Estrogen deficiency occurs when estrogen levels in the body become too low. This happens most often during perimenopause and menopause, when ovarian production of estrogen starts to decline. However, estrogen deficiency can happen at other times as well. Symptoms Some common symptoms of low estrogen levels include:
- Hot flashes
- Night sweats
- Vaginal dryness
- Mood changes like irritability or depression
- Difficulty sleeping
- Loss of skin elasticity leading to wrinkles
- Bone loss (osteoporosis)
- Primary ovarian insufficiency (POI)
- Premature ovarian failure
- Oophorectomy (surgical removal of the ovaries)
- Certain medications or treatments like aromatase inhibitors
- Problems with estrogen production
- Problems with pituitary gland function
- Cardiovascular disease
- Osteoporosis and bone fractures
- Vaginal atrophy
- Possible mental decline
- Weight gain and altered fat distribution
- Hormone replacement therapy (HRT): Taking estrogen progestin pills, patches, gels, etc.
- Vaginal estrogen: Creams or tablets for urogenital symptoms
- Lifestyle changes: Diet, exercise, stress management
- Alternative therapies: Phytoestrogens from foods or supplements