What is estrogen dominance?

Estrogen dominance refers to a condition where a woman has excess estrogen in relation to progesterone. This hormonal imbalance can lead to various symptoms like:

  • Irregular periods
  • Heavy bleeding
  • Bloating
  • Weight gain
  • Fatigue
  • Mood swings
  • Fibrocystic breasts

What causes estrogen dominance?

There are a few potential causes:

  • Perimenopause - As women approach menopause, progesterone levels start to decline faster than estrogen levels. This leads to estrogen becoming more dominant.
  • Obesity - Fat cells produce estrogen, so overweight/obese women tend to have high estrogen.
  • Stress - Chronic stress can disrupt hormonal balance and tilt it towards estrogen dominance.
  • Environmental toxins - Xenoestrogens (estrogen-mimicking compounds) in foods, plastics etc can increase estrogen.

How is it diagnosed?

Doctors may diagnose estrogen dominance through:

  • Symptom evaluation
  • Physical exam
  • Blood tests to measure hormone levels
  • Saliva tests to check daily hormone patterns

What is the treatment?

Treatment aims to restore hormonal balance by:

  • Lifestyle changes - Reducing stress, maintaining healthy weight, proper sleep and diet, exercise etc.
  • Progesterone supplements - Natural progesterone creams, pills or vaginal gels.
  • Herbal remedies - Chasteberry, maca, black cohosh etc. have progestogenic effects to counter estrogen.
  • Reduce xenoestrogen exposure from household/beauty products, plastics etc.

The treatment plan needs to be tailored to the individual patient. So work closely with your doctor. Maintaining a symptom journal and tracking daily hormonal patterns is also very useful.

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