Most Common Hormone Imbalances in South African Women (PCOS, Thyroid Issues, Estrogen Imbalances)

Why Hormone Health Matters for South African Women

Many South African women struggle with hormone imbalances without even realising it. Fatigue, irregular cycles, unexplained weight gain, or mood swings are often brushed off as “normal,” but they can be clear signals of deeper issues.
At Ask Dr Olz, we specialise in uncovering the root causes of these imbalances and helping women restore their health naturally.

In this article, we’ll explore the three most common hormone imbalances in South African women:

• Polycystic Ovary Syndrome (PCOS)
• Thyroid dysfunction (underactive or overactive thyroid)
• Estrogen imbalances (including estrogen dominance and low estrogen)

1. PCOS (Polycystic Ovary Syndrome)

PCOS is one of the most common hormone-related conditions affecting South African women. It occurs when the ovaries produce higher-than-normal androgens (male hormones), which disrupts normal ovulation.

Common Symptoms:

• Irregular or absent periods
• Acne and oily skin
• Excess hair growth on the face and body
• Difficulty losing weight, especially around the stomach
• Fertility challenges

Why It Matters in South Africa:

Lifestyle factors, including high refined carb intake and stress, often worsen PCOS symptoms. Many women remain undiagnosed for years.

Natural Support Strategies:

• Balance blood sugar with low-GI, whole foods
• Regular movement (strength training and walking help)
• Stress reduction techniques
• Supplements that may support insulin sensitivity and hormonal balance

2. Thyroid Imbalances

Thyroid dysfunction is a silent epidemic among South African women. The thyroid gland controls metabolism, energy, and even mood. An underactive thyroid (hypothyroidism) is most common, but overactive thyroid (hyperthyroidism) also occurs.

Symptoms of Hypothyroidism (Underactive Thyroid):

• Constant fatigue
• Weight gain despite healthy eating
• Dry skin and hair loss
• Sensitivity to cold
• Low mood or depression

Symptoms of Hyperthyroidism (Overactive Thyroid):

• Unexplained weight loss
• Racing heartbeat or palpitations
• Anxiety or restlessness
• Difficulty sleeping
• Excessive sweating

Natural Support Strategies:

• Test your thyroid hormones (TSH, T4, T3, antibodies)
• Ensure adequate iodine, selenium, and zinc intake
• Reduce processed foods and manage stress
• Support gut health, as it influences thyroid hormone conversion

3. Estrogen Imbalances

Estrogen is a key hormone in women’s health. Too much (estrogen dominance) or too little (common around perimenopause and menopause) can trigger uncomfortable symptoms.

Symptoms of Estrogen Dominance:

• Heavy, painful, or irregular periods
• PMS with mood swings and bloating
• Weight gain around hips and thighs
• Breast tenderness
• Headaches or migraines

Symptoms of Low Estrogen:

• Hot flashes and night sweats
• Vaginal dryness
• Low libido
• Sleep disturbances
• Bone weakness over time

Natural Support Strategies:

• Increase fibre for better estrogen detoxification
• Support liver function with cruciferous vegetables (broccoli, kale, cabbage)
• Manage stress, which can disrupt estrogen balance
• Consider targeted supplements that support hormone metabolism

When to Seek Help

If your symptoms are interfering with your daily life, it’s time to get tested and supported. Hormone imbalances are not just “part of being a woman” — they are signals your body needs care.

At Ask Dr Olz, we use a root-cause functional medicine approach to identify what’s driving your imbalance and provide a personalised plan for recovery.

Dr Olz Final Thoughts

Hormone imbalances like PCOS, thyroid dysfunction, and estrogen issues are common among South African women, but they don’t have to control your life. With the right testing, nutrition, lifestyle changes, and targeted support, balance is possible.

Book your online consultation with Ask Dr Olz today and take the first step toward restoring your hormonal health.