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How Are Hormonal Changes Linked to Aging?

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As people age, certain changes occur in their hormone levels, which affect their physical and mental health. Continue reading this article to explore more.

Medically reviewed by

Dr. Kaushal Bhavsar

Published At November 17, 2023
Reviewed AtNovember 17, 2023


Hormones play an important role in the major organ functions and overall health of the body. Proper hormone balance is essential for both mental and physical health. Aging is a natural part of life, but it comes with health challenges. Human bodies change as they get older. Aging frequently causes hormonal and metabolic changes that can lead to diseases such as high blood pressure, diabetes, and memory problems. However, some measures, like lifestyle modification, can improve the quality of life as people age. This article will explore the relationship between hormonal change and aging and the measures to lower its effect.

Do Hormones Change as People Get Older?

As people age, certain hormones, such as estrogen in women and testosterone in men, tend to decrease gradually. This decline can result in various health issues. For women, the decline in estrogen and progesterone levels leads to menopause, while men may experience a decrease in testosterone levels, leading to andropause. These hormonal changes can have widespread effects on physical and mental health.

Can Hormonal Imbalance Cause Aging?

Hormonal fluctuations are a major contributor to aging and can result in a number of physiological effects related to aging. While aging itself is a complex process influenced by multiple factors, including genetics and lifestyle, hormonal imbalances can contribute to and exacerbate some age-related issues. Some important considerations regarding the link between hormonal disarray and the aging process are outlined below.

  • Muscle Mass and Strength: Hormones like testosterone (T) and growth hormone (GH) are essential for maintaining muscle mass and strength. As individuals age, there is a natural decline in the production of these hormones. This decline can lead to muscle atrophy and reduced strength, a condition often referred to as sarcopenia. Hormone replacement therapies, such as T or GH replacement, have been explored as potential interventions to counteract muscle loss in aging adults. However, the efficacy and safety of these treatments remain a subject of debate.
  • Bone Health: Hormonal changes, particularly in postmenopausal women with reduced estrogen levels, are strongly linked to bone loss and osteoporosis. While estrogen deficiency plays a significant role in bone health, the relationship between other hormones like testosterone, dehydroepiandrosterone (DHEA), and GH and bone density in aging adults is less clear. Nevertheless, exercise, including both aerobic and resistance training, has been shown to positively impact bone health in older individuals.

  • Cognitive Processes: Aging is associated with cognitive decline, which can be influenced by metabolic changes in the brain. Hormonal imbalances may contribute to these cognitive declines, but the mechanisms are not fully understood. Regular exercise, including resistance training and aerobics, has been shown to have a positive impact on cognitive function in older adults. Exercise can enhance brain metabolism, potentially counteracting age-related cognitive decline.

  • Impact of Hormone Replacement: Hormone replacement therapies, such as testosterone replacement in hypogonadal men, have shown mixed results in improving various aspects of health in older adults. Although these supplements can be beneficial for muscle mass, strength, and sexual function, they also come with potential risks and side effects, including cardiovascular and prostate-related concerns. Making the decision to pursue hormone replacement therapy should be done thoughtfully and under the supervision of a medical professional.

  • Impact of Lifestyle Modifications: Lifestyle modifications, such as regular physical exercise and caloric restriction, can have a profound impact on hormone production and overall health in aging adults. Exercise, in particular, has been shown to increase endogenous testosterone production following acute resistance exercise. Moreover, exercise and caloric restriction can improve insulin sensitivity, metabolic health, and cognitive function, all of which are essential aspects of healthy aging.

What Are the Symptoms of Hormonal Imbalances, and How Can They Be Addressed?

Women who experience hormonal imbalances frequently experience changes in weight, a decrease in desire for sex, irregular menstrual cycles, exhaustion, sweating at night, pain during sex, acne, skin darkening, and excessive or undesired hair growth. In men, symptoms of low testosterone can include difficulty concentrating, loss of muscle mass or weakness, low libido, erectile dysfunction, infertility, osteoporosis, hair loss, weight gain, and an increased risk of stroke, heart attack, and prostate cancer.

To combat hormone imbalances, there are several measures that individuals can take:

  • Healthy Fats: Consuming healthy fats rich in natural Omega-3s can support hormone production and reduce inflammation. Foods like salmon and avocado can be beneficial.

  • Supplements: Certain supplements, such as primrose oil, vitamin D, probiotics, and bone broth, have been linked to improved hormone production.

  • Adequate Sleep: Getting seven to eight hours of quality sleep per night is essential for maintaining healthy hormonal balance and overall well-being.

  • Hormone Replacement Therapy: In some cases, medical intervention may be necessary, and bioidentical hormones are an option for maintaining hormone levels as people age. These hormones are natural and have a molecular structure identical to human hormones, making them compatible with the body's systems.

What Hormones Increase With Age?

Hormone levels can vary with age, and some hormones increase as individuals grow older. The hormones that are most likely to increase with age include:

  • Follicle-stimulating Hormone (FSH): FSH is a hormone that plays a role in the reproductive system. Its levels may increase as women go through menopause, indicating a change in their reproductive function.

  • Luteinizing Hormone (LH): Like FSH, LH is also involved in reproductive processes. Its levels may rise during menopause in women.

  • Norepinephrine: Substances that are involved in the body's "fight or flight" response include neurotransmitters and hormones like norepinephrine. Blood levels of some hormones may increase with age, and norepinephrine is one of the hormones that can fluctuate with age-related changes.

  • Parathyroid Hormone: The parathyroid glands generate parathyroid hormone, which serves a crucial role in calcium and phosphate regulation. Parathyroid hormone levels may rise with age, potentially contributing to conditions like osteoporosis.

What Hormones Decrease With Age?

Several hormones typically decrease with age. These hormones include:

  • Aldosterone: Aldosterone levels tend to decrease with age. Aldosterone is involved in regulating fluid and electrolyte balance in the body.

  • Calcitonin: Calcitonin levels generally decrease as individuals age. Calcitonin plays a role in regulating calcium levels in the body.

  • Growth Hormone: The production of growth hormone tends to decline with age. Throughout childhood and adolescence, growth hormone is crucial for development and growth.

  • Renin: Renin is another hormone that typically decreases with age. Renin is involved in regulating blood pressure.

  • Estrogen: In women, estrogen levels often decrease significantly with age, particularly during menopause. Estrogen is a key female sex hormone that regulates various functions in the body.

  • Prolactin: Prolactin levels in women may also decrease with age. Prolactin is involved in breast development and milk production.

  • Testosterone: In men, testosterone levels usually decrease gradually as they age. The primary male sex hormone, testosterone plays a role in many physiological processes.


To conclude, while hormonal imbalances are associated with various age-related changes in the body, including muscle loss, reduced bone density, and cognitive decline, aging is a multifaceted process influenced by a combination of factors. Making dietary and exercise changes to one's lifestyle can be very helpful in reducing the negative effects of hormonal changes and encouraging a healthier aging process. Hormone replacement therapies are a consideration for some individuals, but they come with potential risks and should be carefully evaluated in consultation with healthcare professionals.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)


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