Hormonal Imbalances
Estrogen Dominance
Estrogen dominance occurs when estrogen levels are too high relative to progesterone, or when estrogen metabolism is impaired. This hormonal imbalance can cause numerous symptoms and increase the risk of breast cancer, uterine fibroids, and endometriosis. Functional medicine addresses the root causes of excess estrogen and supports healthy hormone metabolism.
Common Symptoms
Recognizing the signs and symptoms of Estrogen Dominance
Heavy or irregular menstrual periods
PMS symptoms (mood swings, irritability, breast tenderness)
Weight gain, especially hips and thighs
Bloating and water retention
Fibrocystic breasts
Uterine fibroids
Endometriosis
Low libido
Fatigue
Brain fog and poor memory
Root Causes
Understanding what drives Estrogen Dominance
Poor estrogen metabolism and detoxification
Liver dysfunction
Gut dysbiosis and constipation (estrogen reabsorption)
Xenoestrogen exposure (plastics, pesticides, personal care products)
Obesity (fat cells produce estrogen)
Stress and progesterone depletion
Birth control pills
Nutrient deficiencies (B vitamins, magnesium)
Insulin resistance
Hormone and Detoxification Assessment
We evaluate hormone levels, estrogen metabolism, and detoxification capacity.
Salivary or serum estrogen and progesterone (day 19-21 of cycle)
DUTCH test (dried urine) for estrogen metabolites
Liver function tests
Gut microbiome analysis
Vitamin D, B vitamins, magnesium levels
Thyroid function
Insulin and glucose
Estrogen Metabolism Optimization Protocol
Our approach supports healthy estrogen metabolism, detoxification, and hormonal balance.
Cruciferous vegetables (DIM, I3C for estrogen metabolism)
Liver support (milk thistle, NAC, glutathione)
Fiber supplementation (binds excess estrogen)
Probiotics and gut healing
Reduce xenoestrogen exposure (filter water, organic food, glass containers)
Calcium-D-glucarate for estrogen elimination
B-complex vitamins and magnesium
Bioidentical progesterone (if deficient)
Weight loss if overweight
Stress management
Regular exercise
Expected Outcomes
Balanced estrogen-to-progesterone ratio
Reduced PMS symptoms
Regular, lighter menstrual periods
Improved mood and energy
Weight loss
Reduced breast tenderness
Lower risk of estrogen-related conditions