
5 Signs You're Low on Estrogen After Menopause

When your estrogen levels drop after menopause, it can affect more than just your menstrual cycle. Many women feel off-balance and aren't sure why, but knowing the signs of low estrogen can help you take the next step forward.
At Alevizos Medical in Irvine, California, we focus on menopause care with a personalized, whole-body approach. Led by Dr. John Alevizos, a board-certified family physician with over 30 years of experience, our team helps women manage hormonal shifts and reclaim their lives.
Our goal is to help you feel like yourself again through hormone replacement therapy (HRT) and a personalized wellness plan. Dr. Alevizos prescribes bioidentical hormones derived from natural sources such as yams and soybeans. They are duplicates of your own estrogen, without any animal-sourced ingredients found in traditional hormone therapy.
Here are five signs of low estrogen to watch out for.
1. Hot flashes that disrupt your day
Hot flashes are one of the most common and frustrating signs of low estrogen, affecting around three-quarters of women going through menopause. You may feel a sudden wave of heat in your face, neck, or chest, leaving you flushed, sweaty, and uncomfortable. Hot flashes can feel very intense, as if your face is on fire, which means they’re also highly disruptive.
These episodes can happen during the day, but they also occur at night (night sweats). When you’re going through these frustrating temperature regulation issues, it feels like you can’t relax or feel comfortable. BHRT can help regulate temperature control and reduce the frequency and intensity of hot flashes.
2. Mood swings or feeling “off” emotionally
Estrogen plays a key role in how your brain processes emotions. When levels drop, you may suddenly feel more irritable, anxious, or sad than usual, often without a clear reason. You may find yourself more sensitive than usual or struggling to enjoy things that used to make you happy.
Around 40% of women struggle with mood changes during menopause, so you’re not alone. Restoring hormonal balance with BHRT can support emotional wellness and bring more stability back to your life.
3. Unwanted weight gain
Most women gain weight during the menopause transition and typically add around 14 pounds throughout their 50s, about 1.5 pounds per year until they reach age 60.
This happens because metabolism slows down when estrogen levels decrease. Many women notice that they’re gaining weight steadily, despite eating the same way they always have and staying active.
Estrogen can also change the area of the body where fat accumulates. Instead of clinging to the hips and thighs, extra fat may tend to shift toward the belly.
This unwanted weight gain can make clothes feel tight and make you feel underconfident. By addressing hormonal imbalances, we can help you lose weight in a healthy and lasting way, with added support through customized BHRT and metabolic care.
4. Low energy levels
If you wake up tired, feel drained by midday, or struggle to find the motivation to stay active, low estrogen could be the reason. Sometimes it’s just a feeling of general low energy or malaise, but in other situations, the problem might rise to the level of chronic fatigue and become debilitating.
This type of fatigue doesn’t always improve with rest because simply resting doesn’t solve the root cause: Estrogen depletion. At Alevizos Medical, we help you reclaim your energy with a treatment plan designed to bring your hormone levels back to their optimal levels.
5. Low libido
Estrogen also affects your sexual health. After menopause, many women experience a drop in desire. This can be incredibly frustrating for women and their partners. To make matters worse, many women experience issues like vaginal dryness due to estrogen loss, which leads to painful sex.
These symptoms are deeply personal and often go unspoken, but they’re also very common. You deserve to feel connected and confident in your sexuality at this stage in life. BHRT can help restore hormonal support to improve your comfort and bring back your natural interest in intimacy.
Menopause care in Irvine, California
You need not face these menopause issues alone. Call Alevizos Medical in Irvine, California, at 949-916-3600 to schedule your consultation and learn how we can help.
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