Estrogen Deficiency – What are the symptoms?

Estrogen deficiency is all too common in women.

Wondering if you suffer from estrogen deficiency?

Check out this list of signs and symptoms from the book Natural Hormone Balance for Women – Look Younger, Feel Stronger, and Live Life with Exuberance by Uzzi Reiss, MD/OB-GYN:

  • Mental fogginess. “I’ve lost my mind.”
  • Forgetfulness. “I can’t remember the birthdays of my grandchildren anymore.”
  • Depression. “It’s like I’m living in a dark tunnel.”
  • Minor anxiety. “I can’t seem to control my worries.”
  • Mood change. “Sometimes I wonder how I’m going to feel tomorrow.”
  • Difficulty falling asleep. “My mind is racing and I can’t stop it.”
  • Hot flashes. “This wave of heat spreads through my body.”
  • Night sweats. “I wake up soaking wet.”
  • Temperature swings. “I feel like a broken air conditioner.”
  • Day-long fatigue. “I can’t keep my head up.”
  • Reduced stamina. “I can’t push it like I used to.”
  • Decreased sense of sexuality and sensuality. “I have lost all pride in my body.”
  • Lessened self-image and attention to appearance. “I could care less how I look.”
  • Dry eyes, skin, and vagina. “My body is like a dry summer.”
  • Loss of skin radiance. “I’ve lost my skin glow.”
  • Sense of normalcy only during second week of cycle: “I am myself only one week out of the month.”
  • Sagging breasts and loss of fullness. “These aren’t the breasts I used to have.”
  • Pain with sexual activity. “I’m not lubricating as well.”
  • Weight gain, with increasing lack of concern about it. “I’m like a balloon that can’t pop.”
  • Increased back and joint pain. “My body is stiff and hurts.”
  • Episodes of rapid heartbeat, with or without anxiety. “Out of nowhere my chest feels strained and I get palpitations.”
  • Headaches and migraines. “I seem to be controlled by pain that I never knew before.”
  • Gastrointestinal discomfort. “I feel bloated.”

What’s the best way to test estrogen levels?

The best way to test estrogen levels…

Is NOT a blood test, but actually a…

Saliva test.

Saliva tests measure the amount of ACTIVE estrogen available to your body.

Blood tests cannot do this.

This is why you can have all the symptoms of obvious hormone imbalance, but still be told you have “normal” hormone levels in your blood.

Here’s a perfect example…

This 34 year old female patient of mine had obvious signs of hormonal imbalance.

The long and short of it is she only got her period every 2-3 months and had been trying to get pregnant for two years with no success.

She went to a fertility specialist… she had all the typical blood testing done…and was told that all her hormones were “normal”.

That makes no sense, right? I know.

This is what we did for her…

I ran a month-long saliva panel on her. She had to spit in a vial every other day for a full month.

Basically we mapped out her estrogen and progesterone cycles.

These are her estrogen results:


Now, normally, a 34 year old female should have total estrogen levels of about 30-40.

This patient is at 21.8.

It turns out her estrogen levels are not “normal” but more like a 60-70 year old.

This is why I love saliva testing, and totally love helping women with their hormones!

Here’s what else you should know…

When estrogen levels are out of balance there is always an underlying reason.

Estrogen NEVER just goes out of balance all by itself.

There is ALWAYS something else out of balance in the body triggering the estrogen to either be used up or not made.

I commonly find problems in the adrenals, digestive system, and detox pathways as the main underlying causes of estrogen deficiency.

This is true even for women going through perimenopause/menopause.

Still have questions about your estrogen levels?

Hormones can be very confusing. Finding the root causes of your hormonal problems requires thorough investigation from a doctor trained in Functional Medicine.

Check out my other blog posts, podcasts, and videos about hormones. They should shed a lot of light…give you many a-ha moments…and answer most…if not all…of your questions.

Please leave a comment below with any questions you have.


Dr. Carri Drzyzga, DC, ND – The Functional Medicine Doc

Find the Cause. Fix the Cause. Feel Normal Again!


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