Feeling Off in Your 40s? It Might Be More Than “Just Aging”
I am in my 40’s and I am having symptoms of menopause: fatigue, low libido, vaginal dryness, low energy, irritability – I feel terrible. But my doctor says all my hormone labs are normal, and my symptoms are part of aging. What can I do to feel better? For more information, contact us or request an appointment online. We serve patients from San Antonio TX, Alamo Heights TX, Balcones Heights TX, Leon Valley TA, Terrell Hills TX, Windcrest TX, and surrounding areas.
If you’re in your 40s or older and experiencing fatigue, low libido, vaginal dryness, irritability, and low energy—you’re not alone. These symptoms are very common during perimenopause and menopause, but that doesn’t mean you have to suffer.
Many providers rely solely on lab results to assess hormone health. But here’s the truth: “normal” lab values don’t always mean optimal health. Let me say again, normal is not optimal. Hormone reference ranges are broad, and they don’t account for how you feel, your lifestyle, or your unique physiology.
What Could Be Going On?
Your symptoms may reflect subtle imbalances in:
- Testosterone – affects libido, energy, and muscle tone
- Estradiol – supports vaginal health, mood, and metabolism
- Progesterone – regulates sleep, anxiety, and cycle stability
- Thyroid hormones – influence energy, mood, and weight
Even if your labs fall within “normal” ranges, you may still benefit from a deeper evaluation. That includes:
- A comprehensive hormone lab panel
- A symptom-based checklist to guide treatment decisions
- A personalized plan that may include hormone therapy, lifestyle changes, and nutritional support
Evidence-Based, Patient-Centered Care
Clinical guidelines from the North American Menopause Society (NAMS) and Endocrine Society support individualized care that considers both lab values and symptom burden. Hormone optimization—when done safely and with informed consent—can help restore vitality, mood, and sexual health.
Your Health Journey Is Personal
You deserve to feel good—not just “normal.” If your symptoms are interfering with your quality of life, it’s time to explore options beyond the standard lab report. Let’s work together to optimize your hormones and your life. Remember, your health journey is uniquely yours and results vary by individual.
REFERENCES
- Cleveland Clinic. (2023). Low testosterone in women: Symptoms, causes & treatment. Retrieved from https://my.clevelandclinic.org/health/diseases/24897-low-testosterone-in-women
- WebMD. (2022). Low testosterone in women: Symptoms and treatment. Medically reviewed by Zilpah Sheikh, MD. Retrieved from https://www.webmd.com/women/low-testosterone-in-women
- North American Menopause Society (NAMS). (2022). The 2022 hormone therapy position statement of The North American Menopause Society. Menopause, 29(7), 767–794. https://doi.org/10.1097/GME.0000000000002028
- Endocrine Society. (2014). Evaluation and treatment of androgen deficiency in women: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology & Metabolism, 99(10), 3489–3510. https://doi.org/10.1210/jc.2014-2261
- Davison, S. L., Bell, R. J., Donath, S., Montalto, J. G., & Davis, S. R. (2005). Androgen levels in premenopausal women and their relationship to libido. Journal of Clinical Endocrinology & Metabolism, 90(1), 524–530. https://doi.org/10.1210/jc.2004-1546
- Santoro, N., Epperson, C. N., & Mathews, S. B. (2015). Menopausal symptoms and their management. Endocrinology and Metabolism Clinics of North America, 44(3), 497–515. https://doi.org/10.1016/j.ecl.2015.05.001
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