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Symptoms of Hormonal Imbalance in Women

From PCOS to perimenopause, explore real symptoms and how bioidentical hormone therapy can help restore balance.1-4

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Premenopause
Perimenopause
Menopause
PCOS

Premenopause

If your periods are unpredictable or PMS feels more intense than it used to, your hormones may be out of balance. We use personalized hormone therapy to restore stability, not birth control that only covers symptoms and may cause long-term side effects. 2
When rest, sleep, and caffeine don’t help, low thyroid or low progesterone could be the reason. We identify and treat the true cause to restore lasting energy. 5 10

Even small hormone shifts can make it harder to maintain a healthy weight. We address metabolism by treating thyroid function and correcting hormone imbalances. 10

If you feel more on edge than usual or notice emotional swings, your hormones could be shifting behind the scenes. We use bioidentical hormones to support calm and clarity. 6 14
Breakouts along the jawline or chin can return as hormone levels shift in your 30s and 40s. We treat the imbalance behind the skin changes, not just the surface. 15
Shedding or thinning around the part or temples may be an early sign of thyroid dysfunction or testosterone imbalance. We address both to support healthy hair growth. 9 10
A drop in desire or comfort with intimacy can happen earlier than most women expect. We help restore balance with the right combination of hormones, including testosterone when appropriate. 9-12
If your headaches get worse before your period or follow your cycle, fluctuating estrogen may be the cause. We use targeted hormone therapy to reduce hormonal migraines and support long-term relief. 1
If your breasts feel sore, heavy, or swollen before your period, it could be due to estrogen and progesterone imbalance. We restore hormonal balance to relieve discomfort and reduce monthly symptoms. 5
If you experience bloating, gas, or changes in digestion before your period, hormone imbalance may be the cause. We rebalance estrogen and progesterone to support smoother digestion and reduce bloating. 5
If your periods are unpredictable or PMS feels more intense than it used to, your hormones may be out of balance. We use personalized hormone therapy to restore stability, not birth control that only covers symptoms and may cause long-term side effects. 2
When rest, sleep, and caffeine don’t help, low thyroid or low progesterone could be the reason. We identify and treat the true cause to restore lasting energy. 5 10
Even small hormone shifts can make it harder to maintain a healthy weight. We address metabolism by treating thyroid function and correcting hormone imbalances. 10
If you feel more on edge than usual or notice emotional swings, your hormones could be shifting behind the scenes. We use bioidentical hormones to support calm and clarity. 6 14
Breakouts along the jawline or chin can return as hormone levels shift in your 30s and 40s. We treat the imbalance behind the skin changes, not just the surface. 15
Shedding or thinning around the part or temples may be an early sign of thyroid dysfunction or testosterone imbalance. We address both to support healthy hair growth. 9 10
A drop in desire or comfort with intimacy can happen earlier than most women expect. We help restore balance with the right combination of hormones, including testosterone when appropriate. 9-12
If your headaches get worse before your period or follow your cycle, fluctuating estrogen may be the cause. We use targeted hormone therapy to reduce hormonal migraines and support long-term relief. 1

If your breasts feel sore, heavy, or swollen before your period, it could be due to estrogen and progesterone imbalance. We restore hormonal balance to relieve discomfort and reduce monthly symptoms. 5

If you experience bloating, gas, or changes in digestion before your period, hormone imbalance may be the cause. We rebalance estrogen and progesterone to support smoother digestion and reduce bloating. 5

