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  • Published on 20 Aug, 2025

    Updated on 20 Aug, 2025

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    5 min Read

Have you ever noticed that you're gaining weight without changing your diet, or a racing heart, even at the slightest stress? These could be symptoms of high cortisol levels in females and males. Cortisol, also known as the stress hormone, plays a vital role in many of our body’s functions.

Understanding what cortisol is, how it works, and when to seek medical advice are all helpful steps toward taking care of your health. Keep in mind that if your body is constantly producing too much cortisol, it might be a sign of an underlying health issue. Let’s explore common high cortisol symptoms, how healthcare professionals diagnose them, and some practical ways to manage it.

What is Cortisol?

Cortisol is an important hormone produced by the adrenal glands that helps manage stress, metabolism, blood sugar, and inflammation. However, if cortisol levels stay high for too long, women may experience various physical, emotional, and hormonal health problems. This condition is called hypercortisolism and can cause symptoms such as weight gain, fatigue, anxiety, high blood pressure, and irregular menstrual cycles.

Sustained high cortisol levels can also weaken the immune system, increase the risk of osteoporosis, and lead to heart disease. It is essential to address hypercortisolism through lifestyle changes, stress management techniques, and medical help to avoid long-term health issues and enhance overall well-being.

stress response system

Is Cortisol a Stress Hormone?

Yes, cortisol is essential for controlling your body's stress response. This steroid hormone, produced by the adrenals during stress, helps the body cope with the physical response to perceived risks or challenges. Although it is essential for managing anxiety, cortisol is also involved in many other body functions.

Symptoms of High Cortisol Levels In Females

Symptoms can differ based on the cause of your elevated cortisol levels or the extent of the increase. When cortisol remains high, the body stays in a state of fight or flight, potentially leading to various issues. In women, high cortisol levels can manifest as a range of physical and emotional symptoms. Common signs and symptoms of high cortisol levels include:

  • Weight gain, specifically around the belly and face.
  • Fatigue
  • Muscle weakness
  • High Blood Pressure
  • Mood Swings
  • Irregular Menstrual Cycles
  • Fertility Issues
  • Blood Sugar Imbalances
  • Increased risk of infection
  • Headaches
  • Digestive Issues
  • Sleep Disturbances
  • Skin issues include thinning skin, stretch marks, and more.

symptoms of high cortisol

Symptoms of Low Cortisol Levels

Low cortisol levels, called adrenal insufficiency, manifest with various physical and mental symptoms. When the body doesn't produce enough of this hormone, it leads to a condition called Addison's disease. These symptoms appear slowly, and some of them include:

  • Darkening of the skin, particularly in scars and skin folds.
  • Fatigue
  • Muscle Weakness
  • Hypoglycemia
  • Diarrhoea, nausea, and vomiting
  • Loss of appetite and weight
  • Low blood pressure
  • Anxiety and depression

Causes of Cortisol Imbalance: Common Triggers

Different factors can cause cortisol levels that are too high or too low. Let's explore them.

High Cortisol Causes

If cortisol levels remain high (a condition known as hypercortisolism) over a long period, it often indicates Cushing syndrome. Various reasons can lead to high cortisol levels, and subsequently, this condition.

  • Chronic Stress - While the body releases cortisol during stress, persistent stress can lead to high levels of cortisol.
  • Specific Medical Conditions - Adrenal gland tumours can lead to excess cortisol production. These tumours might originate in the pituitary gland or elsewhere in the body, such as the lungs. Conditions such as polycystic ovary syndrome (PCOS) and thyroid issues can also affect cortisol levels.
  • Certain Medications - Taking large amounts of specific steroid medications over an extended period to manage conditions like asthma, rheumatoid arthritis, or lupus can also induce elevated cortisol levels.

Low Cortisol Causes

Low cortisol levels, known as hypocortisolism or adrenal insufficiency, can occur due to adrenal gland problems or problems with the pituitary gland that regulates cortisol production. Common causes for low cortisol levels include:

  • Autoimmune disorders
  • Specific infections, such as tuberculosis (TB) and HIV
  • Issues with the pituitary gland.
  • Traumatic brain injury
  • Surgical excision of the pituitary gland for other medical issues.

>> Also Read: Does My Insurance Cover Therapy?

How to Reduce Cortisol?

