Hormones & Life Stages

Hormone Imbalance

When something feels off, we help you find why.

Hormone Imbalance — Poway OB-GYN

Hormones influence energy, mood, sleep, weight, and your menstrual cycle. When they're out of balance, the effects can be frustrating and hard to pin down — fatigue, irregular periods, mood changes, or shifts in weight that don't seem to have an obvious cause.

Evaluation starts with listening to your symptoms, followed by the right testing to understand what's happening. Hormone imbalances can stem from thyroid issues, PCOS, perimenopause, or other causes, and identifying the source is the key to effective treatment.

Once there's a clear picture, Dr. Fan builds a plan — which may include lifestyle adjustments, medication, or hormonal therapy — aimed at helping you feel steady and like yourself again.

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Understanding hormone imbalance

Your hormones work as a finely tuned system, and when one part shifts, it can ripple across how you feel day to day. Imbalances can stem from thyroid issues, polycystic ovary syndrome (PCOS), perimenopause, stress, or other causes.

Because the symptoms are often vague and overlapping, hormone imbalances are easy to dismiss or misattribute. Getting to the underlying cause is what makes treatment effective rather than hit-or-miss.

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Signs and symptoms

Signs of a possible hormone imbalance include:

  • Persistent fatigue or low energy
  • Irregular, absent, or unpredictable periods
  • Mood changes, irritability, or anxiety
  • Unexplained weight changes
  • Changes in skin or hair
  • Difficulty sleeping
  • Changes in libido

One symptom on its own may mean little — but a cluster that persists is worth evaluating.

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How we evaluate it

Evaluation starts with a detailed conversation about your symptoms, followed by targeted lab testing chosen based on what you're experiencing. Dr. Fan will explain what's being checked and why.

The goal is to identify the specific cause — whether it's thyroid, PCOS, perimenopause, or something else — so treatment addresses the root, not just the symptoms.

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Treatment options

Once the cause is clear, your plan may include:

  • Lifestyle adjustments to support hormonal balance
  • Medication to address the underlying cause
  • Hormonal therapy where appropriate
  • Management of related conditions like PCOS or thyroid issues
  • Ongoing monitoring and adjustment

Treatment is tailored to you — because the same symptom can have very different causes.

When something feels off but you can't name it, the answer often starts with your hormones.

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When to see Dr. Fan

Consider an evaluation if you have:

  • Persistent fatigue or unexplained weight changes
  • Irregular or absent periods
  • Mood changes that concern you
  • Symptoms that suggest thyroid issues or PCOS
What to Expect

Your visit, step by step.

  1. Step 1

    Discuss

    Discuss your symptoms in detail.

  2. Step 2

    Test

    Targeted lab testing.

  3. Step 3

    Diagnose

    Identify the underlying cause.

  4. Step 4

    Treat

    Personalized treatment plan.

We accept most major insurance plans.
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Frequently Asked

Hormone Imbalance: your questions.

Ready to take the next step?

Call us or request an appointment online — we'll match you with the right visit type.