Perimenopause

Sudden waves of heat, flushing, or sweating that leave you uncomfortable and distracted are a classic sign of estrogen decline. We use bioidentical estradiol to bring fast, lasting relief. 1 2 3
Waking up drenched or restless during the night may point to a hormone imbalance. Our treatment helps regulate temperature and improve deep, uninterrupted sleep. 1 2 3
Hormonal shifts during perimenopause and menopause often lead to stubborn weight gain, especially around the belly. We address the root cause using thyroid support and full-spectrum hormone therapy. 10
If you feel mentally slow, forgetful, or foggy, it’s not just aging. Estrogen, testosterone, and thyroid hormones all play a role in memory and focus. We help restore clarity and confidence and the reduce risk of Alzheimer’s disease. 6 9 14 17
If your desire has disappeared, hormones may be the reason. We help restore healthy testosterone and estrogen levels so you can feel like yourself again. 9-12
Racing thoughts, irritability, or unexpected anxiety often increase during perimenopause. We treat the hormonal imbalances that affect your mood, not just the symptoms. 6 14
Discomfort during intimacy, dryness, or irritation can all stem from low estrogen. Our protocol includes bioidentical estradiol to restore tissue health and comfort. 12
If you feel more irritable, reactive, or emotionally off, it may be due to fluctuating hormones. We stabilize mood by treating the underlying hormonal imbalance. 2 14
Estrogen decline can lead to joint pain, stiffness, and reduced flexibility. We treat the hormonal root to relieve pain and support joint health as you age. 12
Sudden waves of heat, flushing, or sweating that leave you uncomfortable and distracted are a classic sign of estrogen decline. We use bioidentical estradiol to bring fast, lasting relief. 1 2 3
Waking up drenched or restless during the night may point to a hormone imbalance. Our treatment helps regulate temperature and improve deep, uninterrupted sleep. 1 2 3
Hormonal shifts during perimenopause and menopause often lead to stubborn weight gain, especially around the belly. We address the root cause using thyroid support and full-spectrum hormone therapy. 10
If you feel mentally slow, forgetful, or foggy, it’s not just aging. Estrogen, testosterone, and thyroid hormones all play a role in memory and focus. We help restore clarity and confidence and the reduce risk of Alzheimer’s disease. 6 9 14 17
If your desire has disappeared, hormones may be the reason. We help restore healthy testosterone and estrogen levels so you can feel like yourself again. 9-12
Racing thoughts, irritability, or unexpected anxiety often increase during perimenopause. We treat the hormonal imbalances that affect your mood, not just the symptoms. 6 14
Discomfort during intimacy, dryness, or irritation can all stem from low estrogen. Our protocol includes bioidentical estradiol to restore tissue health and comfort. 12
If you feel more irritable, reactive, or emotionally off, it may be due to fluctuating hormones. We stabilize mood by treating the underlying hormonal imbalance. 2 14
Estrogen decline can lead to joint pain, stiffness, and reduced flexibility. We treat the hormonal root to relieve pain and support joint health as you age. 12

Menopause

If you feel constantly drained, even after rest, low thyroid, testosterone, or progesterone could be the cause. We treat all three to help restore lasting energy. 9 10
Trouble with focus, recall, or mental clarity becomes more common after menopause. Our protocol supports cognition by balancing estrogen, testosterone, and thyroid function. 9 14
Estrogen plays a major role in skin hydration and elasticity. We restore healthy hormone levels to improve skin texture and slow visible aging. 12
Pain with intimacy, irritation, or ongoing dryness are not just part of getting older. We treat the cause using bioidentical estradiol to restore comfort and tissue health. 12
Low estrogen and testosterone can lead to declining strength and increasing fracture risk. We help protect your bones and muscles through hormone optimization. 9 10 12
Hot flashes can persist for years after your last period. Our treatment helps regulate your internal thermostat and bring lasting relief. 1 2 3
Weight gain after menopause is often hormonal. We treat thyroid dysfunction and estrogen loss to support healthy weight and metabolic balance.
If you’re urinating more often or feel sudden urgency, it may be caused by low estrogen affecting your bladder. We use hormone therapy to restore balance and improve urinary function. 12
If you’re struggling to fall asleep, stay asleep, or wake up too early, shifting hormones may be to blame. We restore balance to support deeper, more restful sleep. 12
If you feel constantly drained, even after rest, low thyroid, testosterone, or progesterone could be the cause. We treat all three to help restore lasting energy. 9 10
Trouble with focus, recall, or mental clarity becomes more common after menopause. Our protocol supports cognition by balancing estrogen, testosterone, and thyroid function. 9 14
Estrogen plays a major role in skin hydration and elasticity. We restore healthy hormone levels to improve skin texture and slow visible aging. 12
Pain with intimacy, irritation, or ongoing dryness are not just part of getting older. We treat the cause using bioidentical estradiol to restore comfort and tissue health. 12
Low estrogen and testosterone can lead to declining strength and increasing fracture risk. We help protect your bones and muscles through hormone optimization. 9 10 12
Hot flashes can persist for years after your last period. Our treatment helps regulate your internal thermostat and bring lasting relief. 1 2 3
Weight gain after menopause is often hormonal. We treat thyroid dysfunction and estrogen loss to support healthy weight and metabolic balance.
If you’re urinating more often or feel sudden urgency, it may be caused by low estrogen affecting your bladder. We use hormone therapy to restore balance and improve urinary function. 12
If you’re struggling to fall asleep, stay asleep, or wake up too early, shifting hormones may be to blame. We restore balance to support deeper, more restful sleep. 12

