Oestrogen is one of the most important hormones in a woman’s body. It regulates the menstrual cycle, maintains bone density, supports skin and hair health, stabilises mood, and influences cognitive function. When oestrogen levels drop, whether naturally during perimenopause or menopause, or due to medical conditions, women may notice a variety of symptoms that affect daily life (NHS – Menopause).
Recognising the signs of low oestrogen early can help women take control of their health. From lifestyle adjustments and diet to medical interventions like hormone replacement therapy HRT, there are several strategies to restore balance and improve wellbeing (British Menopause Society). Knowing what to expect and seeking support allows women to continue living confidently and comfortably.
What Is Oestrogen and Why It Matters
The Role of Oestrogen
Oestrogen is produced mainly in the ovaries and is central to female health. It regulates menstrual cycles, supports fertility, maintains the elasticity and moisture of skin and vaginal tissues, and helps preserve bone strength (NHS – Bone Health in Women). Oestrogen also affects the brain, influencing mood, memory, and concentration (NHS – Menopause).
When oestrogen levels fluctuate or fall too low, women may experience hot flushes, night sweats, irregular periods, mood swings, sleep disturbances, and cognitive issues such as brain fog. Understanding these effects helps women anticipate changes and take proactive steps to protect their health.
Causes of Low Oestrogen
Oestrogen naturally declines with age, particularly during the transition to menopause (NHS – Menopause). Some women experience low levels earlier due to premature ovarian insufficiency, surgical removal of the ovaries, or conditions such as polycystic ovary syndrome (PCOS) (British Menopause Society).
Medical treatments, including chemotherapy, radiation, or certain hormonal therapies, can also reduce oestrogen production. Lifestyle factors such as excessive exercise, restrictive diets, or chronic stress may further affect hormone levels (NHS – HRT Overview). Identifying the cause is important for selecting the right treatment and support strategies.
Recognising the Symptoms of Low Oestrogen
Vasomotor Symptoms
Hot flushes and night sweats are among the most common signs of low oestrogen. These sudden sensations of warmth, often in the face, neck, or chest, can disrupt sleep and daily activities (NHS – Menopause). The frequency and intensity of hot flushes vary between women, and they may worsen during stressful situations or after consuming caffeine, alcohol, or spicy foods.
Night sweats can make falling or staying asleep difficult, leaving women fatigued and irritable the following day. Managing these symptoms may involve keeping the bedroom cool, wearing breathable clothing, practising relaxation techniques, and, when appropriate, using HRT to stabilise hormone levels (British Menopause Society).
Emotional and Cognitive Changes
Low oestrogen affects neurotransmitters in the brain, which can lead to mood swings, anxiety, irritability, and even depression. Cognitive changes such as forgetfulness, difficulty concentrating, and brain fog are also common (NHS – Menopause).
Women may notice these emotional and cognitive changes more acutely during times of stress or poor sleep. Addressing these symptoms may include regular exercise, maintaining social connections, practising mindfulness, and seeking professional support. HRT can also help stabilise mood and cognitive function by restoring hormone balance (British Menopause Society).
Reproductive and Sexual Health
Oestrogen is vital for reproductive and sexual health. Low levels can cause irregular periods, vaginal dryness, decreased libido, and discomfort during intercourse. Vaginal atrophy, where the vaginal walls thin due to reduced oestrogen, can lead to urinary urgency and increased risk of infections (NHS – Menopause).
Treatment options include HRT, which can restore oestrogen levels, improve vaginal health, and alleviate discomfort. Non-hormonal moisturisers and lubricants can also provide relief. Open conversations with healthcare providers and partners are important for navigating these changes (British Menopause Society).
Physical and General Wellbeing
Symptoms of low oestrogen extend beyond reproductive health. Women may experience fatigue, sleep disturbances, headaches, weight fluctuations, and increased susceptibility to bone loss. Reduced oestrogen affects bone density and may raise the risk of osteoporosis and fractures in the long term (NHS – Bone Health in Women).
