Can hormones cause vertigo?

Natural remedies for dizziness during menopause and female hormone testing near Ashburn northern Virginia

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Did you ever wonder if your later in life, premenopausal symptoms, most importantly vertigo or better known as benign paroxysmal positional vertigo (BPPV) might be due to a hormone imbalance.  One of the most important hormones for perimenopausal patients is estrogen.  It acts on target cells in your body by attaching to nuclear hormone receptors such as estrogen receptor (ER)α and β. Learn more about vertigo during menopause and female hormone testing near Ashburn VA and serving all of Northern Virginia.

Vertigo and Hormones

The inner ear contains several different types of specialized cells that play various roles in the process of hearing and balance. “Strial marginal cells” refer to as type II spiral ganglion neurons, a specific type of cell found in the cochlea, a spiral-shaped structure in the inner ear that is responsible for hearing.

Inner ear cells impacted by hormones

These cells are better known as marginal cells of the stria vascularis.  This stria vascularis is a layer of tissue within the cochlea that is essential to produce endolymph, a fluid that fills the scala media, a compartment of the cochlea. Endolymph is important for maintaining the proper ionic composition of the inner ear fluids, which is critical for the function of hair cells, the sensory cells responsible for detecting sound vibrations.

 It is these strial marginal cells which are involved in actively pumping ions, such as potassium, into the endolymph, helping to create the electrical potential required for the hair cells to transmit auditory signals to the brain. Dysfunction of these cells can lead to hearing loss and other auditory problems, and most importantly balance. Maintaining the proper ion balance in the inner ear is crucial for normal hearing function.  It is when you lose this inner ear ion balance that vertigo tends to present.

inner ear estrogen hormone receptor

Hormones that cause dizziness during perimenopause and menopause

The two most important female sex hormones, estrogen 17β-estradiol (E2) and progresterone are well-known as being lower in women experiencing BPPV and has been associated with loss of memory function and bone metabolism. According to the research, clinically, E2 and progesterone levels are clearly reduced in women with BPPV however, no difference in testosterone was found between the postmenopausal and control groups.

Can hormones cause vertigo?

It is a known fact, women as they age estrogen continues to decrease quite rapidly, and especially during perimenopause. Estrogen receptor β predominates in type II spiral ganglion neurons or inner ear strial marginal cells. These findings support the role of estrogen in the inner ear.  It is no surprise; estrogen functions have been suggested to influence hearing and vestibular function. 

Natural remedies for dizziness during menopause

Action steps if experiencing vertigo…it might not be necessarily a structural issue and it could be a hormonal dysregulation, especially if you are in the age range of perimenopausal? Get a full panel female hormone testing near Ashburn VA accomplished to rule it out.

Female hormone testing near Ashburn VA

Longevity Lab was founded by Dr. Susan Clark and offers state-of-the-art healthcare, designed to be entirely virtual specifically catered to a busy, complex lifestyle. It is the ideal platform for all patients seeking a well-rounded health model, both sustainable and affordable. Dr. Clark’s approach with caring for her patients is one where she truly listens and helps to find the cause of the problem, not just cover up symptoms. We offer nutritional counseling, menopause treatments, and female hormone testing near Ashburn and serve all of Northern Virginia.  

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