Can Hormone Imbalance Cause Anxiety: Signs, Tips & FAQs

Hormones are chemical messengers that play a crucial role in regulating various physiological processes and maintaining internal balance within the body. These hormones are produced by glands in the endocrine system, a network that secretes these substances directly into the bloodstream.

Hormonal imbalances occur when there is either too much or too little of a hormone in the bloodstream. Such imbalances can have numerous effects, one of which is anxiety. Given the critical role hormones play in both physiological and psychological processes, it’s essential to understand how they can impact our mental health. 

In this article, we will delve into the details of hormonal imbalance, exploring its causes, signs, and strategies for management.

What Is Hormone Imbalance 

Hormone imbalance occurs when there is a disruption in the normal levels of hormones in the body, leading to either an excess or deficiency of these crucial chemicals. Hormones, which are produced by glands in the endocrine system, play diverse and significant roles in regulating various bodily functions. 

A hormonal imbalance can arise from a variety of factors such as:

  • stress
  • unhealthy lifestyle
  • disorder of the endocrine glands
  • environmental triggers 

These imbalances can manifest in numerous ways, depending on which hormones are affected. For instance, a continuous decline in insulin levels, a hormone essential for glucose absorption, can lead to elevated blood sugar levels (also known as diabetes).

The complexity of hormonal functions makes their balance crucial for maintaining overall health and wellbeing.

What Causes Hormonal Imbalance

The causes of hormonal imbalance are multifaceted, stemming from both internal and external factors. These include age and life stages, medical conditions, stress and mental health, diet, lifestyle, and medications.

Age and Life Stage

Hormonal fluctuations naturally occur throughout different life stages. For instance, puberty brings significant changes in reproductive hormones. Similarly, menopause and andropause in older age involve shifts in estrogen, progesterone, and testosterone.

Elderly woman looking stressed

Pregnancy and the postpartum period also see elevated levels of hormones like hCG, hPL, estrogen, progesterone, oxytocin, and prolactin, crucial for fetal development and breastfeeding.

Medical Conditions

Certain conditions, such as thyroid disorders, polycystic ovary syndrome (PCOS), and diabetes, can cause hormonal imbalances. Thyroid disorders affect metabolism and energy levels, while PCOS, a common hormonal disorder in women, involves irregular menstrual cycles and elevated androgen levels. Insulin resistance, a hallmark of PCOS, can also lead to diabetes.

Stress and Mental Health

Long-term stress can lead to persistently high cortisol levels, disrupting the body’s hormonal balance. This imbalance can manifest as immune system impairment, sleep disturbances, weight gain, and an increased risk of heart disease. Additionally, chronic stress often leads to excessive adrenaline release, contributing to anxiety and irritability.

Lady leaning on the window

Mental health issues like depression and anxiety can also affect hormonal equilibrium. Depression is commonly associated with altered cortisol and serotonin levels. Hormonal imbalances linked to mental health include:

  • Cortisol: Chronic stress can elevate cortisol levels, potentially leading to anxiety, depression, and sleep disturbances.
  • Thyroid Hormones: These hormones are essential for metabolism and energy levels. Imbalances, such as in hypothyroidism, can lead to fatigue, low mood, and concentration difficulties.
  • Sex Hormones (Estrogen, Progesterone, Testosterone): Fluctuations can significantly impact emotional well-being, with notable effects during life events like menstruation, pregnancy, and menopause.
  • Neurotransmitters (Serotonin and Dopamine): Hormonal imbalances can influence the production and function of these mood-regulating neurotransmitters, contributing to conditions like depression. Medications affecting hormone levels can also impact serotonin and dopamine activity.

Poor Diet

A diet high in processed foods and sugars can significantly contribute to insulin resistance and hormonal imbalance. Consuming excessive amounts of these foods often leads to blood sugar spikes, prompting the pancreas to release more insulin. Over time, this can cause cells to become less responsive to insulin, a condition known as insulin resistance. This state is closely associated with an increased risk of developing type 2 diabetes and other metabolic disorders.

Additionally, poor diets lacking in essential nutrients necessary for hormone synthesis can exacerbate hormonal imbalances. Such diets, often high in calories, contribute to weight gain and obesity. Excess body fat, particularly in the abdominal area, can alter hormone levels, leading to increased insulin and estrogen production. These hormonal changes can further aggravate the imbalance, underscoring the importance of a balanced diet for hormonal health.

Weight and Lack of Exercise

Excess weight and a sedentary lifestyle are key contributors to hormonal imbalances. Obesity is closely linked with insulin resistance, where the body doesn’t effectively use insulin, leading to higher blood sugar levels. It also disrupts the balance of appetite-regulating hormones: leptin, which is supposed to suppress hunger, becomes less effective, while ghrelin, which stimulates appetite, increases. This can lead to overeating and further weight gain.

