There is an expected overall increase in joint laxity
The main impact hormones have is the exacerbation of hypermobility and joint pain. In 2008, it was believed that two groups of hormones affect EDS – metabolic steroids and secreted adrenals.
Obviously, biological males and females have different hormones. The male sex hormones, Androgens, are said to have little effect on collagen.
In fact, male hormones may actually help by increasing muscle bulk around joints – aiding stabilisation and protection. Female hormones are Oestrogens (Estrogens) and Progestogens. Levels of both fluctuate constantly throughout the female monthly cycle.
Many women with EDS notice a worsening of their symptoms during the run-up to their period (increased pain, subluxations, dislocations, clumsiness, etc.).
This is when Progesterone is at high levels. It's believed that Progestogens 'loosen' collagens, whereas Oestrogens stabilise them. If a woman’s periods become irregular, it’s possible that the Progestogens are more pronounced in her body, and longer lasting.
The effects of these hormones have possible implications for women who want to use hormone-based contraception.
It’s probably no surprise to find that most medics aren’t usually aware of the implications Progesterone has on female EDS, and they may prescribe contraception using this chemical for a very valid reason (e.g. to avoid Oestrogen if there is a familial history of certain Cancers or thrombosis).
As always, with EDS there are plates to spin and balances to weigh up when it comes to making medical decisions.
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