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Hormones are vital to sexual development and fertility. Find out how hormone changes can affect your reproductive and sexual health – and how a Mercy endocrinologist can help. Learn the answers to several frequently asked questions about reproductive and sexual hormone disorders.
Hormone disorders affect men and women alike. They can lead to sexual health and fertility problems, including:
Ovarian insufficiency – ovaries don’t develop, or they stop functioning before age 40 (premature menopause)
Polycystic ovary syndrome (PCOS) — small cysts on the ovaries that can lead to infertility
Amenorrhea – starting menstruation older than age 16, or missing more than three months of menstrual periods
Hirsutism – excessive hair growth in children and women in areas where hair isn’t typically seen
Gynecomastia (enlarged breasts in men) – swollen male breast tissue caused by a hormone imbalance
Low testosterone – testicles don’t produce enough testosterone, causing infertility, low sex drive, erectile dysfunction, fatigue or depression
When your hormones aren’t produced at the right levels, it affects the way your body functions. Men and women alike can find their hormones out of balance at any age.
Talk with your Mercy primary care provider about your symptoms. If a hormone imbalance is suspected, you may be referred to a Mercy endocrinologist.
Hormonal imbalance is caused by overproduction or the underproduction of hormones. Depending on the type of hormone, different body functions are affected, such as:
Insulin – controls blood sugar levels
Thyroid-stimulating hormone – regulates thyroid hormones, which affect metabolism, weight and growth
Stress hormones – adrenaline elevates heart rate and blood pressure; cortisol increases blood sugar and promotes healing
Appetite hormones – ghrelin signals you're hungry; leptin tells your body you’re full
Reproductive & sexual hormones – estrogen, progesterone, testosterone, follicle-stimulating and luteinizing hormones affect sex drive and fertility
Serotonin – regulates mood, appetite and sleep
Growth hormone – affects growth, cell reproduction and regeneration
Blood tests are the most common way to check hormone levels. Several types of blood tests may be used, depending on your symptoms. And a saliva test can detect certain hormones as well.
Further testing may be needed if your endocrinologist is concerned about a gland. Imaging tests like ultrasounds, X-rays or MRIs are used to diagnose gland conditions. Lumps, cysts or other abnormalities may require biopsies.