Adrenal Fatigue & Melasma

Where are the adrenal glands in the body?

The picture shows the adrenal glands, which are located above the two kidneys. Source: Flickr

How is melasma caused by adrenal fatigue?

At the end of pregnancy, the hormones estrogen, progesterone and MSH are greatly increased. The following charts explain in detail how melasma and adrenal fatigue are related.

The Production of Estrogen and Progesterone in Balance ⚖

Important: Estrogen and progesterone production in the adrenal glands should always be in balance.

How can estrogen dominance occur?

Conclusion: Melasma and Estrogen Dominance

Because estrogen and progesterone must always be in balance with each other, an estrogen dominance and a resulting progesterone deficiency lead to an increased production of MSH. MSH, the melanocyte stimulating hormone, is responsible for the increased stimulation of the melanocytes responsible for skin pigmentation. If this stimulation of the melanocytes by MSH occurs locally, a pigment spot develops.

Which hormones are produced in the adrenal glands?

  1. Adrenal cortex, the outer part of the adrenal gland, produces steroid hormones such as cortisol, which are involved in the water, mineral and sugar balance. The sex hormones estrogen, progesterone, testosterone and MSH are also produced here.
  2. The adrenal medulla, the inner part of the adrenal gland, forms the stress hormones: adrealin and noradrealin.

How much female sex hormones do the adrenal glands produce?

  • 35% of female sex hormones are produced by the adrenal glands before menopause.
  • 50% of female sex hormones are produced by the adrenal glands after menopause.

Why do a lot of women have adrenal fatigue?

Chronic stress is mainly absorbed by the adrenal glands. Due to the stressful lifestyle, women between the ages of 30 and 40 already have exhausted adrenal glands.

What are the stages of adrenal fatigue?

⚠ Stage 1: The cortisol release is increased. Many negative effects occur, including blocking the progesterone receptors. Progesterone secretion is inhibited in favor of cortisol secretion, leading to an imbalance between estradiol (the precursor of estrogen) and progesterone. As a result, a strong estrogen dominance occurs and the hormonal balance is disturbed.
⚡ Stage 2 and 3: Exhaustion of the adrenal glands, which leads to a decrease in cortisol secretion and an increase in ACTH.

What are the causes of adrenal fatigue?

  • Hassle
  • Chronic stress
  • Depression
  • Sleep deprivation
  • Indigestions
  • High sugar consumption
  • High caffeine consumption from coffee and tea

What can be the negative effects of adrenal fatigue in women?

In women, adrenal fatigue is characterized by an estrogen level that is far too high and can be expressed in :

  • Tiredness and exhaustion (in the morning after getting up and in the afternoon)
  • Menstrual cramps
  • Heavy menstrual bleeding
  • Premenstrual Syndrome (PMS): Irritability and breast tenderness
  • Uterine myomas
  • Premenopausal syndrome.

How can I diagnose adrenal fatigue?

The levels of the two most important free hormones cortisol and DHEA are best suited for clarifying adrenal insufficiency. 👉 Saliva tests are preferred because they measure the amount of free and circulating hormones rather than the bound hormones usually measured in blood tests.
Cortisol has its highest level in the morning and its lowest in the night at about 3.00 am.
It’s most accurate if you take at least three samples of cortisol (in the morning, at noon, and before going to bed, possibly also at night). With several samples taken throughout the day, the course of the day of free cortisol can be recorded in relation to the DHEA level.

Source: Labortests bei Nebennierenschwäche- Dr. Neidert

Where can I buy a saliva test? 🛒

👉 (Amazon) Saliva Hormone Test Analysis- Adrenal Stress Panel (5 Tests) DHEA & 4 Diurnal Cortisols

How can I treat my adrenal fatigue?

Hormone therapy with progesterone only combats the symptoms but not the causes. However, the actual treatment should be left to a naturopath, as it is quite complex and has to be individually designed.

Step 1: Support the Adrenal f^Function

It’s about the normalization of the adrenal function with sufficient sleep, healthy nutrition and the improvement of mental well-being. The improvement of the mental condition can be significantly increased through sport.

Step 2: Treatment with Vital Substances

Especially in cases of advanced adrenal insufficiency, stimulants should be avoided that have a whip-like effect on the adrenal gland. At the beginning of treatment, patients often feel energized, but this can also lead to therapy setbacks.

  • Treatment with vitamins:
    • Treatment with vitamins B5 and B12 also leads to a strong increase in the metabolism of the adrenal glands.
    • Without trace elements and antioxidants, this can also lead to a therapy setback.

The use of individual substances in the treatment of adrenal insufficiency must be individual. The right nutrient for one patient may be poison for the other. Every vital substance has its therapeutic justification, but at the right time and in the right dosage. Even if some vital substances seem to help at the beginning, they can fail afterwards because the body has become accustomed to them. More is not necessarily better and can even worsen the situation in many cases, because the metabolism changes continuously during the regeneration process.

Source: Behandlung der Nebennierenschwäche- Dr. Neidert

3. Step: Treatment with Natural Hormone Therapy

This treatment is only performed temporarily until adrenal function has normalized:

A relief of the adrenal glands through a gentle, carefully dosed hormone treatment with DHEA (10 to 30 mg), pregnenolone (25 to 50 mg), natural cortisol (10 to 20 mg) accelerates the recovery process enormously. Treatment with natural hormones in the form of a cream applied to the skin once a day has many advantages.

Source: Behandlung der Nebennierenschwäche- Dr. Neidert

Book Tip: Adrenal Fatigue

📚 👉 Adrenal Fatigue: The 21st Century Stress Syndrome 1st Edition Author: Dr. James L. Wilson

If you want to learn more about Melasma?

Then read on here ⚡️ Melasma

Funktion der Nebennieren bei Frauen – Dr. Neidert
Adrenal Gland- Wikipedia
Premenstrual syndrome – Wikipedia
Cortisol – Wikipedia
Adrenal Fatigue: How I Reversed Melasma
Nebenniereninsuffizienz – Detsche Gesellschaft für Endokrinologie