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Hormones are powerful and when they go off script, your body lets you know. Hormonal conditions can affect your periods, energy, mood, skin, hair, and even your ability to get pregnant later in life. Some are temporary. Some come and go. Some need treatment. But none of them mean something is "wrong" with you.
Let’s break down some of the most common hormonal conditions.
PCOS – Polycystic Ovary Syndrome
PCOS is a hormone imbalance that causes too much testosterone (androgenic hormone) in the body. It can lead to missed or irregular periods, acne, excess body hair, ovarian cysts, and weight gain. Some people also have infertility or insulin resistance later in life. Treatment often includes hormonal birth control, nutrition support, and regular movement.
💡 Fun fact: You don’t need actual “cysts” to be diagnosed with PCOS, it’s mostly about hormone patterns.
PMS – Premenstrual Syndrome
PMS happens in the week or so before your period. During this time, you might feel bloating, mood swings, breast tenderness, fatigue, or cravings. Although PMS is super common and usually mild, it can be annoying.
Coping tools: sleep, movement, hydration, and stress management.
PMDD – Premenstrual Dysphoric Disorder
PMDD is a much more intense form of PMS that can feel overwhelming. Symptoms may include: depression, anxiety, anger, or extreme fatigue, especially during the luteal phase (second half of the cycle). Treatment may include birth control to regulate hormones or SSRIs (a type of antidepressant) for mood symptoms.
If PMS is making it hard to function, talk to a trusted adult or doctor because it might be something more severe, like PMDD.
Thyroid Disorders (Hypothyroidism & Hyperthyroidism)
The thyroid gland controls your energy, mood, metabolism, and period regularity.
Hypothyroidism = Sluggish thyroid. You may feel tired, cold, and gain weight.
Hyperthyroidism = Overactive thyroid. You may feel anxious, hot, or lose weight quickly.
Both can mess with your period, mood, and energy, and both are treatable.
Amenorrhea – Missing Periods
There are two kinds:
Primary = You haven’t had a period by age 15–16
Secondary = You had periods, but they’ve stopped for 3+ months
Can be caused by other hormonal issues like PCOS or thyroid disorders, stress, excessive exercise, or eating disorders, or even natural life stages like pregnancy or menopause. The key is understanding WHY your period is missing, and to get help from a provider.
Perimenopause & Menopause (Early Hormonal Shifts)
Perimenopause = The years leading up to menopause, when estrogen and progesterone start to dip.
Menopause = When you haven’t had a period for 12 months.
Both can come with hot flashes, mood changes, irregular periods, and often vaginal dryness
While menopause usually starts in your 40s or 50s, learning about it now helps you understand what others might be going through, and what to expect later on.
You know your body best. If something feels new, weird, or painful, say something! It’s never “too early” or “not a big deal” if you’re uncomfortable. Look for:
Periods that stop you from doing everyday things
Pain that makes you cry or miss school or work
Discharge with a bad smell or itching
Sudden sharp pain or bloating
Extreme mood swings or sadness
Gynecological issues are not embarrassing. They are medical. Talking about your body—and asking for help—is a superpower. Whether you’re 13 or 33, you deserve answers and care.
✅ Fact: Irregular periods are very common, especially in the first few years after getting your period. Hormones are still finding their rhythm. But if your periods disappear for several months or are extremely heavy or painful, it’s time to check in with a provider.
✅ Fact: Some cramping is common during periods, but if you’re missing school or work, crying from the pain, or doubling over, that’s not normal. It could be a sign of endometriosis or another issue. Don’t just “tough it out” try to talk to a provider.
✅ Fact: People with PCOS can and do get pregnant; sometimes with help, sometimes without. It can make things trickier, but it doesn’t mean “never.” And managing it early can help protect your future health.
✅ Fact: Teens can experience PCOS, endometriosis, cysts, BV, UTIs, and more. If you feel pain, discomfort, or notice something unusual, it’s always okay to ask for help, no matter your age.
✅ Fact: Many gynecological issues like endometriosis or PMDD can take years to diagnose. Just because it’s hard to see on a test doesn’t mean it’s not real. Your symptoms deserve to be taken seriously.
✅ Fact: Talking about your health is smart, strong, and normal. Everyone deserves to understand their body and get support when things feel off. There’s no shame in learning or asking questions.
✅ Fact: Teens and young adults can absolutely have thyroid disorders. If you’re tired all the time, gaining or losing weight fast, or your period’s weird—it’s worth checking.
✅ Fact: Everyone has body hair—and hormones like testosterone can increase it in people with PCOS. It’s common, and treatable if you want to manage it.
✅ Fact: Pregnancy is one reason—but amenorrhea can be caused by lots of other things, including hormonal imbalance, low body fat, stress, or thyroid issues.
Answer: Real talk, the term "hormonal imbalance" is a marketing term. It doesn't say much other than something isn't right. Irregular periods, mood swings, acne, hair changes, weight shifts, or fatigue all might feel like an "imbalance." If you feel like that might be you, tell your provider your real symptoms so they can figure out the right next steps. Everyone’s signs look different, but if something feels off, trust your gut and describe it without marketing terms.
Answer: Start with what’s bothering you: “My periods are really heavy,” or “I’m having pain that makes me miss school.” You don’t need to know what’s wrong and have the answer, you just need to speak up. You can even write it down ahead of time or bring a friend or parent for backup.
Answer: Not always! Some conditions go away or change over time. Others can be managed with treatment, like medications, lifestyle support, or hormone therapy.
Answer: Some conditions might make pregnancy harder, but many people with PCOS, thyroid issues, or past amenorrhea do have children if and when they want to. Early diagnosis, support, and treatment help.
Answer: Birth control is one option, but not the only one. There are non-hormonal treatments, nutrition and lifestyle tools, and other meds that might help, depending on your condition.
Answer: Conditions like PCOS, endometriosis, or PMDD often don’t show up on basic tests. Diagnosis can take time because symptoms overlap and vary from person to person. That doesn’t mean your pain or symptoms aren’t real, it just means we need better tools, research, and more listening.
Answer: Yes. Some conditions like PCOS and thyroid issues, or endometriosis and PMDD, can overlap. That’s why it’s important to treat you, not just your test results. Tracking your symptoms over time helps paint a clearer picture.
Answer: Totally normal and super common. But your doctor’s job is to answer these questions without judgment. If someone ever makes you feel awkward for asking, that’s their problem, not yours. You have a right to understand your body.
Answer: Small habits can make a big difference over time.
Answer: That’s not okay. Sadly, some people, especially young people and girls, aren’t believed right away. But you can keep advocating for yourself.
Get ready to learn about your health, hormones, and anatomy. We provide you with the education and guidance to get MORE out of your provider appointments.
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