Here are some natural methods to help balance cortisol levels:

  • Manage Stress - Try deep breathing, meditation, or yoga.
  • Improve Sleep - Aim for 7–9 hours of quality sleep and avoid screens before bedtime.
  • Balance Your Diet - Incorporate healthy fats, proteins, and magnesium-rich foods such as spinach and nuts.
  • Stay Active - Participate in moderate exercises like walking or stretching, but avoid overdoing it.
  • Limit Caffeine and Alcohol - Cut back on these to avoid spikes in cortisol levels.
  • Stay Hydrated - Drink plenty of water throughout the day.
  • Connect with Nature - Being outdoors in fresh air and sunlight can help balance cortisol levels.

Diagnosis of High Cortisol Symptoms

Identifying high cortisol levels involves several steps:

  • Medical History and Physical Examination: A doctor will review symptoms, lifestyle choices, and past medical records.
  • Laboratory Tests: The 24-Hour urine cortisol test, saliva test, blood test, and others are performed to assess and determine cortisol levels.
  • Imaging Studies: MRI or CT scans are used to detect adrenal or pituitary tumours.
  • Dexamethasone Suppression Test: Specialists assess how cortisol levels respond to steroid treatment.

Treatment for High Cortisol Levels

High cortisol levels, commonly linked to Cushing's syndrome or continuous stress, can be managed with different treatments. For Cushing's syndrome, medical and surgical options might be required. Treatments that assist in controlling cortisol levels may consist of:

Lifestyle Changes

  • Include relaxation methods like yoga, meditation and deep breathing exercises.
  • Engage yourself in moderate physical activity to assist in managing cortisol levels.
  • Concentrate on real foods, lean proteins, and healthy fats while consuming less sugar and caffeine.
  • Seek 7-9 hours of quality sleep every night.

Medical Treatments

  • Prescription drugs like ketoconazole and metyrapone can lower cortisol levels. Consult a doctor before taking any medication.
  • Surgery to remove adrenal or pituitary tumours may be necessary if they are the source.
  • Radiation therapy can be an option if surgery cannot be performed.

Bonus Tip: Cortisol imbalance can sometimes be connected to underlying health issues that may require regular check-ups, tests, and treatment. Having good medical coverage ensures you won't have to delay care because of unexpected bills. The best health insurance plans from Care Health Insurance include specialist consultations, diagnostic tests, and hospital bills so that you can focus on your recovery without stress. Remember, a small step today can lead to a much better tomorrow.

Corticol: Keep Your Hormone Balance In Check!

Cortisol is a vital hormone that supports your body's functions throughout the day, and it's not inherently harmful. However, abnormal levels, too high or too low, can negatively affect your overall health. High cortisol can have a significant impact on physical health, emotional stability, and reproductive health. Getting an early diagnosis and starting the proper treatment can make a big difference in managing symptoms and avoiding long-term issues. Making some simple lifestyle changes, managing stress, and following your healthcare provider's advice are great ways to keep your cortisol levels in check. Listen to your body—when your stress hormone is balanced, you'll notice you're feeling stronger and more vibrant every day.

Disclaimer: The above information is for reference purposes only. Kindly consult your general physician for verified medical advice. The health insurance benefits are subject to policy terms and conditions. Refer to your policy documents for more information.

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  • Need Assistance? We Will Help!

  • Q. How to lower cortisol levels?

    To decrease cortisol levels, focus on managing stress, eating a healthy diet, and getting enough sleep.

    Q. Can high cortisol levels be treated naturally?

    Yes, making lifestyle adjustments, exercising regularly, and maintaining a balanced diet can help control cortisol levels naturally.

    Q. Can high cortisol levels affect fertility?

    Yes, high cortisol levels can interfere with menstrual cycles and lead to infertility in certain women.

    Q. How to balance cortisol levels?

    You can help balance your cortisol levels by exercising regularly, getting enough sleep, eating a nutrient-rich diet, and taking some supplements, such as fish oil.

    Q. How to fix high cortisol levels?

    To help lower high cortisol levels, reduce your intake of caffeine and alcohol, stay well-hydrated, and make time for loved ones.

    Q. How to get rid of cortisol belly?

    To reduce cortisol belly, focus on lowering stress, getting enough sleep, and eating well to control cortisol levels. Exercise, especially relaxing activities like yoga or walking, can help too.

    Q. How do I know if I have high cortisol?

    If you have symptoms such as fast weight gain, muscle weakness, mood changes, or difficulty sleeping, these could be signs of high cortisol levels.

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