PCOS

If your periods are unpredictable, missing, or you’re not ovulating regularly, PCOS may be the cause. We address the hormonal root cause to help restore natural cycles, improve fertility, and bring your body back into balance. 15 16
If you are gaining weight, especially around your middle, despite eating well and staying active, it may be due to insulin resistance. We address this using hormone therapy, thyroid support, and insulin-sensitizing treatment options. 15 16
Hormonal breakouts along your chin and jawline are often caused by elevated androgens. We use proven anti-androgen treatments like spironolactone and hormone balance to clear your skin from the inside out. 15
Unwanted hair on your chin, chest, stomach, or back is one of the most frustrating signs of PCOS. We reduce hair growth by lowering androgens and supporting balance with spironolactone and targeted hormone therapy. 15
If your hair is thinning at the crown or temples, PCOS and thyroid dysfunction may be the reason. Our approach addresses both to help stop shedding and support healthy regrowth.
Energy crashes, intense cravings, and mood dips after meals are often signs of insulin and hormone imbalance. We help stabilize your blood sugar by treating the underlying cause. 15
PCOS is one of the most common reasons women struggle to conceive. If you are not ovulating regularly, getting pregnant becomes more difficult. We help restore ovulation and support your body’s ability to conceive naturally. 15 16
If your periods are unpredictable, missing, or you’re not ovulating regularly, PCOS may be the cause. We address the hormonal root cause to help restore natural cycles, improve fertility, and bring your body back into balance. 15 16
If you are gaining weight, especially around your middle, despite eating well and staying active, it may be due to insulin resistance. We address this using hormone therapy, thyroid support, and insulin-sensitizing treatment options. 15 16
Hormonal breakouts along your chin and jawline are often caused by elevated androgens. We use proven anti-androgen treatments like spironolactone and hormone balance to clear your skin from the inside out. 15
Unwanted hair on your chin, chest, stomach, or back is one of the most frustrating signs of PCOS. We reduce hair growth by lowering androgens and supporting balance with spironolactone and targeted hormone therapy. 15
If your hair is thinning at the crown or temples, PCOS and thyroid dysfunction may be the reason. Our approach addresses both to help stop shedding and support healthy regrowth.
Energy crashes, intense cravings, and mood dips after meals are often signs of insulin and hormone imbalance. We help stabilize your blood sugar by treating the underlying cause. 15
PCOS is one of the most common reasons women struggle to conceive. If you are not ovulating regularly, getting pregnant becomes more difficult. We help restore ovulation and support your body’s ability to conceive naturally. 15 16
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Find out about conditions

The Real Reason You Don’t Feel Like Yourself
Hormone imbalance can show up as anxiety, weight gain, fatigue, brain fog, or a cycle that makes no sense. Most women are told it’s normal. We know it’s not.

At Fem Excel, we don’t outsource your care. Every patient is treated by our in-house team of hormone specialists using The Excel Advantage™, our personalized protocol built around your symptoms, not just standard lab numbers. 3 4

Whether it’s PCOS in your 20s or postmenopause in your 50s, we correct the root cause using bioidentical hormone therapy tailored to your biology and your goals. These aren’t just symptoms. They’re signals. And with the right care, you can get back to being you. 1-4
Explore Conditions

What our patients say

When your hormones are off, everything feels harder. But with the right care and optimized hormones, everything changes.

Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.

These are their stories, not just of better health, but of lives transformed.
When your hormones are off, everything feels harder. But with the right care and optimized hormones, everything changes.

Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.

These are their stories, not just of better health, but of lives transformed.
When your hormones are off, everything feels harder. But with the right care and optimized hormones, everything changes.

Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.

These are their stories, not just of better health, but of lives transformed.

Very knowledgeable & professional

“Very knowledgeable & professional. Details about the whole process and the medications that I may be taking. I was very happy to have a caring one on one with the NP. It is the help I was waiting for in the convenience of my own quiet setting.”

Araka

Possibly the best healthcare experience I’ve ever had

“I walked away from this appointment actually feeling satisfied with the results I received. For once I left an appointment with all my questions answered instead of having more questions than answers. The provider was very thorough, informative, and helpful. This was one of the better healthcare appointments I have ever had. Thank you Ms. Tara for the wonderful experience.”

Alicia

Caring and thorough

“I really liked ease and convenience having a virtual appointment. Kel made me feel comfortable immediately and explained everything thoroughly. She is a good listener and has an empathetic spirit about her. I feel encouraged that together we will resolve any challenges I am having.”

Renée

I had been struggling since I hit menopause…

“I had been struggling since I hit menopause a year ago. My doctors couldn’t help. It was terrible, I was struggling with no hope for any help. Then I tried Fem Excel. They HAVE CHANGED MY LIFE! I have energy, I sleep well I feel so good, it’s unbelievable and the doctors were so efficient and I just felt understood. I am so glad I got a hold of this company. Thank you so much!”

Lisa

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References

  1. Stuenkel CA, Davis SR, Gompel A, et al. Treatment of symptoms of the menopause: An Endocrine Society Clinical Practice Guideline (original publication). J Clin Endocrinol Metab. 2015;100(11):3975-4011. doi:10.1210/jc.2015-2236. https://doi.org/10.1210/jc.2015-2236
  2. Joffe H, Guthrie KA, LaCroix AZ, et al. Low-Dose Oral 17β-Estradiol and Venlafaxine for Vasomotor Symptoms: a Randomized Trial. JAMA Internal Medicine. 2014;174(8):1358-1366
  3. The North American Menopause Society. The 2022 hormone therapy position statement of NAMS. Menopause. 2022;29(7):767-794. doi:10.1097/GME.0000000000002028. https://doi.org/10.1097/GME.0000000000002028
  4. Santoro N, Epperson CN, Mathews SB. Menopausal symptoms and their management. Endocrinol Metab Clin North Am. 2015;44(3):497-515. doi:10.1016/j.ecl.2015.05.001. https://doi.org/10.1016/j.ecl.2015.05.001
  5. Hodis HN, Mack WJ, Henderson VW, et al. Vascular effects of early versus late postmenopausal treatment with estradiol (ELITE trial). N Engl J Med. 2016;374(13):1221-1231. doi:10.1056/NEJMoa1505241. https://doi.org/10.1056/NEJMoa1505241
  6. Manson JE, et al. Menopausal hormone therapy and health outcomes during the intervention and post-stopping phases of the WHI randomized trials. JAMA. 2013;310(13):1353-1368. doi:10.1001/jama.2013.278040. https://doi.org/10.1001/jama.2013.278040
  7. Canonico M, Oger E, Plu-Bureau G, et al. Hormone therapy and venous thromboembolism among postmenopausal women: impact of the route of estrogen administration and progestogens: the ESTHER study. Circulation. 2007;115(7):840-845. doi:10.1161/CIRCULATIONAHA.106.642280
  8. Chlebowski RT, et al. Estrogen plus progestin and breast cancer incidence and mortality in postmenopausal women. JAMA. 2020;324(20):2082-2091. doi:10.1001/jama.2020.9482. https://doi.org/10.1001/jama.2020.9482
  9. Donovitz GS. A Personal Prospective on Testosterone Therapy in Women-What We Know in 2022. J Pers Med. 2022;12(8):1194. Published 2022 Jul 22. doi:10.3390/jpm12081194
  10. Davis SR, Baber R, Panay N, et al. Global consensus position statement on testosterone therapy for women. J Clin Endocrinol Metab. 2019;104(10):4660-4666. doi:10.1210/jc.2019-01603. https://doi.org/10.1210/jc.2019-01603
  11. Islam RM, Bell RJ, Green S, et al. Testosterone for women: systematic review and meta-analysis. Lancet Diabetes Endocrinol. 2019;7(10):754-766. doi:10.1016/S2213-8587(19)30189-5. https://doi.org/10.1016/S2213-8587(19)30189-5
  12. Elraiyah T, Sonbol MB, Wang Z, et al. Benefits and harms of systemic testosterone therapy in postmenopausal women: systematic review and meta-analysis. J Clin Endocrinol Metab. 2014;99(10):3543-3550. doi:10.1210/jc.2014-2262. https://doi.org/10.1210/jc.2014-2262
  13. Prior JC, Cameron A, Fung M, et al. Oral micronized progesterone for perimenopausal night sweats and hot flushes: randomized controlled trial. Sci Rep. 2023;13:9082. doi:10.1038/s41598-023-35826-w. https://doi.org/10.1038/s41598-023-35826-w
  14. Sherwin BB. Estrogen and cognitive functioning in women. Endocr Rev. 2003;24(2):133-151. doi:10.1210/er.2001-0016. https://doi.org/10.1210/er.2001-0016
  15. Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 diagnostic criteria and long-term risks in PCOS. Hum Reprod. 2004;19(1):41-47. doi:10.1093/humrep/deh098. https://doi.org/10.1093/humrep/deh098
  16. Christ JP, Cedars MI. Current guidelines for diagnosing PCOS. Diagnostics. 2023;13(6):1113. doi:10.3390/diagnostics13061113. https://doi.org/10.3390/diagnostics13061113
  17. Kantarci K, Lowe VJ, Lesnick TG, et al. Early Postmenopausal Transdermal 17β-Estradiol Therapy and Amyloid-β Deposition. J Alzheimers Dis. 2016;53(2):547-556. doi:10.3233/JAD-160258 https://pubmed.ncbi.nlm.nih.gov/27163830/
  18. Bunevicius R, Kazanavicius G, Zalinkevicius R, Prange AJ Jr. Effects of thyroxine as compared with thyroxine plus triiodothyronine in patients with hypothyroidism. N Engl J Med. 1999;340(6):424-429. doi:10.1056/NEJM199902113400603

