Many patients notice initial improvements in energy and mood within 2–4 weeks. Our providers across North Georgia are experienced in hormonal health and ready to help you find the right path forward. And when it comes to hormone imbalance symptoms and treatment, consistency is often the difference between feeling somewhat better and actually getting your life back. A 2020 study in Endocrine Reviews confirmed that chronic cortisol elevation suppresses gonadal hormone production in both men and women. 1st Optimal’s men’s hormone care program uses advanced diagnostics to identify the root cause and build a personalized treatment protocol. Beyond physical symptoms, hormonal imbalance in men frequently manifests as a loss of ambition and competitive drive. When low testosterone combines with elevated cortisol or thyroid dysfunction, the fatigue becomes debilitating. When LH and FSH levels are both high, this suggests the pituitary gland is working excessively to produce testosterone when the testes are either impaired or damaged. We encourage you to discuss your free testosterone result with a health professional. Typically, a health professional will be clinically concerned with either the combination of low to moderate testosterone and high SHBG or high testosterone and low SBHG. You can test your testosterone levels with a testosterone test. You may also consider natural ways to increase testosterone levels. Your doctor can help confirm the results, or they may order additional tests to understand what factors could be causing your low or high hormone levels. If you’re concerned about your reproductive health or are experiencing any of the symptoms of having high or low testosterone, it may be a good idea to speak with a doctor. However, it is worth noting that high testosterone levels are rare in cases where someone is not taking testosterone. In some cases, low testosterone in females may also be caused by low estrogen or menopause, as there’s some overlap in the symptoms. If your diet and exercise haven’t changed but the scale keeps climbing, hormones may be the missing variable. Research published in Fertility and Sterility confirms that progesterone deficiency is one of the most common causes of irregular menstrual patterns in women over 35. Fluctuations in estrogen and progesterone directly affect your menstrual cycle.