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It’s not easy being female — the hormonal ups and downs each month and through puberty and then menopause can range from mildly irritating to downright debilitating. If you have Hashimoto’s hypothyroidism on top of this, it’s a double whammy of unfairness.

Although many, if not most, women suffer from some degree of premenstrual syndrome (PMS), the extreme health and mood imbalances associated with PMS and menopause are a sign your system is out of whack, most likely because of stress. And the same factors that lead to hormonal imbalances also trigger and exacerbate autoimmune disorders such as Hashimoto’s hypothyroidism.

Hormone balance is very sensitive to stress, inflammation, toxins, poor diet, sleep deprivation, lack of exercise, too little sunlight, and other common factors of modern life. Because the reproductive hormones play an important role in brain health, mood, and brain inflammation, when they’re imbalanced, brain function and mood suffer.

Hormonal imbalances also affect thyroid health and thyroid autoimmunity when you have Hashimoto’s hypothyroidism. Estrogen, progesterone, and testosterone all impact inflammation and autoimmune thyroid flares, as well as general thyroid function. Likewise, poor thyroid function can disrupt hormonal balance, so a functional medicine foundation that addresses both is important.

In women, hormone imbalances are characterized by excess estrogen, insufficient progesterone, or too much testosterone. Both stress and blood sugar that is either too low (hypoglycemia) or too high (insulin resistance) are the most common culprits of PMS symptoms and a miserable menopause transition. These two factors also play a large role in autoimmune Hashimoto’s hypothyroidism.

Symptoms of hormonal imbalances in women include:

  • Frequent or irregular menstruation
  • Mood instability
  • Depression
  • Problems sleeping
  • Changes in weight or appetite
  • Cry easily
  • Irritable
  • Poor concentration
  • Anxiety
  • Fatigue
  • Low libido
  • Migraines

Low progesterone from chronic stress

One of the more common reasons for hormonal imbalance is low progesterone caused by chronic stress. This is a mechanism called “pregnenolone steal,” when chronic stress robs the compounds needed to make progesterone to be make stress hormones instead. This leads to PMS and sets the stage for a miserable menopause transition.

When it comes to stress, the brain does not know whether you are angry at traffic, soaring and crashing after snacking a glazed donut and triple-shot caramel latte, or narrowly escaping being trampled by a bison. All it knows is to prepare for fight or flight and that reproduction hormones can wait until things have settled down. But for many sleep-deprived, over-stressed Americans fueled on caffeine and sugar, settling down rarely truly happens.

Unmanaged Hashimoto’s hypothyroidism is also stressful to the body, as it could mean run-away inflammation taxing the body’s reserves and thyroid health.

The fix isn’t necessarily in a tub of progesterone cream; first address the sources of stress. A primary stress-buster is stabilizing blood sugar. People either eat too infrequently and too sparingly, or they overeat and eat too much sugar. Both are stressful for the body and a Hashimoto’s hypothyroidism condition.

Here are some other common causes of chronic stress that lead to miserable PMS and menopause and Hashimoto’s hypothyroidism symptoms:

  • Sugar, sweeteners, starchy foods (rice, pasta, bread, etc.), too much caffeine
  • Food sensitivities (gluten, dairy, eggs, soy, corn, nuts, grains, etc.)
  • Leaky gut and gut inflammation symptoms — gas, bloating, indigestion, heartburn, diarrhea, constipation, stomach pain, irritable bowel
  • Sleep deprivation
  • Pain and inflammation — joint and muscle pain, skin rashes, respiratory issues, brain fog, fatigue, depression
  • Autoimmune diseases such as Hashimoto’s hypothyroidism
  • Overdoing it, over exercising, not taking time for yourself
  • Bad diet of junk foods, fast foods, processed foods

Restoring hormonal balance naturally while taming your autoimmune Hashimoto’s hypothyroidism

Ideas to halt pregnenolone steal include an anti-inflammatory diet, stabilizing blood sugar, restoring gut health, dampening pain and inflammation, and managing autoimmunity. These are functional medicine basics. Make sure you are eating the right amounts and kinds of essential fatty acids. Additionally, certain botanicals are effective in supporting female hormone health and the body’s stress handling systems.

These are largely the same strategies to manage an autoimmune Hashimoto’s hypothyroidism condition. Ask my office for more advice.