Psoriasis is often seen as just a skin condition, but the real story goes far beyond the surface. It’s an immune-driven, inflammatory disorder with strong ties to hormonal imbalances. While conventional medicine offers temporary symptom relief, functional medicine digs deeper to restore balance at its source—hormones.
Hormones regulate numerous bodily functions, including immune response, inflammation, and skin regeneration. When these become unbalanced due to stress, diet, or underlying health conditions, psoriasis can worsen. Understanding this connection is the key to long-term relief.
The Psoriasis-Hormone Connection: What’s Really Happening Inside?
When hormones become imbalanced, they disrupt the immune system and trigger chronic inflammation, setting the stage for psoriasis flares. Key hormones that influence psoriasis include:
1. Cortisol: The Stress-Inflammation Link
- Chronic stress increases cortisol, leading to systemic inflammation and immune dysfunction.
- High cortisol weakens the skin barrier, delays healing, and contributes to flare-ups.
- Stress doesn’t just come from emotional struggles; environmental toxins, lack of sleep, microbial overgrowths and excessive caffeine consumption also increase cortisol levels.
- Techniques like meditation, deep breathing, adaptogenic herbs (ashwagandha, rhodiola), and proper sleep hygiene can restore balance and lower inflammation.
2. Thyroid Dysfunction and Skin Regeneration
- Slow thyroid function (even subclinical hypothyroidism, Hashimoto’s disease) is linked to increased psoriasis severity due to sluggish metabolism and poor skin turnover.
- Thyroid hormones regulate how quickly the skin sheds and renews itself. Imbalances lead to excessive shedding, scaling, and dryness.
- Nutrient deficiencies (selenium, iodine, and zinc) and gut health issues can interfere with thyroid hormone production.
- Supporting thyroid health with whole foods, avoiding processed foods, oils, sugars, and addressing underlying gut issues can lead to improved skin health.
3. Insulin Resistance: The Sugar Connection
- Blood sugar spikes trigger inflammation and worsen psoriasis symptoms by increasing oxidative stress.
- Insulin resistance, commonly linked to diabetes and metabolic syndrome, is now recognized as a contributing factor to chronic inflammatory diseases like psoriasis.
- Processed foods, refined sugars, and artificial sweeteners contribute to insulin resistance, fuelling skin flares.
- A low-glycemic, anti-inflammatory diet that includes fiber-rich vegetables, lean proteins, and healthy fats helps regulate insulin levels and reduce inflammation.
4. Estrogen and Testosterone: The Hormonal Rollercoaster
- Fluctuations in estrogen and testosterone (during puberty, pregnancy, menopause, and aging) can trigger immune imbalances and worsen psoriasis.
- Estrogen dominance (caused by poor liver detoxification and excessive environmental toxins) and low testosterone levels may contribute to systemic inflammation.
- Hormone-balancing strategies such as liver detoxification, careful dietary choices, gut microbiome rebalancing, and strength training can support equilibrium and help mitigate psoriasis symptoms.
How Functional Medicine Cure Psoriasis?
Rather than treating psoriasis symptoms in isolation, functional medicine focuses on restoring balance within the body. The key steps include:
1. Comprehensive Hormone Testing
- Advanced lab tests assess cortisol, thyroid, insulin, and sex hormone levels.
- Identifying imbalances allows for targeted, personalized interventions rather than a one-size-fits-all approach.
- Blood tests, saliva tests, and stool tests can provide a complete picture of internal inflammation and hormonal disruptions.
2. Psoriasis-Focused Nutrition Plan
- Remove: Inflammatory foods like gluten, dairy, refined sugars, artificial additives, and seed oils that trigger immune dysfunction.
- Replenish: Nutrient-dense, anti-inflammatory foods such as omega-3-rich fish, leafy greens, cruciferous vegetables, and adaptogenic herbs to support hormonal balance.
- Stabilize Blood Sugar: Balanced meals with protein, fiber, and healthy fats prevent insulin spikes, reducing inflammation at the cellular level.
- Gut-Skin Connection: A diverse diet with fermented foods, prebiotics, and bone broth helps to strengthen gut health, improving immune regulation.
If you’re looking for Recipes then feel free to checkout our Recipes for Managing Psoriasis.
3. Gut Healing for Immune Balance
- A disrupted gut microbiome (dysbiosis) contributes to autoimmunity and skin inflammation by allowing toxins and undigested proteins to enter the bloodstream.
- Beneficial bacteria are essential for keeping the harmful ones under control, regulating inflammation and immune function.
- Key healing steps include:
- Identifying and addressing any imbalances and overgrowths
- Taking high-quality probiotics and prebiotics to increase beneficial microbiome.
- Eating fiber-rich foods to support digestion.
- Repairing gut lining with L-glutamine, collagen, and zinc carnosine, etc.
- Avoiding inflammatory triggers like alcohol, excessive caffeine, refined flours, oils, sugar and antibiotics (unless necessary).
4. Stress Reduction and Cortisol Management
- Chronic stress is a major driver of psoriasis flares, and emotional, physical, or environmental stressors can all contribute.
