7 Signs you have a hormonal imbalance

Hormones control so many functions in your body, from your mood and energy to your menstrual cycle and sleep. But it’s important to remember: hormones are complex. They can cause a wide range of symptoms and look different depending on factors like medical history, genetics, and lifestyle. On the other hand, not every symptom you experience is caused by a hormonal imbalance, and not every imbalance is automatically cause for concern. Let’s take a closer look to help you understand what symptoms may indicate a hormonal imbalance, and when it might help to connect with a provider.

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What role do hormones play in your body?

Hormones are chemical messengers made by your endocrine glands—like your ovaries, thyroid, pancreas, and adrenal glands. Hormones travel through your bloodstream to regulate key body functions, including:

• Growth and development
• Metabolism and energy levels 
• Fertility and menstrual cycles
• How your body handles stress

When hormone levels are too high or too low, it can throw your whole system out of balance—and that’s when symptoms can show up.

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Signs of a hormonal imbalance

If you’re concerned you have a hormonal imbalance, here are seven signs to watch out for:

1. Irregular periods

If your cycle is unpredictable—coming earlier, later, or skipping months altogether—it could be a sign that hormones like estrogen and progesterone are out of balance. Conditions like PCOS (polycystic ovary syndrome) and thyroid disorders are often to blame.

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2. Unexplained weight changes

Sudden weight gain or loss, even without major changes to your habits, can sometimes signal a hormonal change. Hormones like insulin, cortisol, thyroid hormones, and sex hormones all impact how your body stores and burns energy. Learn more about hormonal birth control and weight gain here.

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3. Persistent acne

Breakouts that seem to stick around—especially along your jawline or lower face—can sometimes point to hormonal causes. Higher androgen levels (like testosterone) are often behind deep, cystic hormonal acne that doesn’t respond well to over-the-counter skin care treatments. Learn more about hormonal birth control and how it can help (or trigger) acne here.

4. Sleep problems 

If you're tossing and turning at night, hormones like melatonin, cortisol, progesterone, and estrogen could be factors. They all influence your sleep cycle, and imbalances can make it harder to fall asleep or stay asleep.

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5. Mood swings, anxiety, or depression

Mental health is closely linked to your hormones. Changes in estrogen, progesterone, cortisol, and thyroid hormones can affect your mood, sometimes leading to feelings of irritability, anxiety, or depression. Learn more about hormonal birth control and mood here.

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6. Chronic fatigue

If you’re feeling chronically tired—no matter how much you rest—hormones could be part of the issue. Issues like hypothyroidism or adrenal fatigue can interfere with your body’s ability to create or use energy. 

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7. Changes in libido

A noticeable drop (or sometimes spike) in sex drive can sometimes be traced to hormonal changes, especially shifts in estrogen, progesterone, and testosterone. Learn more about hormonal birth control and sex drive here.

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8. Hair loss or growth

Some hair loss is normal and can happen in cycles, but major changes should be evaluated by a medical provider. On the flip side, hair growth in new places (like the face and neck) is a common sign of a hormonal imbalance.

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When to see a doctor for a hormonal imbalance

It’s normal for hormone levels to shift throughout your life—think puberty, your menstrual cycle, pregnancy, menopause, or even just a stressful week. But if you’re experiencing ongoing symptoms that disrupt your daily life, it’s a good idea to check in with a health care provider. 

They can run lab tests, check if your hormone levels are within a healthy range, and help you explore treatment options. That might include lifestyle changes, medication, or hormone therapy depending on what’s going on.

You know your body best, and your body is communicating with you. Paying attention to your symptoms and seeking care when needed is an important step in taking charge of your health.