Causes of Hormonal Imbalance
Available In Pittsburgh, PA  


The leading cause of hormonal imbalance in women is, simply put, the process of growing older.  Once the childbearing years peak, typically between the ages of 35 and 40 years old, our female “sex hormones” – estrogen, progesterone and testosterone – start to decline. 

These hormonal changes happen gradually; over the course of many years, not all at once.  It is a complex process and affects almost all functions of the body, and it is something that all woman go through at some point in their lives.  The onset of hormonal decline is often referred to as perimenopause, which is the transition period to menopause and may last 5 to 10 years or longer.

During perimenopause, the first sex hormone to decline is testosterone.  Many women between the ages of 35 and 40 years old begin to notice that it is more difficult for them to maintain their weight; they notice a loss of muscle mass, begin to feel fatigued and they are not as interested in sex as they once were.  These subtle signs are often the beginning of perimenopause and low testosterone.

Within that same time, many women will begin to notice changes to their menstrual cycle, their hair may become thinner and less manageable, they may experience poor or restless sleep and they may feel moody or irritable.  These are all signs that the progesterone production has started to decline as well.


The final hormonal change is with the estrogen hormones.  When the body stops producing estrogen and there is no longer a menstrual cycle, a women has entered menopause.

Menopause symptoms:

  • Hot flashes
  • Sagging, thin skin
  • Loss of sexual desire
  • Depression, fatigue
  • Night sweats
  • Mood swings
  • Facial hair growth
  • Panic attacks
  • Weight gain
  • Osteoporosis
  • Varicose veins
  • Memory lapses
  • Migraines
  • Heart palpitations
  • And more.

While perimenopause and menopause account for most hormonal imbalances in women, other causes of hormonal imbalances may include: poor diet, lack of exercise, medications, chemotherapy, and illness.

How your body responds to hormonal imbalance is unique to you– what one women may experience may be very different from another woman’s experiences.  Because each woman’s hormonal imbalance is her own individual experience, we have created a comprehensive hormone replacement program that includes:

  • An initial consultation to determine if you are a candidate for Hormone Replacement Therapy.
  • Development of a customized hormone replacement treatment plan.
  • Ongoing testing of your hormone levels to assess how your body is responding to treatment.
  • Ongoing management including hormone wellness and prevention planning (diet, exercise and micronutrient supplementation can be added).


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