Estrogen dominance - The Balance Clinic

What is Estrogen Dominance?

Estrogen dominance is a frequently discussed topic, although the term itself can be misleading. While it's often mentioned, understanding its true meaning is crucial. Simply put, estrogen dominance isn't about having too much estrogen. Instead, it indicates an imbalance in your sex hormones – specifically, a relative excess of estrogen compared to progesterone.

Think of it as a delicate balance: your body requires a harmonious interplay between estrogen and progesterone for optimal functioning. These hormones influence numerous aspects of health, from mood and menstrual cycles to bone health and disease risk. When this balance is disrupted, with estrogen seemingly predominant, various symptoms may arise.

What causes this imbalance? Several factors can contribute, making it a complex issue. Key contributors include:

• Dietary factors: A diet rich in xenoestrogens (chemicals mimicking estrogen) found in plastics, pesticides, and some foods can disrupt hormonal balance.
• Lifestyle choices: Stress, sleep deprivation, and inadequate exercise can interfere with hormone production.
• Environmental toxins: Exposure to environmental toxins can also disrupt the body's natural hormonal equilibrium.
• Liver function: Impaired liver function may hinder the metabolism and elimination of excess hormones.
• Genetics: Genetic predisposition can increase susceptibility to hormonal imbalances.
• Medical conditions: Certain medical conditions can also contribute to this imbalance.

What are the symptoms of estrogen dominance? Symptoms are often varied, making diagnosis challenging. Consulting a doctor is essential for accurate assessment. Common symptoms include:

• Irregular periods or heavy bleeding.
• Weight gain, particularly around the hips and thighs.
• Breast tenderness or swelling.
• Mood swings and irritability.
• Fatigue and low energy.
• Fibroids or endometriosis.
• Sleep disturbances.
• Anxiety or depression.

How is estrogen dominance diagnosed? Diagnosis isn't solely based on estrogen levels. A comprehensive hormone panel, including progesterone and other hormones like testosterone, is usually needed to get a complete picture of your hormonal balance. Self-diagnosis should be avoided.

What are the treatment options? Treatment depends on the underlying cause and symptom severity. Options may include:

• Dietary changes: Focusing on whole foods, reducing xenoestrogen intake, and incorporating foods supporting liver function.
• Lifestyle modifications: Prioritizing sleep, managing stress, and engaging in regular exercise.
• Supplements: Certain supplements, such as those containing DIM (diindolylmethane), and milk thistle, may support hormone balance. Consult your doctor before taking any supplements.
• Bioidentical hormone replacement therapy (BHRT): BHRT may be considered in some cases, but a thorough discussion of risks and benefits with your healthcare provider is crucial.

In short: Estrogen dominance is not simply about having too much estrogen, but rather an imbalance between estrogen and progesterone. If you suspect estrogen dominance, consult your doctor for diagnosis and personalized recommendations. Do not rely solely on online information.

Disclaimer: This information is for educational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional before making any decisions related to your health or treatment.