Understanding Your Hormones
When to see an Endocrinologist
Hormones influence nearly every system in your body. They regulate metabolism, energy levels, mood, sleep, growth, fertility, and blood sugar. When your hormones are balanced, your body runs smoothly. When they’re not, the symptoms can feel frustrating, confusing, and sometimes overwhelming.
If you’ve been dealing with unexplained changes in how you feel, it may be time to look deeper. Understanding how hormones work and when to see an endocrinologist can help you take the next step toward better health.
What Is the Endocrine System?
Your endocrine system is a network of glands that produce and release hormones into your bloodstream. These glands include:
- Thyroid: regulates metabolism and energy
- Pancreas: controls blood sugar through insulin
- Adrenal glands: manage stress hormones like cortisol
- Pituitary gland: often called the “master gland,” coordinating other hormones
- Ovaries or testes: control reproductive hormones
When one gland produces too much or too little hormone, it can disrupt the balance of the entire system.
Common Signs of Hormonal Imbalance
Hormonal symptoms can vary widely depending on the underlying issue, but some common warning signs include:
- Persistent fatigue
- Unexplained weight gain or weight loss
- Hair thinning or hair growth changes
- Mood swings, anxiety, or depression
- Irregular or painful menstrual cycles
- Low libido
- Trouble sleeping
- Brain fog or difficulty concentrating
- Heat or cold intolerance
Because many of these symptoms overlap with other conditions, hormonal imbalances are sometimes overlooked.
What Does an Endocrinologist Do?
An endocrinologist is a physician who specializes in diagnosing and treating hormone-related disorders. They have advanced training in conditions affecting the endocrine glands and understand how these systems interact.
An endocrinologist commonly treats:
- Thyroid disorders (hypothyroidism, hyperthyroidism, nodules)
- Diabetes and insulin resistance
- Polycystic ovary syndrome (PCOS)
- Adrenal disorders
- Osteoporosis
- Menopause and hormone-related symptoms
- Pituitary gland disorders
- Growth disorders
If your symptoms persist despite initial treatment, or if lab results are abnormal or complex, a referral to an endocrinologist may be appropriate.
When Should You See an Endocrinologist?
You may consider seeing an endocrinologist if:
1. Your Symptoms Persist Despite Treatment: If you’ve been treated for thyroid issues, diabetes, or other hormone conditions but still don’t feel well, a specialist can help refine your diagnosis and treatment plan.
2. You Have Abnormal Lab Results: Elevated blood sugar, abnormal thyroid levels, or irregular hormone panels often warrant specialist evaluation.
3. You’re Experiencing Complex Hormonal Changes: Major life transitions such as puberty, pregnancy, postpartum changes, or menopause can sometimes trigger hormonal shifts that require expert guidance.
4. You Have a Family History of Endocrine Disorders: Conditions like diabetes, thyroid disease, and certain adrenal or pituitary disorders can run in families.
What to Expect at Your Appointment
An endocrinology visit typically includes:
- A detailed medical history
- Discussion of symptoms and timeline
- Comprehensive lab testing
- Possible imaging (such as thyroid ultrasound)
- A personalized treatment plan
Treatment may include medication, lifestyle changes, monitoring, or additional testing.
Supporting Hormonal Health
While some hormonal conditions require medical treatment, daily habits also play an important role in balance. Consider:
- Eating a nutrient-dense, whole-food diet
- Managing stress through exercise or mindfulness
- Prioritizing quality sleep
- Maintaining a healthy weight
- Staying physically active
Lifestyle changes often complement medical care and can improve overall outcomes.
Listen to Your Body
Hormonal imbalances don’t always present dramatically. Sometimes it’s just a subtle feeling that something isn’t right. If you’ve been struggling with unexplained symptoms, trust your instincts and speak with your healthcare provider.
Early evaluation and proper diagnosis can make a significant difference not just in symptom relief, but in long-term health and quality of life.
Understanding your hormones is an important step toward understanding your body. And when needed, an endocrinologist can help restore balance and guide you back to feeling your best.
The Healthstar Physicians network offers primary care and specialty services across East Tennessee. Our medical team is part of your community and because of that we are Near You, For You.


