Low Estrogen Symptoms in Younger Women
Levels of estrogen — a group of female hormones — fall naturally when a woman approaches menopause. But sometimes younger women will also experience low estrogen.
Numerous conditions can be responsible, ranging from excessive exercise or weight loss to tumors in the ovary. The most obvious symptoms of low estrogen are menstruation changes, hot flashes and night sweats 2. **Other physical and mental or emotional symptoms may also occur 23.
Menstruation Changes, Hot Flashes and Night Sweats
Low estrogen levels often affect menstruation. Periods typically become shorter and occur less often. When estrogen levels are sufficiently low, periods will stop altogether. Sometimes menstruation changes are not obvious and the only symptom is an inability to become pregnant. Hot flashes and night sweats, typical of menopause, may also occur in younger women with low estrogen levels.
- Low estrogen levels often affect menstruation.
Other Physical Symptoms
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Low estrogen levels affect the vagina, reducing the amount of natural vaginal discharge and causing the vaginal lining to become thinner. These changes produce vaginal dryness and may lead to pain with intercourse.
Low estrogen also alters vaginal pH, increasing the likelihood of vaginal yeast infections and bladder infections. Headaches, hair loss, thinning of the skin and weight gain are among other possible symptoms of low estrogen. Prolonged low estrogen levels can lead to thin bones, or osteoporosis, increasing the risk of fractures.
- Low estrogen levels affect the vagina, reducing the amount of natural vaginal discharge and causing the vaginal lining to become thinner.
Mental and Emotional Symptoms
Feelings of depression, irritability and mood swings may occur with low estrogen. Fatigue, difficulty sleeping, difficulty concentrating and loss of interest in sex are other possible symptoms 2.
Seeking Medical Attention
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Estrogen is made primarily in the ovaries, although a small amount comes from the adrenal glands. Normal estrogen production depends on hormones released by two areas of the brain, the hypothalamus and the pituitary. Low estrogen in younger women can signal an underlying health problem affecting any of these areas, so it is important to see your doctor to determine the cause.
Reviewed and revised by Mary D. Daley, MD.
- Estrogen is made primarily in the ovaries, although a small amount comes from the adrenal glands.
- Normal estrogen production depends on hormones released by two areas of the brain, the hypothalamus and the pituitary.
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References
- American Family Physician: Impact of Anorexia, Bulimia and Obesity on the Gynecologic Health of Adolescents
- Management of Common Problems in Obstetrics and Gynecology; T. Murphy Goodwin, et al.
- Women's Health: Principles and Clinical Practice; Janet P. Pregler, et al.
- Merck Manual Professional Version: Primary Ovarian Insufficiency
- Gordon CM, Ackerman KE, Berga SL, et al. Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2017;102(5):1413-1439. doi:10.1210/jc.2017-00131
- Fairview Health Services. Menopause: Effects of Low Estrogen Levels.
- Harvard Health Letter. An update on soy: It's just so-so. Published June 2010.
- Cleveland Clinic. Estrogen & Hormones. Updated April 29, 2019.
- Mayo Clinic. Hormone therapy: Is it right for you? Published May 24, 2018.
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Writer Bio
Kathleen Blanchard is a registered nurse, with more than 10 years of experience in cardiovascular health, emergency room and ICU. She writes professionally for Emaxhealth.com. and AskMen.com. Blanchard is currently employed as a senior case manager and has held certification as a critical care registered nurse (CCRN), advanced trauma life support (ATLS), and advanced cardiac life support (ACLS).