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Health

10 Painful Truths About Low Estrogen

As estrogen levels decline during menopause, inflammation increases and the cartilage and fluid in the joints can deteriorate, leading to joint pain and stiffness.

Louise
Louise Published December 4, 2024
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While it’s a natural part of aging, understanding the impact of decreased estrogen can help us navigate this phase with more awareness and care. Here are 10 truths about low estrogen that we often face but don’t always talk about.

Contents
Hot FlashesVaginal OdorExcessive DrynessJoint Pain & Bone LossMood SwingsWeight Gain & AppetiteInsomniaBrain FogLow Sex DriveIrregular Periods

Hot Flashes

One of the most talked-about symptoms of low estrogen is hot flashes. They’re not just a slight increase in body temperature; they can be intense and disruptive. Night sweats and hot flashes (or flushes) can last anywhere from 30 seconds to five minutes, and some women experience several daily.

Falling levels of estrogen and progesterone make it difficult to sleep and stay asleep

Even though no one knows for sure what causes hot flashes, it is thought that low estrogen levels can disrupt the hypothalamus, which controls body temperature. Stress, anxiety, smoking, coffee, and alcohol can also make hot flashes worse.


Vaginal Odor

Changes in vaginal pH during menopause can contribute to changes in vaginal odor. Normally, the vaginal environment is acidic, which helps to prevent the growth of harmful bacteria. However, as estrogen levels decrease, the pH levels in the vagina can become less acidic, allowing certain types of bacteria to grow and cause an odor.

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Excessive Dryness

Estrogen helps maintain healthy, radiant skin. So when levels drop, we experience dry skin, itching, wrinkles, crow’s feet, age spots, and acne. Atrophic vaginitis, or vaginal dryness, is a prevalent problem during menopause. You may have less desire and find that being sexually active is uncomfortable or even painful.

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Joint Pain & Bone Loss

When a woman goes through menopause, she has less estrogen in her body, which can cause her to make less collagen and lose bone density, which can lead to joint pain. Also, some studies have shown that estrogen replacement therapy may help some postmenopausal women with joint pain.

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When estrogen levels are normal, inflammation and swelling in the joints go down. This also helps stop bone loss and eases joint pain.


Mood Swings

Estrogen plays a role in the manufacture of serotonin, GABA, and dopamine; the neurotransmitters that cause positive states of mind and reduce negative ones, such as mood swings and irritability. This means when they drop too low, you lose some of the all-important “feel-good” aspect. The stress hormone cortisol disrupts the brain’s regular biochemistry, which contributes to the problem. Feelings of depression are also frequent during this period.

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Weight Gain & Appetite

The relationship between estrogen and appetite is complex and can vary from person to person. Low estrogen levels can have a variety of effects on appetite. Estrogen helps regulate metabolism and affects energy levels, which can result in changes in appetite. When estrogen levels are low, some women may feel less hungry, while others have a strong desire to eat. Also, in order to keep a steady supply of estrogen, the body will hold on to fat storage, especially if you are under a lot of stress or eating poorly.


In order to maintain a steady supply of estrogen, the body will cling to fat

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Insomnia

Falling levels of estrogen and progesterone make it difficult to get to sleep and stay asleep, leading to increased daytime fatigue and irritability.

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Brain Fog

Can’t remember where you put things, who you’re talking to, or what you did last week? Are you prone to pausing mid-sentence, losing your train of thought, and having trouble focusing? We know that estrogen affects brain cell health, memory, mood, and thinking because of the presence of estrogen receptors in the brain. Also, inadequate levels of testosterone have been linked to diminished cognitive function.


Low Sex Drive

Estrogen is necessary for a sensual experience (which is often why you are in the mood around the time of ovulation). You probably won’t give it much thought if your estrogen levels are low and you’re too exhausted and irritable to do anything about it. Low testosterone levels can cause a drop in desire, and low estrogen levels can cause vaginal dryness.

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Irregular Periods

Your ovaries have served their purpose and are now contributing to your irregular periods. They are ovulating irregularly and releasing the remaining eggs. This is perfectly natural, yet incredibly inconvenient! You just want it to be over with: not knowing when it will come, dealing with two- or ten-day bleeding that can gush or trickle, and random spotting in between.


If you are experiencing any of the above symptoms and suspect you may have low estrogen levels, it is important to talk to your doctor. They can help diagnose the cause of your symptoms and recommend appropriate treatment.


While these truths about low estrogen can be daunting, remember, you’re not alone in this journey. By understanding these changes, you can take proactive steps towards managing your symptoms. Always consult with healthcare professionals for personalized advice and remember – menopause is a natural phase of life, and with the right support and information, you can navigate it with confidence and positivity. Stay strong, stay informed, and take care of yourself!

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