Furthermore, not getting enough physical activity can worsen these issues. Lack of exercise contributes to insulin resistance and can affect the balance of leptin and ghrelin, making weight management more challenging and impacting overall hormonal health.


Certain medications can significantly influence hormone levels and contribute to hormonal imbalances. Hormonal contraceptives, for example, contain synthetic forms of estrogen and progestin, preventing ovulation by maintaining higher hormone levels and thickening cervical mucus to impede sperm entry.

Woman holding a glass of water and pills

Steroids also have a profound impact; corticosteroids like prednisone can disrupt the adrenal glands’ ability to produce cortisol, especially with prolonged or high-dose use. Anabolic steroids, often mimicking testosterone, can suppress natural hormone production, leading to decreased sperm production and hormonal disruptions.

Signs of Hormonal Imbalance

Hormones are essential in regulating various physiological processes like metabolism, growth, mood, and reproductive functions. A disruption in hormonal balance can lead to a variety of symptoms. Here are some common signs indicating a hormonal imbalance:

Irregular Menstrual Cycles

A key sign of hormonal imbalance in women is irregular menstrual cycles, often due to imbalances in estrogen and progesterone. These imbalances can affect the frequency, duration, or intensity of menstrual periods.

Changes in Weight

Unexplained weight gain or loss can be a sign of hormonal imbalance. Hormones regulate metabolism, appetite, and energy use, so any disruption can lead to significant changes in body weight.

Skin Problems

Hormonal imbalances can cause skin problems like acne or hirsutism (excessive facial hair in women). Fluctuations in hormones, especially androgens like testosterone, can increase oil production, leading to acne. Hirsutism is often linked with higher levels of androgens.

Mood Swings and Emotional Changes

Hormonal imbalances can cause mood swings, irritability, anxiety, and depression. Estrogen and progesterone fluctuations, thyroid hormone imbalances (both hypo- and hyperthyroidism), and cortisol levels can all affect mood and energy. Even testosterone, present in smaller amounts in females, can influence mood and well-being.

Fatigue and Lack of Energy

Persistent fatigue, even after adequate sleep, and feelings of exhaustion can be signs of hormonal imbalances often related to adrenal gland function. This gland produces various hormones, and imbalances here, often due to stress, can lead to symptoms like body aches and low blood pressure.

Sleep Problems

Lady sleeping on a bed

Sleep and hormones are closely connected. For example, melatonin, the hormone regulating the sleep-wake cycle, can be disrupted by artificial blue light from electronic devices, affecting sleep quality and leading to insomnia.

Changes in Libido

Hormonal imbalances can affect sexual drive and function. This involves several hormones, including testosterone, estrogen, progesterone, prolactin, thyroid hormones, cortisol, and DHEA. Imbalances in these hormones can lead to decreased libido, erectile dysfunction in men, irregular menstrual cycles in women, and other issues related to sexual health.

Hot Flashes and Night Sweats

Commonly experienced during menopause, these symptoms are due to fluctuations in estrogen levels affecting the body’s temperature regulation. They can lead to intense heat sensations and excessive sweating, especially at night.

Hair Loss

Hormonal imbalances, particularly in androgens like DHT, can lead to hair thinning or loss. Conditions like PCOS in women and male pattern baldness in men are linked to increased levels of these hormones. Stress hormones like cortisol also play a role in hair health.

Joint Pain

Hormonal fluctuations, especially in estrogen, can lead to joint pain. As estrogen has anti-inflammatory effects, its decline during life stages like menopause can increase inflammation and associated joint discomfort.

Hormonal Imbalances That Cause Anxiety

Anxiety is a complex condition influenced by a combination of genetic, environmental, and psychological factors, with hormonal imbalance playing a significant role in its physiological aspect. Various hormones, if imbalanced, can contribute to anxiety.

Lady covering her face with her hands

These include estrogen, progesterone, testosterone, cortisol, thyroid hormones, oxytocin, and growth hormones (somatotropin). Each of these hormones plays a crucial role in the body’s functioning, and an imbalance in any of them can be a contributing factor to anxiety.


Known for its role in regulating mood and emotion, estrogen interacts with neurotransmitters like serotonin, GABA, dopamine, epinephrine, and norepinephrine. Low levels of estrogen can lead to symptoms such as anxiety, depression, mood swings, and difficulty concentrating. However, the link between estrogen and anxiety is complex, and reactions can vary. Some individuals might feel less anxious with higher estrogen levels, while others might experience the opposite effect.


This hormone, which rises during ovulation and pregnancy, is vital in regulating the menstrual cycle and preparing the body for pregnancy. Fluctuations in progesterone, especially during the second half of the menstrual cycle, can trigger mood changes, including increased anxiety, known as premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD). Low levels of progesterone can also contribute to anxiety, along with depression and sleep disturbances.


