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Hai bisogno di un test per lo squilibrio ormonale?

If your hormones are out of balance, your body may show certain symptoms or changes. The best way to check for a hormone imbalance is by talking to your doctor, who may recommend you for a test.

In questo articolo, esaminiamo cosa comporta un test per gli squilibri ormonali, i sintomi più comuni e approfondiamo i potenziali problemi di salute collegati agli squilibri ormonali.

Video picks for Altri problemi ormonali

A hormone imbalance test isn't typically something you can request directly on the NHS. Private testing options are available, with some companies even providing home testing kits.

Tuttavia, se si manifestano sintomi che si ritiene possano essere correlati a uno squilibrio ormonale, è importante discutere di queste preoccupazioni con il proprio medico piuttosto che cercare di effettuare un test da soli. Lui può valutare i tuoi sintomi, eseguire un esame fisico e determinare la migliore strategia da seguire per la tua situazione.

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What is a hormone imbalance test?

Your body relies on hormones to function properly. They're basically chemical messengers that carry signals to various parts of your body to keep it running smoothly.

Hormones are important for key bodily processes, such as:

  • Crescita.

  • Metabolism.

  • Mood.

  • Riproduzione.

  • Sexual function.

Un test di squilibrio ormonale analizza campioni di sangue, urina o saliva per misurare gli ormoni importanti e verificare se sono entro un intervallo salutare.

This type of test examines the levels of these hormones in your body to spot any irregularities.

Deborah Grayson, Pharmacist and Nutritional Therapist, Practice With Confidence, Greater Manchester, UK explains the roles of these hormones and why testing them is important for understanding your health.

Sex hormones

Your sex hormones play a key role in your sexual development and reproductive function.

  • Oestrogen (oestradiol, oestrone, oestriol) - low or high levels may suggest menopause, sindrome dell'ovaio policistico (PCOS), fertility issues, or hormonal imbalances in men, such as ginecomastia.

  • Progesterone - imbalances may cause menstrual irregularities, fertility challenges, or issues during pregnancy.

  • Testosterone - low levels can cause fatigue, low libido, and erectile dysfunction in men, while high levels in women may signal PCOS or other conditions.

  • Dehydroepiandrosterone sulfate (DHEA-S) - imbalances can affect energy, mood, and sexual function.

Thyroid hormones

Your thyroid hormones regulate metabolism - the chemical process that controls how your body produces energy.

  • Thyroid-stimulating hormone (TSH), Free T4 (thyroxine) and Free T3 (triiodothyronine) - I test valutano la tiroide ipoattiva (ipotiroidismo) o iperattiva (ipertiroidismo), che possono causare stanchezza, variazioni di peso o problemi dell'umore.

  • Thyroid antibodies (TPOAb, TGAb) - detects autoimmune thyroid disorders such as Hashimoto's or Graves' disease.

Adrenal hormones

Adrenal hormones help manage your stress response, blood pressure and metabolism.

  • Cortisol - livelli elevati may indicate stress, and sindrome di Cushing, while low levels may be a sign of Addison's disease.

  • Aldosterone - helps diagnose issues with salt balance and blood pressure.

Reproductive hormones

Your reproductive hormones are essential for sexual development, fertility, and regulating your menstrual cycle.

  • Luteinising hormone (LH) and follicle-stimulating hormone (FSH) - imbalances may indicate ovulatory dysfunction, menopausa, o problemi alla ghiandola pituitaria.

  • Prolattina - high levels can cause infertility, irregular periods, or unexpected milk production.

Metabolic hormones

Metabolic hormones regulate growth and development, controlling how your body uses energy and absorbs food.

  • Insulina - tests for insulin resistance or diabete.

  • Leptin and ghrelin - identifies appetite dysregulation or metabolic disorders.

Bone and calcium-regulating hormones

These hormones help balance calcium levels in your blood. Healthy calcium levels are vital for muscle function, nerve health, and blood clotting.

  • Parathyroid hormone (PTH) - imbalances can affect calcium levels and bone health.

  • Vitamin D (calcitriol) - i livelli bassi are linked to weak bones, tiredness, and mood issues.

Other hormones

To get a full picture of your hormonal health, a hormone imbalance test may also examine levels of the following:

  • Growth hormone (GH) and insulin-like growth factor 1 (IGF-1) - imbalances may cause growth disorders or metabolic issues.

  • Melatonina - irregular levels might disrupt sleep patterns.

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A combinazione di sintomi can suggest that your hormone levels may be imbalanced.

According to Grayson, a hormone imbalance test is often ordered if you have the following:

  • Stanchezza.

  • Unexplained weight gain or loss.

  • Mood swings, ansia, or depressione.

  • Hair thinning or excessive hair growth.

  • Irregular periods or infertility.

  • Hot flashes or night sweats.

  • Low libido.

  • Digestive issues.

  • Sleep disturbances.

To assess your hormone levels, your doctor may order a blood, pee, or saliva test.

Grayson says blood tests are generally the most common for measuring hormone levels. A saliva test is usually used to measure your adrenal and sex hormone levels, while a pee test offers a broader profile, especially for adrenal and metabolic hormones.

"It is important to remember that hormones can fluctuate daily, and only reflect a snapshot in time," she says. "Some tests may be repeated to ensure that your levels are consistently out of range."

She adds that some hormone imbalance tests may only be available privately.

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Treating a hormone imbalance depends on the underlying cause and the specific hormones involved.

Grayson says: "It can involve taking a medicine that acts in the same way as the hormone or inhibiting excess hormone production according to the imbalance present. Some imbalances may require surgery - for example an over-active parathyroid gland.

"Hormone replacement therapy (HRT) is often recommended for women when hormone levels are below the minimum range for the specific hormone, or are borderline, but you are still having symptoms - such as in perimenopause."

She explains that lifestyle changes or dietary adjustments may also help manage hormone imbalances.

Questi possono includere:

  • Gestire lo stress praticando la consapevolezza, lo yoga o la meditazione.

  • Migliorare la tua alimentazione concentrandoti su alimenti integrali, grassi sani e pasti ricchi di nutrienti.

  • Prioritise sleep by maintaining a consistent sleep schedule and getting 7-9 hours of quality sleep a day.

  • Incorporating moderate exercise into your daily routine - around 150 minutes a week.

"Stress and lifestyle factors significantly contribute to hormone imbalances by disrupting the delicate hormonal equilibrium in the body," says Grayson. "Long-term or extreme stress, poor lifestyle habits, e fattori ambientali can trigger or worsen imbalances, leading to various symptoms and health conditions."

If you have symptoms of a hormone imbalance, it's best to speak to your doctor for a proper medical assessment. They will decide on the most effective approach - whether that's lifestyle recommendations, tests, treatment options, or ongoing monitoring.

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About the author

Author image

Victoria Raw

Scrittore di Articoli

Laurea in Lettere (Hons), Letteratura Inglese

Victoria is a content writer with Patient whose special interests focus on mental wellbeing, societal trends and the impact of technology on our health.

About the reviewerView full bio

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Dr Colin Tidy, MRCGP

Medico di base, Autore medico

MBBS, MRCGP, MRCP (Paediatrics), DCH

Dr Colin Tidy is an NHS Doctor, based in Oxfordshire.

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