Hormonal Imbalance: Symptoms and Solutions for Young Women - Obstetrics and Gynecology

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Endocrine disorder


Hello Doctor, I am a senior high school student.
Recently, I've been feeling quite stressed and often irritable.
Since August, I've noticed that my menstrual flow has sometimes decreased; I only need to change 3 to 4 pads a day, which feels significantly less compared to before.
Additionally, I've observed that my skin has deteriorated, with small pimples appearing on my face and back.
I also feel like I have more hair on my legs, but I'm not sure if that's normal for me.
Could this be a sign of hormonal imbalance? I read online that hormonal imbalance can be caused by an increase in male hormones and can lead to weight gain, but I haven't experienced that.
My ovulation was on October 5, and my temperature has remained high since then, so I don't feel anything unusual.
If it is hormonal imbalance, would my symptoms be considered mild? Should I just focus on managing my stress and improving my diet, like drinking more water? I'm worried that if I don't pay attention to this issue now, it might get worse in the future, even affecting my fertility.
I hope you can give me some advice, as I don't want to keep worrying.
Thank you.

Yuyu, 10~19 year old female. Ask Date: 2018/10/12

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I am a senior in high school and recently I've been feeling quite stressed and irritable.
Since August, I've noticed that my menstrual flow has sometimes decreased, requiring me to change my pad about 3 to 4 times a day, which feels significantly less compared to before.
Recently, I've also observed that my skin has deteriorated, with small pimples appearing on my face and back.
Additionally, I feel like I have more hair on my legs than usual, but I'm not sure if that's just how it has always been.
Could this be a sign of hormonal imbalance? I read online that hormonal imbalance can be caused by an increase in male hormones and can lead to weight gain, but I haven't experienced that.
My ovulation was on October 5, and my temperature has remained high since then, so I don't feel anything unusual.
If it is hormonal imbalance, would my symptoms be considered mild? Should I just try to manage my stress, improve my diet, and drink more water? I'm worried that if I don't pay attention to this issue now, it might get worse in the future, even affecting my fertility.

Answer: Hormonal imbalance can be managed with adequate rest, moderate exercise, a balanced diet, and emotional regulation.

Reply Date: 2018/10/12

More Info


Hello! It sounds like you're experiencing a range of symptoms that could be related to hormonal imbalance, which is not uncommon, especially for young women dealing with stress and lifestyle changes. Let’s break down your concerns and provide some insights.


Understanding Hormonal Imbalance
Hormonal imbalance can manifest in various ways, and the symptoms you're describing—irregular menstrual flow, skin issues like acne, and changes in body hair—can indeed be indicative of such an imbalance. Hormones play a crucial role in regulating many bodily functions, including the menstrual cycle, skin health, and mood.
1. Menstrual Changes: A decrease in menstrual flow (hypomenorrhea) can be caused by several factors, including stress, significant weight changes, or hormonal fluctuations. Stress, in particular, can lead to increased levels of cortisol, which may disrupt the normal functioning of other hormones, including estrogen and progesterone.
2. Skin Issues: The appearance of acne on your face and back could be linked to hormonal changes, particularly an increase in androgens (male hormones). These hormones can stimulate oil production in the skin, leading to breakouts.
3. Body Hair Changes: An increase in body hair (hirsutism) can also be associated with elevated androgen levels. This is often a concern for young women and can be a sign of conditions like polycystic ovary syndrome (PCOS), which is characterized by hormonal imbalance.


Stress and Its Impact
You mentioned that you are under stress, which can significantly impact your hormonal balance. Stress can lead to fluctuations in cortisol levels, which can, in turn, affect your menstrual cycle and overall hormonal health. Managing stress through relaxation techniques, regular exercise, and adequate sleep can be beneficial.


Dietary Considerations
Improving your diet can also help regulate hormones. Here are some dietary tips:
- Hydration: Drinking plenty of water is essential for overall health and can help with skin issues.

- Balanced Diet: Focus on a diet rich in whole foods, including fruits, vegetables, whole grains, and lean proteins. Foods high in fiber can help regulate hormones and improve digestion.

- Healthy Fats: Incorporate healthy fats, such as those found in avocados, nuts, and olive oil, which are important for hormone production.

- Limit Sugar and Processed Foods: Reducing sugar and processed foods can help stabilize blood sugar levels and may reduce acne flare-ups.


When to Seek Help
While your symptoms may seem mild, it’s essential to monitor them closely. If you notice that your menstrual irregularities persist, or if your skin issues worsen, it would be wise to consult a healthcare professional. They can conduct tests to check your hormone levels and rule out conditions like PCOS or thyroid issues.


Conclusion
In summary, your symptoms could indeed be related to hormonal imbalance, and managing stress, improving your diet, and maintaining a healthy lifestyle can help. However, if your symptoms persist or worsen, seeking medical advice is crucial. Early intervention can help prevent more significant issues in the future, including potential fertility concerns. Remember, you’re not alone in this, and many young women experience similar challenges. Take care of yourself, and don’t hesitate to reach out for support when needed!

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