
What is POI hormonal imbalance & How Does It Affect Your Hormones?
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Time to read 3 min
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Time to read 3 min
Premature Ovarian Insufficiency (POI) is a condition where the ovaries stop producing estrogen before the age of 40. This early hormonal decline can trigger menopause-like symptoms, including irregular periods , brain fog , and low energy . Understanding the effects of POI on your hormones and how to support hormone balance is crucial for managing symptoms and improving quality of life. Let’s dive into how POI impacts your hormones and explore natural ways to balance them.
POI is a condition where the ovaries cease to function properly and stop producing the necessary hormones—primarily estrogen and testosterone —leading to symptoms that resemble menopause. It can occur due to genetic factors, autoimmune disorders, or sometimes without a clear cause. The hormonal imbalance caused by POI leads to several changes in the body, particularly affecting bone health , mood , and sleep quality . Here’s how POI affects your hormones:
One of the most significant effects of POI is a decline in estrogen levels . Estrogen is crucial for maintaining healthy bones, and its deficiency increases the risk of developing osteoporosis and experiencing joint pain . Without sufficient estrogen, bones become weaker and more fragile, increasing the likelihood of fractures. It’s essential for women with POI to take proactive measures to support bone health.
In addition to estrogen, women with POI may experience a decrease in testosterone levels. Although testosterone is typically thought of as a male hormone, it plays an important role in women’s energy levels, motivation , and muscle strength . Low testosterone can result in fatigue , low motivation , and a lack of interest in activities you once enjoyed. Restoring balance to this hormone can help boost energy and motivation.
Many women with POI also struggle with cortisol dysregulation —meaning that the body’s stress response system becomes unbalanced. This imbalance often leads to chronic stress and poor sleep quality . As cortisol levels fluctuate due to hormone changes, sleep disturbances and heightened stress become common complaints. Over time, this can worsen fatigue and contribute to further hormonal imbalance.
While POI can be challenging, there are several natural ways to support hormone balance and improve your quality of life. By focusing on estrogen support , bone health , and adrenal function , you can help mitigate some of the negative effects of POI.
For many women with POI, estrogen therapy is essential for managing symptoms. Options such as bioidentical hormone therapy (BHT) or phytoestrogens (plant-based compounds that mimic estrogen) can be beneficial in restoring balance. Consulting with a healthcare provider is crucial to determine the best approach for your specific needs.
Maintaining strong bones is crucial for women with POI due to the decline in estrogen levels. Strength training exercises, such as weight lifting, can help improve bone density and prevent osteoporosis. Additionally, ensuring you’re getting enough vitamin D and calcium can support bone health and reduce the risk of fractures. Regular exercise and proper nutrition are essential components of a bone-protective strategy.
The adrenal glands are responsible for producing cortisol, and supporting their function is essential for managing stress and hormonal imbalance. Meditation , yoga , and other relaxation techniques can help reduce stress and support adrenal health. Additionally, adaptogens , like ashwagandha and rhodiola , may help regulate cortisol levels and improve overall well-being. By managing stress and promoting adrenal function, you can help improve sleep quality and energy levels.
Further Reading: POI & Estrogen Decline
Books:
Podcasts:
"Primary Ovarian Insufficiency: How to Diagnose and Treat" by the European Menopause and Andropause Society. This episode discusses the diagnostic criteria and treatment approaches for POI.
"The Struggles of Premature Menopause" featuring Christy Napolitano Wernau. This podcast delves into the challenges faced by women experiencing premature menopause due to POI.
"Siobhan & Kate - Premature Ovarian Insufficiency" on The Fertility Podcast. This episode shares personal experiences and discusses fertility options for those with POI.
"Primary Ovarian Insufficiency" by the Goodfellow Unit. Dr. Nicky Keay discusses the various causes and management strategies for POI.
"Balance is not something you find, it’s something you create."