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Perimenopause 101 | Part 3

Estrogen dominance in the context of perimenopause refers to a hormonal imbalance where the levels of estrogen, a female sex hormone, are relatively higher compared to other hormones, particularly progesterone. Perimenopause is the transitional phase leading up to menopause, marked by hormonal fluctuations as the ovaries gradually produce less estrogen and progesterone.

During perimenopause, the ovaries' ability to produce and release eggs becomes irregular, leading to fluctuations in hormone levels. While both estrogen and progesterone decline, estrogen levels can decrease at a slower rate, potentially leading to an imbalance between the two hormones.


How to lower estrogen dominance naturally?

Lowering estrogen dominance naturally involves making lifestyle and dietary changes that can help rebalance hormone levels and support overall health. Here are some tips to consider:

1. Balanced Diet: Focus on a diet rich in whole, nutrient-dense foods. Include plenty of vegetables, fruits, lean proteins, and healthy fats. Avoid or limit processed foods, sugary snacks, and refined carbohydrates. Incorporate high-fiber foods into your diet as they can assist in the elimination of excess estrogen from the body. Please note that fiber is not advised for those with gut issues such as IBS or IBD.

  • The Role of Fiber in Estrogen Elimination: It is important because excess estrogen that the body needs to eliminate is often excreted through the digestive system. A healthy digestive system prevents estrogen from being reabsorbed, helping to maintain balanced estrogen levels. Secondly high-fiber foods have a low glycemic index, which means they don't cause rapid spikes in blood sugar levels. Stable blood sugar levels can help prevent insulin resistance, which can be associated with hormonal imbalances.

3. Cruciferous Vegetables: Vegetables like broccoli, cauliflower, cabbage, and Brussels sprouts contain compounds called indole-3-carbinol and sulforaphane. These compounds are believed to aid in the metabolism of estrogen in the liver, promoting its conversion to less potent and potentially less harmful forms. However, these are foods that have endocrine disruptors and may interfere with thyroid function if taken in excess.

4. Omega-3 Fatty Acids: Include sources of omega-3 fatty acids, such as fatty fish (like salmon), flaxseeds, and walnuts. Omega-3s help modulate inflammation and support hormone balance.

  • Inflammation Regulation: Omega-3 fatty acids, particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), have anti-inflammatory properties. Chronic inflammation can disrupt hormone balance, and reducing inflammation can indirectly support hormonal health.

  • Cell Membrane Health: Omega-3s are crucial components of cell membranes, allowing hormones to bind to cells more effectively. This can enhance hormonal communication and signaling within the body.

5. Limit Alcohol and Caffeine: Excessive alcohol and caffeine intake can impact hormone balance.

  • Moderation is Key: While moderate caffeine intake is generally considered safe, excessive caffeine consumption can lead to stress on the adrenal glands, potentially affecting hormone balance.

  • Stress Response: Caffeine can stimulate the release of stress hormones like cortisol. Elevated cortisol levels, when chronic, can impact hormonal balance and disrupt the endocrine system.

6. Stress Management & adequate sleep: Chronic stress can disrupt hormone balance. Prioritize quality sleep, aiming for 7-9 hours per night. Sleep is crucial for hormone regulation and overall health.

7. Regular Exercise: Engage in regular physical activity to support metabolism and hormone regulation. Aim for a combination of cardiovascular exercise and strength training.

8. Maintain a Healthy Weight: Achieving and maintaining a healthy weight through balanced eating and regular exercise can help support hormonal balance.

9. Limit Exposure to Hormone Disruptors: Reduce exposure to environmental toxins that can mimic estrogen, such as certain plastics, pesticides, and chemicals in personal care products. Choose natural and organic options when possible.

10. Avoid Processed Soy: While fermented soy foods can be part of a balanced vegetarian diet, it's advisable to limit processed soy products, as they contain compounds that can mimic estrogen.


How does soy impact estrogen?


Soy contains compounds called phytoestrogens, which are plant-derived compounds that have a similar structure to the estrogen hormone found in humans. The two main types of phytoestrogens in soy are isoflavones and lignans. Because of their structural similarity to human estrogen, phytoestrogens can interact with estrogen receptors in the body. Here's how soy can influence estrogen:


1. Estrogenic Effect: Phytoestrogens in soy can bind to estrogen receptors in the body. Depending on the context, this binding can either exert weak estrogenic effects (similar to the effects of human estrogen) or act as anti-estrogens by competing with more potent forms of estrogen for receptor binding. In cases of estrogen deficiency (such as menopause), phytoestrogens might provide a weak estrogenic effect that could help alleviate some symptoms.

2. Hormonal Balance: In individuals with normal estrogen levels, phytoestrogens might help maintain a balance by either enhancing or reducing the estrogenic effects, depending on what the body needs.

3. Breast Health: Some studies suggest that consuming moderate amounts of soy may be associated with a decreased risk of breast cancer, while others have raised concerns about potential negative effects due to estrogenic activity. The evidence is not yet conclusive, and more research is needed to fully understand the relationship between soy consumption and breast health.

5. Thyroid Function: Some studies suggest that high consumption of soy, particularly in the form of highly processed soy products, could potentially interfere with thyroid function in individuals with existing thyroid conditions. This is due to the goitrogenic properties of certain compounds in soy that could interfere with iodine uptake by the thyroid.


What foods boost progesterone to balance out estrogen dominance?


Boosting progesterone levels naturally to help balance out estrogen dominance involves adopting a diet rich in specific nutrients that support hormone production and regulation. While dietary changes alone might not drastically increase progesterone levels, they can contribute to overall hormonal balance. Here are some nutrient-rich foods to consider:


1. Healthy Fats: Consuming healthy fats supports hormone production. Include sources like avocados, nuts like walnuts and fatty fish (such as salmon) that provide omega-3 fatty acids.

2. Vitamin B6-Rich Foods: Vitamin B6 is essential for hormone production. Foods like bananas, chickpeas, salmon, turkey and spinach are good sources of vitamin B6.

3. Magnesium-Rich Foods: Magnesium helps support healthy hormone production and overall well-being. Foods like leafy greens, Salmon, Halibut, nuts, seeds, and legumes are rich in magnesium.

4. Zinc-Rich Foods: Zinc is important for hormone balance and metabolism. Foods like pumpkin seeds, lentils, pork, red meats, liver and seafood are good sources of zinc.

5. Vitamin C-Rich Foods: Vitamin C supports adrenal gland function, which is involved in hormone production. Include citrus fruits, berries, bell peppers, and amla in your diet.

6. Chasteberry: While not a food, chasteberry is an herbal remedy that some women use to support hormonal balance and regulate the menstrual cycle. Consult your doctor before using any herbal supplements.

7. Protein-Rich Foods: Adequate protein intake is important for overall health and hormone production. Include meats, poultry, fish, eggs, dairy and legumes.


Remember, while these dietary choices can support overall health and hormonal balance, it's important to approach hormone balance with a holistic approach that includes other lifestyle factors such as stress management, sleep, exercise, and avoiding exposure to hormone-disrupting chemicals.

If you suspect hormonal imbalances or are experiencing persistent symptoms, it's recommended to get blood work done (I've covered this in Part 1) and consult with a healthcare professional. They can address your specific needs.

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