fatty acids. In foods, only animal products contain cholesterol. An excess of cholesterol in the bloodstream can contribute to the development of atherosclerosis.

Estrogen (Oestrogen)
One of the female sex hormones produced by the ovaries.

High-Density Lipoprotein (HDL)
Also known as "good" cholesterol, HDLs are large, dense, protein-fat particles that circulate in the blood picking up already used and unused cholesterol and taking them back to the liver as part of a recycling process. Higher levels of HDLs are associated with a lower risk of cardiovascular disease because the cholesterol is cleared more readily from the blood.

Hormones (Hormone)
Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.

Incontinence (Incontinent)
The inability to retain urine in the bladder for a reasonable length of time. It is can be caused by urethral irritation, loss of tone to the basement muscle of the bladder (the trigone), scarification or growths on the urethral lining, nerve damage, or emotional stress.

Menopause (Menopausal)
The cessation of menstruation (usually not official until 12 months have passed without periods), occurring at the average age of 52. As commonly used, the word denotes the time of a woman's life, usually between the ages of 45 and 54, when periods cease and any symptoms of low estrogen levels persist, including hot flashes, insomnia, anxiety, mood swings, loss of libido and vaginal dryness. When these early menopausal symptoms subside, a woman becomes postmenopausal.

Neurotransmitters (Neurotransmitter)
Chemicals in the brain that aid in the transmission of nerve impulses. Various Neurotransmitters are responsible for different functions including controlling mood and muscle movement and inhibiting or causing the sensation of pain.

Premenopause (Premenopausal)
The period when women of childbearing age experience relatively normal reproductive function (including regular periods).

Serotonin
A phenolic amine neurotransmitter (C10H12N2O) that is a powerful vasoconstrictor and is found especially in the brain, blood serum and gastric membranes of mammals. Considered essential for relaxation, sleep, and concentration.

Serum
The cell-free fluid of the bloodstream. It appears in a test tube after the blood clots and is often used in expressions relating to the levels of certain compounds in the blood stream.

SHBG (Sex Hormone Binding Globulin, Sex Hormone-Binding Globulin)
A glycoprotein, synthesized in the liver, which binds testosterone and 5 alpha-dihydrotestosterone strongly, and estradiol somewhat less strongly. Circulating testosterone is mainly bound to protein - primarily SHBG, but also to albumin and cortisol-binding globulin. Since variations in the carrier protein levels may affect the concentration of testosterone in circulation, SHBG levels are commonly measured as a supplement to total testosterone determinations. The "free androgen index" (FAI), calculated as the ratio of total testosterone to SHBG, has proved to be a useful indicator of abnormal androgen status in conditions such as hirsutism.




Last updated: Nov 14, 2009


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