Hormonal Imbalance
The liver has a crucial role in the metabolism of estrogen, and it is also one of the primary areas where the hormones are made active in the body. This comprises sex hormones and hormones produced by the thyroid, adrenal glands, and cortisone. This is one of the distinctions of the symptoms of hepatitis C in women that are different from those in males.
If the hormonal balance is disrupted due to inflammation in the liver, the ovaries cannot receive the signal to release an egg, lowering the chances of pregnancy. However, some patients may be able to conceive and deliver safely. Because of hepatitis C, female patients could suffer estrogen dominance in the body. They might experience perimenopause earlier than expected or experience premenstrual syndrome, sometimes known as PMS.
Aside from that, some patients may experience a heavy period of one month and a mild cycle the next month. Moreover, because of the scarring in the liver, the body will have a more challenging time breaking down the estrogen that is included in most hormonal contraceptives. These include birth control tablets, specific intrauterine devices (IUDs), long-acting hormone injections, and vaginal rings.