For years, I’ve been checking hormone panels for females experiencing many different hormonal symptoms. Overall, the most common pattern I’ve seen is referred to as estrogen dominance. The estrogen level is normal while the progesterone level is low. This creates symptoms such as bloating, breast tenderness, low sex drive, headaches, irregular periods, decreased sex drive, mood swings, fatigue, trouble sleeping, weight gain around the abdomen and hips, foggy thinking & memory loss, and PMS.
This pattern often occurs when the person is experiencing a higher-than-normal stress level. Because progesterone naturally provides some of our cortisol (stress-managing hormone), during times of increased stress, the body will “steal” progesterone to make more cortisol.
I’m very used to seeing this and treating this.
What I’m not used to seeing is a pattern that has become quite prevalent over the past 1.5 years during the pandemic and other issues of these times.
In almost every hormone panel I’ve checked, another hormone is elevated: DHEA.
DHEA is short for dehydroepiandrosterone (D-hi-dro-epp-E-an-dro-ster-own), a hormone made by the adrenal glands located just above the kidneys. Of the more than 150 hormones made by the adrenal glands, the most abundant is DHEA. DHEA is generally converted into testosterone and estrogens.
Most of the time, when I check this hormone, it’s low. I’ve supplemented it many times in females to increase low testosterone and low estrogen.
Because DHEA is also produced from the ovaries, in the past I would see elevated DHEA associated with abnormal hair growth (think beard), acne, and PCOS.
Not now.
DHEA is appearing high across the board and not just a little high, it’s often double or triple the level it should be, without any of the usual and expected symptoms.
Now, this is not all bad news. Some studies suggest that DHEA may elevated as a counterbalance to elevated cortisol, so it’s likely a healthy adaptive response by the body.
At the same time, it means that the body is overloaded with stress hormones, and it’s working diligently to manage this and bring the body back to balance.
I’ve talked a lot about managing stress since COVID began. If you missed my previous posts, see the bottom of this page.
During the first year of the pandemic, I gave everyone a pass. I appreciate personally how hard it’s been to adapt to all of it; how challenging it’s been to eat right, find new ways to exercise, and avoid getting into negative habits to help manage our stress.
Now, we must face the reality that not much is likely to change anytime soon. We have to find ways to adapt, to manage our stress so that our bodies don’t take the toll from all of this.
We have to find new ways to experience joy, appreciation, love, and freedom.
When people come to see me, I can feel how much they want a quick fix to what they’re feeling. It’s frustrating to hear that stress is the underlying cause of their symptoms.
Yet, here we are and it’s been true for almost everyone I’ve seen.
The good news is that my stress-management toolkit is deep and when my patients implement the plans we develop together, they feel better.
Start with one thing…what’s the one thing that you could change in your life right now, that if you changed it, it would make a really big difference? Do that first and let it be for a few weeks. Then, work with the next thing. Trying to make a bunch of changes all at once simply creates more stress and likely, more DHEA.
If you’d like my help, schedule an appointment here.
Check out these articles to understand the stress response more fully and for more ideas of how to manage it:
Are You in Fight-or-Flight or Rest-and-Digest?
How to Handle the Strain and Drain
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