6 Hormonal Imbalance Symptoms (and How to Manage Them)

If you’ve ever experienced unexplained weight changes, persistent fatigue, or mood swings that seem to come out of nowhere, you might be dealing with hormonal imbalance symptoms. Hormonal imbalances are a common health issue that affect up to 80% of people—yet it can be difficult to recognize the signs or know when to seek health. 

In this guide, we’ll review everything you need to know about hormonal imbalance symptoms, including what they are, how they manifest, and what you can do to find relief.

What is a hormonal imbalance?

Hormones are your body’s chemical messengers, orchestrating everything from metabolism and growth to mood and reproduction. When hormones fall out of balance—either you have too much or too little of a certain hormone—it can affect virtually every system in your body.

That’s why hormonal imbalances can come in many forms. Some common examples include:

• Thyroid disorders: when your thyroid produces too much hormone (hyperthyroidism) or too little (hypothyroidism)
• Estrogen or progesterone imbalances: which can affect menstrual cycles, fertility, and mood
• Cortisol imbalances: often associated with chronic stress and adrenal issues

Some hormonal imbalances causes include underlying medical conditions, like polycystic ovarian syndrome or diabetes. Others causes include external factors like stress, poor diet, and lack of sleep.

And some hormonal imbalances are totally natural. Life transitions like puberty, pregnancy, and menopause can involve significant hormonal shifts that can knock your hormones out of whack.

>>RELATED: When Does Menopause Start? Age, Symptoms, and Tests

Hormonal imbalance symptoms

Because hormones are so crucial to your body’s functions, it’s likely you’ll experience some symptoms when your hormones are imbalanced. Here are some of the most common symptoms to look out for.

1. Unexplained weight changes.

Have you noticed your weight fluctuating despite no major changes to your diet or exercise routine? Hormones like thyroid, insulin, and cortisol play crucial roles in metabolism and weight regulation. An imbalance might cause you to gain weight—particularly around your midsection—or lose weight unexpectedly.

2. Persistent fatigue

If you're getting enough sleep but still feel exhausted, hormones might be to blame. Thyroid imbalances often manifest as severe tiredness, while cortisol irregularities can leave you feeling wired but drained. This isn't your typical end-of-day tiredness—it's a deep fatigue that doesn't improve with rest.

3. Mood changes and irritability

Are you feeling unusually anxious, depressed, or irritable? Imbalances in hormones like estrogen, progesterone, and thyroid hormones influence your brain chemistry and emotional well-being. Many people describe feeling "not like themselves" when hormones are imbalanced—experiencing mood swings, brain fog, or difficulty concentrating.

4. Sleep disturbances

If you’re tossing and turning at night, hormonal imbalances may be disrupting your sleep patterns. Low progesterone might cause insomnia, while cortisol irregularities can wake you up in the early morning hours. Some people experience night sweats or hot flashes, particularly during menopause or perimenopause.

5. Skin and hair changes

Your skin and hair are surprisingly responsive to hormonal shifts. You may notice: 

• Acne breakouts
• Dry, thinning hair or unexpected hair loss
• Excessive hair growth
• Skin tags or darkened patches of skin

6. Low libido and sexual function changes

Hormones are key players in sexual health for both men and women. When they're out of balance, you might notice low libido, including decreased interest in sex or intimacy and difficulty becoming aroused.

Women specifically may experience painful intercourse or vaginal dryness, while men may experience erectile dysfunction or performance issues. 

These changes can be frustrating and may affect relationships, but they're often signals of an underlying hormonal issue that can be addressed with proper care.

How to know if you have a hormonal imbalance

While hormonal imbalance symptoms can provide important clues as to whether or not you have a hormonal imbalance, the only way to confirm is through proper testing. 

If you suspect your hormones may be imbalanced, first consider keeping a log of when symptoms occur, their severity, and any potential triggers can help you and a healthcare provider figure out what’s at the source.

Depending on your symptoms, your provider might recommend: 

• Blood tests to check thyroid, cortisol, or reproductive hormone levels
• Saliva testing for certain hormones
• Ultrasound or imaging studies for conditions like PCOS

If you’re looking for a proactive approach—and hormone testing you can do from the comfort of your own home—Oova’s hormone test kit offers a way to track your specific hormonal patterns and get insights without invasive blood work. Oova measures your LH, progesterone, and estrogen through at-home urine tests, and you can share your results directly with your provider.

How to manage hormonal imbalance symptoms

The good news is that most hormonal imbalances and their symptoms can be addressed. Your treatment approach will depend on the specific imbalance and its cause.

Lifestyle adjustments

Simple changes to your everyday lifestyle can have powerful effects on your hormonal health, including:

• Balanced nutrition: focus on whole foods, healthy fats, and plenty of vegetables
• Regular exercise: aim for at least 30 minutes of movement most days
• Stress management: practices like meditation, yoga, or deep breathing can help regulate stress hormones
• Consistent sleep: prioritize 7-9 hours of quality sleep each night

Medication and supplements

For some imbalances, medical intervention may be necessary. Medication options may include hormone replacement therapy, thyroid medications, birth control pills, or targeted supplements. 

Be sure to consult with your healthcare provider to figure out whether medication or supplements are right for you, and to track the efficacy of a medical intervention.

Addressing the root cause

Working with your healthcare provider to identify and treat underlying conditions that may cause hormonal imbalances is essential. This might involve:

• Managing autoimmune conditions
• Treating insulin resistance
• Addressing adrenal dysfunction
• Supporting thyroid health
• Managing stress-related issues

Again, the root cause and how you address it will depend on what kind of hormonal imbalance you have; working directly with a provider can help you come up with the right treatment plan for you.

Hormonal imbalance symptoms: the bottom line

Hormonal imbalances are highly common but often overlooked causes of many chronic symptoms. Hormonal imbalance symptoms include everything from unexplained weight changes to sleep problems and changes in skin or hair.

If you're experiencing these symptoms, know that you're not alone and that help is available. By tracking your symptoms and working with healthcare providers to find the right treatment for you, you're not just relieving symptoms—you're supporting your entire system in finding its natural harmony.