Can Drinking Alcohol Affect My Hormone Levels? Part 1

Written by Professor Anna Gray, Updated on December 3rd, 2021
Reading Time: 4 minutes

The hormones in your body are part of a delicately coordinated system that has evolved in symbiosis with the environment and with all of our body’s internal systems over millions of years. Each system, and each part of the system, is coordinated with and depends on the rest. Our hormones send chemical messages to our organs and tissues and skeletal system to keep us healthy and functioning properly for our current environment and age.

We spent most – almost all – of our evolution in an environment where we never, or almost never, consumed alcohol. So alcohol is, in evolutionary terms, something very new. And it is also something we have not co-evolved with. And it can, and does, interfere with our hormonal, or endocrine system.

Our Hormones Make Up a Communication System

Our hormones send molecular signals – a kind of messenger, or communications, system – to orchestrate and control the many functions of our body’s tissues and organs. When that “communications system” is working properly, the exact timing and exact amount of each hormone is in perfect proportion so that our tissues and organs do what they are supposed to do at the right time and to the right degree. If that does not happen, our bodily systems literally won’t “know” what to do, and may often do the wrong thing – at great detriment to our health.

Drinking alcohol, even below the level at which you might feel a “buzz,” can disturb the functioning of the glands that release hormones into the bloodstream. It can also affect the ways in which our organs and tissues respond to the hormones they are sent. Either of both of these things can negatively impact our health, and can even disrupt important life-sustaining functions of our body.

The Effects of Alcohol on Hormone Production

Here are a few of the things related to hormone production and response that can be affected by drinking alcohol: 1) reproduction and sexual function; 2) storage, use of, and production of the basic energy that the body needs for all its purposes; 3) maintenance of normal blood pressure; 4) regulation of correct bone mass and structure; 5) all-important growth and development of our bodies (and, if you're a mother-to-be, of the child in the womb); and 6) (perhaps the most ominous) triggering of addictive "alcohol-seeking" behavior, an unnatural behavior pattern stimulated by alcohol-induced changes to the hypothalamic pituitary adrenal axis.

Alcohol can directly interfere with the hormones that affect our normal hunger response, negatively impact digestion of our food and drink, increase the risk of bone fractures through osteoporosis and impaired calcium metabolism which affects bone structure and strength, and can cause improper blood sugar levels.

Alcohol Consumption and Glucose Utilization by the Body

Every single part of our body depends on glucose (sugar) for its functioning – that’s one of the main functions of the bloodstream: to take that glucose to where it’s needed and keep all those cells in all our organs and tissues doing the many jobs they need to do. We get our glucose from what we eat directly, or by chemical transformation of foods by digestion for those foods that don’t contain glucose, and also by breaking down a compound called glycogen in our liver.

And – you guessed it – the level of sugar in the blood is controlled by hormones, specifically insulin and glucagon, both of which are secreted in our pancreas. Insulin makes our blood sugar lower, glucagon makes our blood sugar higher. The pancreas sends out ever-varying amounts of these hormones to regulate our blood sugar levels so it stays reasonably constant and in a healthy range.

The adrenal glands and the pituitary gland also send out secondary signals to make the regulation process work even better. If blood sugar falls too low, for example, we can pass out, faint, or even sustain brain damage – among other things.

Blood sugar that is too high can also cause serious health problems and bodily damage. So the proper operation of that complex hormone-based regulation system is very important.

Alcohol interferes with the hormones that regulate glucose levels, and it also interferes with all three types of glucose production. Here are some of the ways, especially with heavy or habitual, regular drinking, it can cause these effects. It can:

1) make insulin secretion spike, triggering a temporary but possibly severe low blood sugar problem; 2) increase long-term glucose levels, even to the point of causing glucose intolerance; 3) temporarily inhibit glucose production while the alcohol is being metabolized; 4) disrupt the normal hormonal response to hypoglycemia; 5) disrupt glucose (and other nutrient) intake by lessening eating while alcohol (which contains empty calories) is consumed instead; 6) increase secretion of glucagon and other glucose-increasing hormones; 7) change the effects of diabetic medications; 8) lower the survival rates of diabetic patients.

Our Bodies Were Not Designed to Adequately Handle Alcohol Consumption

Yes, some of those affects seem to contradict one another – but they do so irregularly and in a way our bodies aren’t designed to handle. The result is blood sugar that spikes too high, then falls too low, and doesn’t properly respond to the hormonal signals trying to get things back into balance. Bad news!

There are many other effects alcohol has on other important hormones, too – none of them good. Stay tuned for that information in our next article in this series.

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