Essential for muscle growth, sex drive, and fertility, testosterone levels have complex effects on mood. Studies suggest that both low and high levels can influence anxiety and mood disorders. Low testosterone might cause fatigue, depression, and a lack of energy, while high levels can lead to irritability and anger.


Cortisol is a steroid hormone produced by the adrenal glands in response to stress. It plays a crucial role in the body’s “fight or flight” response and helps regulate various physiological processes. This hormone is responsible for regulating stress levels in the body. When cortisol levels are too high, it can lead to various issues, including anxiety disorders.


Thyroid hormones are crucial for regulating metabolism, and imbalances can cause various symptoms. Hyperthyroidism, where the thyroid produces too much hormone, can lead to weight loss, increased heart rate, irritability, and anxiety. The excess of thyroid hormones may overstimulate the nervous system, contributing to feelings of nervousness and anxiety.


Oxytocin influences social bonding and stress responses; imbalances might impact relationships and emotional well-being. Oxytocin is a hormone and neuropeptide that plays a crucial role in social bonding, maternal behavior, and stress regulation. Research has suggested that oxytocin may have anxiolytic (anxiety-reducing) effects. Higher levels of oxytocin have been linked to reduced anxiety in certain social situations.

How To Balance Hormones

Dealing with hormonal imbalances is crucial due to their wide-ranging effects on health and well-being. Achieving a hormonal balance is essential, and there are several ways to do this, from managing stress to seeking therapy or counseling. Here are five effective strategies for balancing hormones:

Properly Manage Stress Levels

Develop habits like effective time management, regular exercise, meditation, setting realistic goals, saying no to overwhelming requests, maintaining a positive mindset, and engaging in enjoyable activities. These practices help produce hormones that can balance each other out.

Exercise Regularly

Regular physical activity helps reduce anxiety by lowering cortisol and adrenaline levels, while also releasing endorphins, which enhance mood and act as natural pain relievers.

Man jogging near the bridge

Incorporating daily exercise, including practices like yoga and meditation, can break the cycle of stress hormones and improve overall well-being.

Adhere To A Nutrient-Rich Diet

Consuming a diet high in fiber, healthy fats, omega-3s, and low in sugar and caffeine supports overall hormonal health. Including fermented foods and tailoring your diet to avoid trigger foods, especially for conditions like IBS or celiac disease, is also beneficial.

Get Adequate Sleep

Good sleep is vital for balancing hormones. Poor sleep can lead to hormonal imbalances, so improving your sleep routine is essential. Nighttime sleep, in particular, plays a role in regulating cortisol and melatonin levels, which are critical for managing stress and sleep patterns.

Seek Therapy or Counselling

Therapy or counselling services can be effective in managing anxiety and the symptoms of hormonal imbalances. Professional help, possibly combined with medication, can provide support in understanding and coping with changes in the body.

FAQs about Hormone Imbalance and Anxiety

Can hormone imbalances affect men as well?

Yes, men can also experience hormone imbalances, with symptoms like mood swings, fatigue, decreased libido, and changes in body composition. Both men and women have hormones that regulate their body systems, but some hormones are more dominant in one gender. For example, testosterone, key for muscle growth, sex drive, and fertility, can cause irritability when too high and fatigue or depression when too low. Seeking medical advice is important for correct diagnosis and treatment.

How can I stop hormonal anxiety?

Managing hormonal anxiety involves adopting lifestyle changes. Regular exercise helps reduce stress hormones like adrenaline and cortisol. Meditation can promote the production of melatonin, aiding in better sleep. A balanced diet, sufficient sleep, and therapy or counselling are also effective in alleviating symptoms of hormonal anxiety.

Can high or low oestrogen levels cause anxiety?

Yes, both high and low estrogen levels can lead to anxiety. Estrogen, beyond its role as a sex hormone, is involved in mood regulation. Imbalances can cause anxiety, depression, irritability, and concentration difficulties. The drop in estrogen at the end of a menstrual cycle can trigger anxiety, while too much estrogen can lead to increased anxiety and more severe PMS symptoms.

Can too much progesterone cause anxiety?

Yes, excessive progesterone levels can contribute to anxiety. Research indicates that progesterone can affect the amygdala, leading to anxiety and a glum mood. Progesterone, which fluctuates during ovulation and pregnancy, can cause mood changes when its levels are too high or too low. Balancing progesterone is essential for emotional stability.

Seek Help From A Professional

Speak to one of our counsellors here at Sofia Wellness Clinic. Book an appointment here.

Written by Maria Listya, Marketing Intern 2023 at Sofia Wellness Clinic

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