- Mindfulness, Regular Exercise, yoga, tai chi, and guided meditation have been shown to significantly lower cortisol and improve inflammatory conditions.
- Herbal support (ashwagandha, holy basil, and rhodiola) can help lower cortisol naturally and restore energy levels.
- Prioritizing deep sleep and reducing blue light exposure at night is essential for regulating the stress response.
5. Liver Detoxification for Hormonal Harmony
- The liver plays a crucial role in hormone metabolism, detoxification, and clearing out inflammatory waste.
- When liver function is sluggish, excess estrogen, toxins, and inflammatory byproducts accumulate, worsening psoriasis.
- Liver-supportive foods include:
- Cruciferous vegetables (broccoli, Brussels sprouts, cauliflower)
- Beets and carrots for bile flow
- Turmeric and milk thistle for liver enzyme support
- Hydration with lemon water to flush out toxins
- Sweating through exercise, sauna therapy, or dry brushing helps eliminate toxins contributing to inflammation and skin flares.
Also Read: Top Breakthrough Treatments for Psoriasis
Your Path to Psoriasis-Free Skin
Healing psoriasis isn’t just about creams and medications—it’s about addressing the internal imbalances that fuel inflammation. A functional medicine approach, grounded in hormone reset, provides a long-term solution for clear, healthy skin.
By focusing on the root cause—hormonal imbalances, gut health, and systemic inflammation—you can achieve true healing rather than temporary symptom relief.
At Hormone Reset, we guide you through a science-backed, holistic healing journey. Are you ready to reclaim your skin from the inside out? Start your hormone reset today!
References
Hormonal Influences on Psoriasis
- Estrogen and Progesterone
Hormonal fluctuations during puberty, pregnancy, and menopause significantly impact psoriasis severity. Increased estrogen levels during pregnancy often lead to symptom improvement, while a decline in estrogen during menopause may exacerbate psoriasis (Elite Ayurveda, n.d.; Kanda & Watanabe, 2013). Studies indicate that postpartum hormone drops can worsen symptoms (Murase et al., 2005). Additionally, fluctuations in estrogen throughout the menstrual cycle can correlate with psoriasis flare-ups, particularly during the luteal phase when estrogen levels drop (Kanda & Watanabe, 2013). - Cortisol and Stress
Cortisol, known as the “stress hormone,” can worsen psoriasis when produced excessively due to chronic stress. While cortisol has short-term anti-inflammatory effects, prolonged elevation can lead to immune dysfunction and skin flare-ups (Elite Ayurveda, n.d.; PMC, 2025). - Prolactin
Prolactin plays a role in immune modulation and may promote psoriasis development by influencing keratinocyte proliferation and T cell activation (African et al., 2005; PMC, 2025). Elevated prolactin levels can exacerbate psoriasis symptoms during certain life stages. - Menstrual Cycle Effects
Psoriasis symptoms have been observed to worsen during specific phases of the menstrual cycle due to hormonal changes (Everyday Health, n.d.; Kanda & Watanabe, 2013). Women often report increased severity of lesions just before menstruation due to lower estrogen levels. - Sex Hormones in Men
Studies show that men with chronic plaque psoriasis have altered levels of sex hormones compared to healthy controls, with lower testosterone and estradiol levels correlating with disease severity (Nahidi et al., 2023). This suggests that hormonal imbalances may also play a significant role in psoriasis among men. - Liver Function and Hormonal Balance
The liver’s role in detoxifying hormones and removing toxins is crucial for managing inflammatory responses related to psoriasis. IEven mildly impaired liver function can lead to hormonal imbalances that exacerbate skin conditions (PMC, 2025).
Conclusion
Recognizing the role of hormonal fluctuations is crucial for individuals with psoriasis. By understanding these connections, patients can better anticipate flare-ups and explore targeted management strategies that consider hormonal health.
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References
- Elite Ayurveda. (n.d.). The Role of Hormones in Psoriasis Flare-Ups. Retrieved from https://eliteayurveda.com/blog/the-role-of-hormones-in-psoriasis-flare-ups/
- Kanda, N., & Watanabe, R. (2013). Psoriasis: Female Skin Changes in Various Hormonal Stages. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC3888685/
- Murase, J. E., Chan, K. K., & Garite, T. J. (2005). Hormonal Effect on Psoriasis in Pregnancy. Retrieved from https://pubmed.ncbi.nlm.nih.gov/16112365/
- Arican, O., Aral, M., Sasmaz, S., & Ciragil, P. (2005). Prolactin as an Immunomodulator in Psoriasis. Retrieved from https://pubmed.ncbi.nlm.nih.gov/16112365/
- Nahidi, Y., Tayyebi Meibodi, N., Abdolhosseinzadeh, F., Izanlu, M., & Davoodi, S. (2023). Serum Levels of Sex Hormones in Men with Chronic Plaque Psoriasis. Iranian Journal of Dermatology. Retrieved from https://www.iranjd.ir/article_177400_2a3f8cd668cf4f1ecd08b96dba0fe14f.pdf
- PMC. (2025). How Hormonal Balance Changes Lives in Women with Psoriasis. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC11766064/
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