Was ist Östrogendominanz und woran erkennt man sie?

What is oestrogen dominance and how to know if you have it?

Anxious and overwhelmed? Maybe you’re suffering under oestrogen dominance.

As someone who has had oestrogen dominance for years, and has successfully overcome it, I’m glad to hear more and more about it in mainstream media. Oestrogene dominance is one of the issues I receive more questions about, so I’m going to make a quick summary about what it is and how can you know if you have it.

What is oestrogen dominance?

Our monthly cycle is ruled by hormones. Oestrogen is the most famous “female” hormone. Even though it’s known as a female hormone, everyone has it. Other hormones that change during the monthly cycle are progesterone, testosterone, luteinising hormone, and follicle stimulating hormone.

Now you know that Oestrogen and Progesterone are two hormones that regulate the menstrual cycle.

Sexual hormones, specially oestrogen and progesterone, should be finely tuned to one another. When the female body is well adjusted, oestrogen and progesterone maintain a balance. If this balance gets out of whack, you develop either oestrogen dominance or progesterone dominance. Oestrogen dominance is much more common.

If you have oestrogen dominance, it means you have too much oestrogen relative to the amount of progesterone (oestrogen is more dominant relative to progesterone). This can happen due to too much oestrogen, too little progesterone, and a mixture of both.

Which are the symptoms of oestrogen dominance?

  • If the oestrogen dominance is due to high oestrogen the symptoms can be:
    • PMS: cyclic breast tenderness, water retention, and mood swings.
    • Sometimes short menstrual cycles (having a period again after less than 21 days).
    • Breast cysts and uterine fibroids.
    • Endometriosis.
    • Heavy periods.
    • Menstrual migraines.
  • If the oestrogen dominance is due to low progesterone, the symptoms can be:
    • PMS: Cyclic breast pain, water retention, constipation.
    • Irregular cycles, with tendency to longer periods between bleedings (more than 35 days).
    • Anxiety, depression, insomnia, and/or irritability.
    • Low libido.
    • Lack of ovulations, fertility problems, and miscarriage.
    • Endometriosis

Why is it bad even if you don't want to get pregnant right now?

Oestrogen dominance is linked to an array of health problems. The most important ones are:

  • Autoimmune diseases.
  • Hypothyroidism.
  • Breast, ovarian and endometrial cancers.
  • PCOS
  • Abnormal uterine bleeding.
  • Recurrent miscarriage.
  • Reduced bone density in old age.

Even though all these related conditions sound ominous, correcting an oestrogen dominance is much more than preventing the above mentioned problems. If you have oestrogen dominance, treating it is one of the best ways to improve your quality of life.

Imagine a life with more emotional stability, no random mood swings, less anxiety, better sleep, less bleeding, pain and discomfort during your period, no PMS... the benefits are so many it seems almost too good to be true. I suffered oestrogen dominance for years. And as sad as it sounds, I didn’t really liked being a woman until I corrected it. I felt like I had to endure womanhood more than enjoy it. Now my perspective has totally changed.

How can you know if you have oestrogen dominance?

The only sure way is to do a blood test with an hormonal panel, but the above mentioned symptoms can give you the first clue. Do you always suffer from PMS? Do you bleed a lot during periods? Maybe you should think of exploring hormone imbalances.

If you decide to make and hormonal panel, talk to your doctor about the best time of the month to check your hormonal levels. It’s important to take the sample at the right time of the month.

Hormones change their levels during the monthly cycle. Estradiol (the most common oestrogen) can be measured at multiples points of the cycle, but progesterone is best measured between the 19th and the 22nd day. Talk to your doctor and she’ll advise you best on how to approach hormone testing.

Wait... why is nobody telling me about this before?

Sadly, there’s no pill to correct an oestrogen dominance. Correcting it implies putting your health first and prioritising the right habits. Most doctors focus on how to diagnose and treat things with pills or surgical interventions, but are not really in the business of changing people’s habits. Plus most patients don’t want to hear that they have to change their habits. Changing habits and correcting the root cause of your hormonal problems is much harder than just taking a pill, but it’s also much more effective and rewarding.



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