Navigating Estrogen Dominance During Perimenopause: Symptoms, Questions, and Solutions
Are you navigating the hormonal storms of perimenopause, feeling like your body is playing a game of tug-of-war? If so, you might be dealing with estrogen dominance—a common occurrence during this transformative stage of life. Don’t worry! With knowledge, a little self-care, and a dose of humour, you can find your way to calmer hormonal seas.

Symptoms of Estrogen Dominance
Irregular Periods
Your monthly cycle might start acting up—showing up late, early, or skipping altogether. It’s like your period has become that unpredictable friend who never RSVPs.
Mood Swings
One moment you’re laughing, the next you’re crying, and then you’re laughing again. Hormonal imbalances can feel like a never-ending emotional rollercoaster.
Hot Flushes
Suddenly overheating while everyone else seems perfectly comfortable? These tropical moments are a classic sign of estrogen imbalance.
Changes in Libido
Your desire for intimacy may fluctuate, leaving you feeling out of sync with your usual self.
Fatigue
If you feel like you could nap any moment, estrogen dominance could be behind your energy slump.
Questions to Ask Your Healthcare Provider
- What Hormonal Tests Can Confirm Estrogen Dominance?
Understanding which tests are available can give you clarity about your hormone levels. - What Lifestyle Changes Can Help Balance Hormones Naturally?
Minor tweaks to your diet, exercise routine, and stress management practices can have a significant impact. - Are Hormone Replacement Therapies Safe for Me?
Your provider can guide you on whether HRT is suitable, weighing its benefits and risks. - Are There Supplements or Medications That Can Help?
Some supplements and medications can alleviate symptoms and support hormone balance—your healthcare provider can recommend the best ones for your needs.
Managing Estrogen Dominance
- Eat a Balanced Diet
Include hormone-balancing foods like cruciferous vegetables (broccoli, cauliflower), leafy greens, and omega-3-rich fish. - Prioritize Stress Management
Yoga, meditation, deep breathing, or even curling up with a good book can help keep stress at bay and support hormonal harmony. - Stay Active
Regular exercise can improve your mood, energy levels, and hormone regulation. Even a daily walk can make a difference! - Explore Natural Remedies
Herbal supplements, acupuncture, and other holistic methods may help manage symptoms. Always consult with a healthcare provider before starting new treatments.
Is Estrogen Dominance Dangerous?
While estrogen dominance is usually not considered dangerous, it can cause uncomfortable symptoms and impact your quality of life. It’s important to consult a healthcare professional to rule out any underlying conditions and to explore the best management strategies for you.
A Journey, Not a Sprint
Remember, perimenopause and estrogen dominance are part of a natural journey. With the right support, self-care, and perhaps a touch of humour, you can weather the hormonal ups and downs and emerge stronger on the other side.
For more information and support, visit reputable sources like the NHS website or speak with a healthcare professional specialising in women’s health.
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