The Anxiety Hormone Connection

Could hormone imbalance and anxiety be linked? The anxiety hormone connection is real and it is why so many women struggle with anxiety, despite the medications or meditations they are offered.

So much emphasis is put on stress and anxiety that people nearly roll their eyes now when we talk about it. I can’t blame them. When you’re told to get your stress down, but really see no other way then what good is it to hear, “reduce your stress” again?

But if you are a woman living with anxiety, you might find it of interest to know WHY so many docs say reduce your stress.

Stress of any kind demands a response from your adrenal glands.

This stress may be from emotional, environmental, infectious, inflammatory, exercise-induced, disrupted sleep…the list goes one. Basically, anything that gives your body the slightest hint that the environment is not safe will generate a response from the adrenals.

This is your body’s way of surviving and keeping you safe.

The problem is that we live in a world where stress is a constant. If you drive a car, have exposure to artificial light at night, are a parent without ample support, feel financially unstable, or find yourself ever eating on the run (we can all confess to this) you are sending the signal of stress to your body. It is amazing how your body handles all of this quite well.

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But when the signal of safety is far and few between your body adapts to keep you safe by shutting down your fertility.

Now I recognize that fewer and fewer women are wanting to become moms. In fact, in the last 3 decades we’ve seen less women reporting a desire to become a mom and more women embracing the concept of a childless life. There’s no right or wrong to this and whatever you choose for yourself is 100% your business and should be well respected.

But maybe you’re thinking right now that this concept of shutting down your fertility is good thing? It’s not.

Having a baby is an option. Having amazing health without being fertile is not.

Side Note: If you’re in your fertile years then our goal should be to maintain your fertility. If you’ve gone through menopause then you should not be fertile and that is ok.

To explain, let me start with how your fertility works.

On the 3rd day of your period your brain amps up communication with your ovaries and asks them to get an egg ready for ovulation. Roughly around day 14 you spike luteinizing hormone (and your body temperature), which results in an egg being released.

Now here’s where that anxiety-hormone connection comes in.

What is left behind in the ovary once the egg is released is the corpus luteum. The corpus luteum is responsible for secreting progesterone for about 2 weeks following ovulation—regardless if the egg is fertilized or not.

Progesterone in balance hits a woman’s brain with a sense of calm and deep sense of love and connection for the world around here. It does this by stimulating GABA receptors, which puts the shush on neuroexcitatory (aka freak out) neurotransmitters.

Where does stress fit into all of this?

Your body’s chooses survival over fertility. Thank goodness for that! I mean, if there is a chance I need to run from a tiger then I do NOT want to be pregnant or toting a noisy little human (aka tiger bait).

When stress goes high, so does cortisol.

Ever heard of the pregnenolone steal? Sometimes it is called the progesterone steal because that is exactly what is happening. Your body steals away from making progesterone in order to make cortisol.

All is well and good until that stress is chronic and you find yourself in a state of HPA-dysregulation (aka adrenal fatigue). When this happens you find yourself pushing epinephrine and norepinephrine, which tell your brain to freak out and all the while you are reducing progesterone, which tells your brain to be calm.

Is it any wonder women suffer from anxiety?

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How to Balance The Anxiety-Hormone Connection

Anxiety is exhausting and can be debilitating. In my practice, we aim to get you symptom relief, while we investigate your root cause. To learn more about our in-depth approach read Healing Anxiety with Functional Medicine.

Getting progesterone and estrogen back into balance, while nourishing the adrenals is essential. Modifying your response to stress is an important step in eliminating anxiety. Try incorporating the following into your daily routine. 

Move Big Muscles.

Your body wants you to move when you’re anxious. So, why not give it what it wants?

Movement that uses big muscles can chew through anxiety quick. Jump squats, walking, lunging…heck, even kicking can help your body move through the stress.

Focus on Your Breath.

Notice I said focus, not control. Trying to control your breath to be that of a meditating yogi when you’re in the midst of an anxiety wave can make you panic more. Instead, try noticing your breath without judgement next time you feel anxiety swell. Sometimes just becoming present with the emotion is all we need to help it shift.

And no worries about that yogi meditating business…with practice, you’ll absolutely master that!

Cut Caffeine Out.

If you’re struggling with your stress response then giving your body a jolt is the last thing you need. You’d be surprised by how many women feel a reduction in their anxiety just by cutting that morning cup of coffee.

To transition, try replacing your cup of coffee with green tea, which contains L-theanine. L-theanine is a calming neurotransmitter.

Set the Tone of the Day.

Start your day off with 5 deep breaths, a quick yoga sesh and some meditation to set the tone of the day.

Sound difficult? Here’s how to do it.

When your eyes pop open, bring your attention to your breath. Begin to lengthen the breath, feeling your ribs expand laterally and your belly gently rise. Take 5 breaths like this.

Stepping out of bed and onto your mat, find a place in your home with enough room for a sun salutation. Using the Down Dog app, turn on a 10 minute yoga sequence of your choice. At the end, take a seat and create a comfortable sitting position.

Use your phone to set a timer for 5 minutes, close your eyes and focus again on your breath. Your mind may wander to other parts of your body—that’s ok. Observe where your attention is being called and ask why.

If your mind wanders to thoughts of your email inbox or distracts you with your to do list, simply acknowledge and release them as you return to your breath. When your alarm goes off you are finished with your morning routine.

This all takes less than 20 minutes and can be incredibly transformative.

Can’t give 20 minutes?

Start with 3 deep breaths, 5 minutes of yoga and 5 minutes of meditation.

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Consider Quitting The Pill.

Birth control pill is most notable for causing depression. In fact, depression is the number one reason women quit the Pill.

But clinically, many doctors have witnessed anxiety induced symptoms with the pill. It is hypothesized that the nutrient depletions, inflammation, and microbiome disruption induced by the Pill is why some women feel anxious.

I also believe that the impact the Pill has on the thyroid is also significant enough to contribute to anxiety as well. Anxiety can be a common symptom associated with hypothyroidism.

Before just stopping the Pill, I recommend reading What is Post-Birth Control Syndrome + How to Heal.

You can also download my Quick Start Detox Guide. This was designed to support women on the Pill and those coming off the Pill.

Boost Progesterone.

You can’t boost progesterone if your body is perceiving the environment as dangerous. Implementing the steps above is a crucial part of healing.

Utilizing herbs and nutrients that balance hormones, while implementing lifestyle therapies, can help create healthy levels of progesterone. In my practice, we commonly prescribe Equilibrium in these situations because it is formulated for balancing estrogen and progesterone.

To read more about ways to increase progesterone, read 9 Ways to Boost Your Progesterone.

Need more support?

That’s what my clinical team is here for! At Rubus Health, we seek to empower you to heal your body and eliminate anxiety. By exploring your root cause we can help you resolve hormone imbalances, anxiety and other unwanted symptoms, all while teaching you a lifestyle that supports your body’s needs.

To learn more about working with us please visit our Work With Me Page.


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About The Author

Dr. Jolene Brighten

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Dr. Jolene Brighten is a licensed Functional Medicine Naturopathic Doctor, best selling author, speaker, and mother. Dr. Brighten specializes in women’s health, from fertility to postpartum care, adrenal and thyroid support, autoimmune conditions, and digestive disorders. In her patient centered practice, Dr. Brighten thrives on navigating the space between conventional and alternative medicine, all while working with patients to help them achieve optimum balance, health, and happiness.