We talk a lot about stress, burnout, or anxiety as if they exist only in the mind. But what if part of what you’re feeling is rooted in your body?

Hormones are chemical messengers that regulate nearly everything—sleep, mood, energy, focus, even how resilient you feel under pressure. When they’re balanced, life often feels manageable. But when they’re out of sync, even small stressors can feel overwhelming.

At Lily Counseling, many clients wonder: Is what I’m experiencing a mental health issue, or could hormones be playing a role, too? 

The truth is, both can influence each other. And knowing when is the best time to test for hormone imbalance can be a powerful step in untangling what’s really happening beneath the surface.

 

When is the best time to test for hormone imbalance?

This is one of the most common questions clients bring into therapy: When is the best time to test for hormone imbalance? The answer depends on which hormones are being tested, but timing really does matter.

For women, hormone testing is often recommended at specific points in the menstrual cycle:

  • Day 3 of the cycle (early follicular phase) is commonly used to check baseline estrogen, FSH, and LH levels.

     

  • Mid-luteal phase (around day 21) is often used for progesterone testing.

     

  • If irregular cycles are present, doctors may recommend a broader hormone panel at any point to capture overall function.

So, when is the best time to test for hormone imbalance? 

The ideal time is when your provider can capture the most accurate picture of your hormonal rhythms—which may mean syncing the test to your cycle or taking samples at specific times of the day. If you’re struggling with symptoms like anxiety, depression, or mood swings, asking your provider about timing is essential.

 

What are the signs of a hormone imbalance affecting mental health?

If you’re wondering whether your symptoms are connected to hormones, it helps to know the signs. Common indicators of hormone imbalance affecting mental health include:

  • Mood swings that feel unpredictable or out of proportion.

     

  • Sleep disruptions—trouble falling asleep, staying asleep, or waking unrefreshed.

     

  • Persistent fatigue that doesn’t improve with rest.

     

  • Increased anxiety or feelings of panic without a clear external cause.

     

  • Low motivation or depressive symptoms that ebb and flow with cycles.

     

  • Brain fog or difficulty concentrating, especially at certain times of the month.

     

If you notice these patterns and find yourself asking, “When is the best time to test for hormone imbalance?”—it’s a sign that your body may be giving you clues. Understanding those signals can help you move from frustration toward clarity.

 

Which hormones affect mood and emotional well-being the most?

Not all hormones influence mental health equally. Some play a bigger role in how we feel day-to-day:

  • Estrogen: Supports serotonin and dopamine, which stabilize mood. Low estrogen can contribute to irritability or depression.

     

  • Progesterone: Has a calming effect on the brain. Low levels are often linked to anxiety, restlessness, or insomnia.

     

  • Cortisol: The “stress hormone.” Too much or too little can lead to anxiety, fatigue, or even emotional numbness.

     

  • Thyroid hormones (T3, T4, TSH): Regulate energy and mood. Imbalances often mimic depression or anxiety symptoms.

     

  • Testosterone: Low levels in men and women can contribute to fatigue, low mood, or loss of motivation.

     

Knowing which hormones affect mood most is part of answering when is the best time to test for hormone imbalance. For example, cortisol is best tested in the morning (when levels peak), while reproductive hormones may need cycle-based timing.

 

Can hormone imbalance cause anxiety or depression?

Yes. Hormone imbalance can absolutely contribute to anxiety or depression—and sometimes, it’s the missing piece people don’t realize is affecting their mental health.

  • Estrogen fluctuations can trigger both mood swings and depressive symptoms.

     

  • Low progesterone can reduce the brain’s calming GABA activity, making anxiety worse.

     

  • High cortisol keeps the body in “fight or flight” mode, leading to chronic stress and burnout.

     

  • Thyroid dysfunction can mimic or worsen depression and fatigue.

     

This doesn’t mean every case of anxiety or depression is caused by hormones. But it does mean that if your mood symptoms seem cyclical, unpredictable, or resistant to therapy alone, it’s worth asking when is the best time to test for hormone imbalance. Pairing therapy with medical support can help you address both the emotional and biological layers of your experience.

 

Final Thoughts: Listening to Your Body and Mind

Your mental health isn’t separate from your physical health—hormones bridge the two. 

If you’ve been wondering “When is the best time to test for hormone imbalance?” the answer is: sooner than you think, and always in conversation with your provider.

Testing at the right time offers clarity, validation, and a roadmap for support. Because when you know what’s happening in your body, you can stop blaming yourself and start working with your biology.

At Lily Counseling, we believe mental health care should always include the body. If you’re noticing patterns that suggest hormone imbalance, therapy can provide the space to process the emotional impact while you explore testing and medical treatment.

Because you deserve to feel steady, grounded, and whole—in both mind and body.

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EMAIL: office@lilycounseling.com

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