Maintaining a healthy lifestyle is essential. Adequate intake of calcium and vitamin D, regular weight-bearing exercise, and avoiding smoking and excessive alcohol consumption support bone and overall health. HRT can complement these strategies by stabilising hormone levels and protecting bone density (NHS – HRT Overview).
Diagnosis and Testing
Diagnosing low oestrogen typically involves symptom tracking, blood tests measuring oestrogen and follicle-stimulating hormone FSH, and reviewing medical history. Women experiencing significant symptoms should consult their GP or gynaecologist. Accurate diagnosis is essential for personalised care and selecting appropriate treatments (NHS – Menopause).
Managing and Treating Low Oestrogen
Hormone Replacement Therapy
HRT is the most direct and effective way to restore oestrogen levels. It can relieve hot flushes, night sweats, mood swings, sleep problems, and vaginal dryness. HRT is available in multiple forms including tablets, creams, gels, and patches. Patches offer steady hormone delivery, are easy to use, and are convenient for women who prefer not to take daily tablets (British Menopause Society).
HRT not only improves short-term symptoms but also supports long-term health, including bone density and cardiovascular wellbeing. It is important to discuss the benefits, risks, and suitable HRT methods with a healthcare professional to ensure safe and effective treatment (NHS – HRT Overview).
Lifestyle Adjustments
Lifestyle plays a significant role in supporting hormone balance. Diet, exercise, sleep, and stress management can all influence symptoms.
A balanced diet rich in calcium, vitamin D, and phytoestrogens can help manage hot flushes and support bone health. Regular physical activity enhances mood, strengthens bones, and promotes restful sleep. Stress reduction practices, including yoga, meditation, and journaling, can further support emotional and mental wellbeing. These lifestyle adjustments complement medical treatment and improve overall quality of life (NHS – Healthy Eating) (NHS – Exercise).
Natural and Complementary Therapies
Some women explore herbal supplements, acupuncture, or phytoestrogen-rich foods to alleviate symptoms. While these methods may provide mild relief, evidence for their effectiveness is limited and results vary between individuals. It is important to consult a healthcare professional before starting any natural or complementary therapies, particularly when combined with HRT (NHS – Menopause).
How Nudi Spray™ Supports HRT Patch Users
For women using transdermal HRT patches, managing adhesive residue can be an unwanted side effect. Nudi Spray™ provides a gentle, effective solution. It quickly lifts leftover adhesive from the skin without irritation, leaving vitamin E to nourish and protect the area (nudispray.com).
Using Nudi Spray™ ensures skin stays clean and comfortable, making patch changes easier and stress-free. This allows women to focus on the benefits of HRT, such as restored energy, improved mood, and relief from low oestrogen symptoms.
In a Nutshell
Low oestrogen can affect many areas of life, including temperature regulation, mood, sleep, sexual health, and overall wellbeing. Recognising the symptoms early and seeking medical support allows women to make informed decisions about HRT, lifestyle adjustments, and complementary therapies.
Hormone replacement therapy is an effective way to restore balance, alleviate symptoms, and support long-term health. Combined with healthy lifestyle practices and tools like Nudi Spray™, women can manage HRT easily and confidently, improving comfort and quality of life.
FAQs
What is the most common symptom of low oestrogen
Hot flushes and night sweats are the most commonly reported signs (NHS – Menopause).
Can low oestrogen be reversed
Natural ageing cannot be reversed, but HRT and certain lifestyle interventions can restore balance and relieve symptoms (British Menopause Society).
How does HRT help restore hormone levels
HRT replaces oestrogen to stabilise hormone fluctuations, reducing vasomotor symptoms, mood changes, and bone loss (NHS – HRT Overview).
Is it safe to treat low oestrogen naturally
Some natural approaches may help, but effectiveness varies. Always consult a healthcare professional before starting supplements or therapies (NHS – Menopause).
