Sex Hormones and Mood

Hormones affect mood. It really is that simple. However, the basic concept that hormones affect mood is not widely appreciated or investigated when a patient presents to the doctor with symptoms of depression or anxiety. Mainstream medicine is quick to “fix” anxiety and depression with prescription medication. Sometimes these medications are absolutely indicated, but not to the exclusion of investigating how the patient’s unique hormonal make-up may be affecting her health and mood.

I see women regularly in my practice experiencing depression and/or anxiety. Often, they come to see me because they know something is “off” in their bodies. The medical community does a disservice to women when possible hormonal causes of their unwelcome moods are not thoroughly discussed or evaluated.

Below is a list of hormones that affect our mood and well-being. While they are listed separately, they interact together. Their interactions are powerful, intricate and exciting. When one hormone is imbalanced, other hormones are affected.

Estrogen and Progesterone
Although estrogen and progesterone are clearly different hormones, they work closely together to promote optimal physical, mental and emotional health in women.

Both estrogen and progesterone decline with age—but the age at which they decline is unique to each woman. One of the greatest misconceptions is that these hormones decline when women are in their 50s and their periods have stopped. For some women, estrogen and/or progesterone can begin to fluctuate in their teenage years.

Mood symptoms of estrogen deficiency include depression, fatigue, low libido, and poor memory.

Mood symptoms of progesterone deficiency (also symptoms of estrogen excess, which is very common) include irritability, anger, insomnia, and excessive tension and anxiety.

Estrogen may also increase serotonin, a neurotransmitter associated with feeling good. Many of the antidepressants prescribed today work by increasing serotonin levels. I have patients who are able to get off their antidepressants or avoid increasing their dosage once estrogen and progesterone levels are balanced.


Testosterone
Testosterone has many vital roles in women and, like the other sex hormones, starts to decline with age. Many younger women, who have been on birth control pills, may also have low testosterone and experience symptoms associated with low testosterone levels.

Symptoms associated with testosterone deficiency include increased submissiveness, rigidity, depressed drive and initiative, anxiety, poor memory, and low sex drive.

Melatonin
Melatonin induces sleep and promotes nighttime relaxation of muscles and nerves. This hormone also protects against free radicals because of its antioxidant property, possibly slowing the aging process and the onset of age-related diseases. Melatonin also decreases with age and affects on one’s mood.

Melatonin deficiency symptoms include anxiety and nervousness, especially at night, insomnia, depression (especially seasonal affective disorder) and irritability.

Thyroid Hormones (T3 and T4)
The thyroid gland controls the metabolic action of every cell in the body. When one has a thyroid hormone imbalance, her entire physical, emotional and mental state is affected adversely.

With respect to mood only, low thyroid hormones can manifest as fatigue, especially morning fatigue, apathy, depression, more pronounced in the morning, brain fog, and difficulty in concentrating.

Cortisol
Cortisol is secreted by the adrenal gland, our stress gland. When our bodies are under chronic stress, our adrenal glands work overtime to keep up their production of cortisol. Adrenal glands may eventually tire, and be unable to produce adequate cortisol levels.

Symptoms of low cortisol include anxiety and depression in stressful situations, extreme fatigue, absentmindedness, and irritability, easily triggered to outbursts of anger or anxiety.

DHEA
DHEA is another hormone produced by the adrenal glands and generally starts to decline at age 30. DHEA is vital for energy, positive mood, immune system health, and libido.

Symptoms of low DHEA include depression, anxiety, moderate fatigue, low libido and low resistance to stress.

Antidepressant and anti-anxiety medications are absolutely warranted at times. However, for many women, while they may improve mood (which is crucial), they frequently do not address the root cause of anxiety and depression.


The contents of this blog are for informational purposes only. It is not intended as professional medical advice, diagnosis or treatment. Please see an Akasha physician or another qualified health care provider with questions regarding a medical condition or treatment.

Vitamin D deficiency Linked to Bacterial Vaginosis

More and more research is being published on the health benefits of Vitamin D. The latest is particularly exciting to me. In the June issue of Journal of Nutrition, the author’s report that as Vitamin D levels improved in pregnant women, the prevalence of bacterial vaginosis (BV) decreased. The author’s conclude that Vitamin D’s strong influence on the immune system plays a role in BV prevention. This is a significant finding since pregnant woman with BV are at higher risk for preterm delivery.

The most accurate way to assess Vitamin D status is by measuring 25(OH) vitamin D levels in the blood. As 25(OH) vitamin D levels approached 80 nmol/liter, the prevalence of BV decreased.

Bacterial Vaginosis is the most common vaginal infection in women. It is characterized by a "fishy" smelling, off-white, thin, discharge. Women may also experience itchiness, burning and irritation. Vaginal pH, vaginal flora and a woman's immune system all contribute to BV.

Vitamin D should be a part of every woman's prenatal blood panel as a way to prevent BV and thus lower the risks of preterm delivery. Bacterial Vaginosis is also a concern among non-pregnant women. Assessing vitamin D levels should also be part of the work-up in any woman experiencing recurrent BV.

We can add Bacterial Vaginosis prevention to the impressive list of health benefits of Vitamin D:
1. Heart disease prevention
2. Cancer prevention
3. Osteoporosis prevention
4. Enhances immune system
5. Supports insulin secretion
6. Musculoskeletal support
7. Mood support
8. PMS support
9. Prevents and helps treat autoimmune conditions (lupus, rheumatoid arthritis, multiple sclerosis, diabetes)


The contents of this blog are for informational purposes only. It is not intended as professional medical advice, diagnosis or treatment. Please see an Akasha physician or another qualified health care provider with questions regarding a medical condition or treatment.