Frequently asked questions

More FAQ
We do not accept insurance because most plans don’t cover the kind of proactive, personalized hormone care we provide. Traditional insurance is built around quick, reactive, one-size-fits-all treatments and not comprehensive hormone optimization that prevents issues before they start. However, you may be able to use your FSA, HSA, or HRA for reimbursement. Need more details? Call Member Support at (833) 625-3392 Monday–Sunday, 8 AM – 8 PM EST. Read more here.
You’re welcome to share your plan, but most PCPs aren’t trained in hormone optimization or the use of bioidentical hormones, which means they may not feel comfortable continuing or managing your treatment. Many rely strictly on lab ranges, prescribe only synthetic hormones, or are limited by insurance restrictions that prevent personalized care. At Fem Excel, our providers are hormone specialists who focus on treating the root cause using protocols designed specifically for women. For the safest and most effective results, we recommend continuing your care within the Fem Excel program.
Many issues like fatigue, weight gain, poor sleep, or mood swings can be caused by hormone imbalance, but the only way to know for sure is with lab testing. That’s why every Fem Excel membership includes a consult with a hormone specialist and an at-home test kit.
Every woman is different, but many notice more energy, better sleep, or improved mood within weeks. Changes in weight and body composition often take longer – usually several months.
Energy, mood, sleep, and libido often improve before weight or physical changes. Treatment is designed to optimize your whole health over time.
Yes. Fem Excel only prescribes bioidentical hormones, which are designed to match the hormones your body naturally produces. All treatment plans are closely monitored with regular follow-ups and lab work.
Not necessarily. Many women choose to stay on therapy long-term because of the benefits, but your plan is always personalized and can be adjusted over time with your provider.
Your membership includes unlimited provider access, your initial and follow-up consultations, a test kit every six months, and ongoing support. Medications are billed separately at transparent, affordable rates.
More FAQ
Two prescription bottles labeled Progesterone Tablets and Thyroid Capsules with tablets scattered beside them on a light background.

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Two prescription bottles labeled Progesterone Tablets and Thyroid Capsules with tablets scattered beside them on a light background.
Two prescription bottles labeled Progesterone Tablets and Thyroid Capsules with tablets scattered beside them on a light background.