How Does Menopause Affect a Woman’s Hormonal Levels?
- Otto Shill, DO, FACP, DABOM

- Jan 10
- 5 min read
Yes, menopause is a natural stage of life. But that doesn’t mean it has to be uncomfortable. When menopause affects a woman’s hormonal levels, you might experience symptoms that affect your energy, mood, sleep, weight, and overall sense of well-being.
At ShillMed, we believe women shouldn’t have to “just live with it.” You don’t have to wait until post-menopause to take control of your hormones. Balancing your levels earlier can make the transition smoother and help you maintain optimal wellness for years to come. Let’s take a look at how menopause affects a woman’s hormonal levels.
What Happens to Hormones During Menopause?
Menopause is officially diagnosed when you’ve gone 12 months without a menstrual period. But the hormonal shifts begin long before that—often years earlier during perimenopause.
During this time, your ovaries gradually produce fewer reproductive hormones, and the brain-ovary communication loop starts to falter. This causes fluctuations that can make you feel like your body is constantly changing—because it is. Menopause affects women’s hormone levels in ways that produce very noticeable ups and downs.
These ups and downs are at the heart of common symptoms such as mood swings, hot flashes, and sleep disturbances. And while menopause marks the end of menstruation, it also signals the beginning of a new phase in your health—one that can be optimized with the right support.
Common Symptoms of Hormonal Imbalance
When menopause affects your hormonal levels, your entire system feels the effects. You may notice the following symptoms:
Hot flashes and night sweats: Sudden warmth, sweating, or flushed skin caused by fluctuating estrogen levels may continue through the day and get worse at night.
Mood swings and irritability: Changes in serotonin and estrogen can affect emotional stability and increase anxiety or depression.
Sleep disturbances: Low progesterone and estrogen disrupt the quality of your rest.
Low libido: A drop in testosterone and estrogen can decrease sexual desire and cause vaginal dryness or discomfort.
Weight gain and fatigue: Slower metabolism, insulin resistance, and hormonal imbalances can all make it difficult to maintain a healthy weight.
Brain fog: Decreased estrogen affects memory and focus.
Thinning hair or dry skin: Lower hormone levels can reduce collagen and hydration in your skin and hair.
These symptoms aren’t “just part of getting older.” They’re messages from your body that your hormones need attention.
The 6 Main Hormones Affected by Menopause
Menopause affects more hormones that women have than just estrogen—it impacts a woman’syour entire hormonal system. Let’s explore the key players:
Estrogen
The most well-known female hormone, estrogen supports menstrual cycles, bone density, brain function, and heart health. As estrogen levels drop, you may experience hot flashes, irregular periods, and increased risk for osteoporosis and cardiovascular issues.
Progesterone
This calming hormone balances estrogen and promotes restful sleep. When progesterone declines, you may experience insomnia, anxiety, and irregular or heavier periods during perimenopause.
Testosterone
Though often labeled a “male hormone,” testosterone is vital for women too. It fuels energy, confidence, sex drive, and muscle tone. As levels dip, many women report fatigue, low libido, and reduced motivation.
DHEA (Dehydroepiandrosterone)
Produced by the adrenal glands, DHEA helps regulate other hormones, especially estrogen and testosterone. A decline in DHEA contributes to loss of vitality and mood imbalances.
Cortisol
Chronic stress can spike cortisol levels, which then disrupt other hormones. During menopause, when your adrenal glands work harder to compensate for lower ovarian hormone production, cortisol management becomes even more critical.
Thyroid Hormones
Estrogen and thyroid function are closely connected. When estrogen drops, thyroid hormone conversion can change, causing symptoms such as weight gain, fatigue, and sensitivity to cold.
Each of these hormones works in harmony. When one becomes imbalanced, the others often follow—leading to a ripple effect that impacts your health from metabolism to mood.
Why You Shouldn’t Wait Until Post-Menopause for Hormone Therapy
Many women assume they have to wait until they’ve fully transitioned through menopause before addressing how menopause has affected their hormone levels. But that delay can make symptoms worse and lead to long-term health concerns.
By addressing hormonal changes early—ideally during perimenopause—you can ease your transition and maintain balance before the body fully shifts. Preventive care helps you do the following:
Avoid drastic hormonal crashes
Preserve bone and muscle strength
Protect heart and brain health
Support metabolism and energy levels
Maintain emotional well-being
At ShillMed, we help you understand your unique hormone profile through advanced lab testing. Once we know where your imbalances lie, we can begin restoring balance through personalized care.
How BHRT Supports Hormone Balance
Tired of menopause affecting your hormone levels? Bioidentical hormone replacement therapy (BHRT) uses plant-derived hormones that are chemically identical to those your body naturally produces. This means they fit perfectly into your body’s hormone receptors and mimic natural hormone activity more safely and effectively than synthetic alternatives.
BHRT is tailored to your individual hormone needs. Rather than a one-size-fits-all prescription, your therapy plan is based on your specific lab results, age, lifestyle, and health goals.
Benefits of BHRT for Women’s Menopause Hormonal Levels
Restores balance: BHRT helps stabilize estrogen, progesterone, and testosterone to reduce disruptive symptoms.
Improves mood and focus: Balanced hormones help restore clarity and emotional stability.
Supports metabolism: Proper hormone levels improve energy, reduce fat storage, and help manage weight.
Enhances sexual wellness: Restored estrogen and testosterone improve libido, lubrication, and overall sexual satisfaction.
Protects long-term health: BHRT supports bone density, cardiovascular wellness, and cognitive health as you age.
BHRT can be administered in various forms—such as creams, pellets, or capsules—depending on your body’s needs and your doctor’s recommendations. Regular monitoring ensures that your hormone levels stay balanced through menopause and your therapy remains effective.
A Whole-Body Approach to Hormone Wellness
Hormone replacement therapy is only one part of the solution. Lifestyle factors—such as nutrition, exercise, sleep, and stress management—also play major roles in balancing your hormones naturally.
At ShillMed, we integrate these elements into your personalized plan. Our goal isn’t just to relieve symptoms but to restore vitality and help your body function at its best.
Through functional and regenerative care, we support your cellular health, metabolism, and longevity, so you can continue to thrive at every stage of life.
Feel Like Yourself Again
You don’t have to accept the fatigue, weight gain, or emotional ups and downs that come with menopause. By understanding how menopause affects your hormonal levels and addressing those changes proactively, you can take charge of your health and feel like yourself again.
At ShillMed, we specialize in BHRT for women, helping restore balance and vitality through personalized care. Contact ShillMed today to schedule your hormone consultation and start your journey toward balanced wellness.




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