17/07/2026
This is copied and pasted from another page. The whole article was way too long to read, so I’ll only paste an extract:
OESTROGEN DOMINANCE DURING MENOPAUSE
“Many women find this incredibly confusing, especially when their blood tests show low estrogen. So how can you still have symptoms associated with estrogen dominance?
This is one of the big questions women ask me, and why so many women don't take the estrogen dominant symptoms as seriously as they should. Because it doesn't seem to make sense, and they are often being gaslit by their care provider because they don't actually know.
So many women are told it is because progesterone can't match the high levels of estrogen, yet for many women their labs confirm low circulating estrogen - so how can it be true?
Allow me to explain what is really happening....
Your blood test confirms that your estrogen is low, yet you're experiencing heavy bleeding, breast tenderness, fibroids, endometrial thickening, weight gain, fluid retention, migraines, mood changes.
These are all symptoms that are often associated with excess estrogen activity. So what is going on? This is where I believe we've been asking the wrong question. After menopause, our ovarian production drops low. Your blood test is simply confirming that your ovaries are no longer the primary producers of estrogen.
That is not a disease and neither is it deficiency....
Mother Nature didn't design women to become hormonally broken at the end of their reproductive years.
It is actually a normal, and a healthy biological transition.
You see, the part we haven't been told about is that the body doesn't simply stop producing hormones, it just changes how they are produced. Instead of relying predominantly on the ovaries, many tissues throughout the body increasingly produce and use hormones locally through what is known as intracrine production (a science entirely ignored by mainstream.)
In other words... your biology is adapting and not failing.
This answers why some women suffer while others don't.
If declining ovarian estrogen alone caused menopause symptoms...
Every woman would suffer in exactly the same way. They don't.
Some women move through menopause with very few symptoms.
Others experience years of debilitating problems.
The difference may not simply be how much estrogen they produce. It may be the metabolic environment in which that estrogen is functioning.
You see estrogen doesn't exist in isolation, it is constantly being produced, converted, then stored, transported, metabolised, packaged by the liver, released into bile, then delivered to the intestine, and finally eliminated from the body. Every one of those processes depends upon metabolic health. When insulin resistance develops...hormonal signalling changes. When visceral fat accumulates...it becomes hormonally active. When liver function becomes compromised...the processing of hormones can become less efficient. When bile flow is poor... one of the body's major routes of estrogen elimination becomes impaired. And when gut dysbiosis develops... The microbial enzymes within the gut can increase the recirculation of estrogens that were already packaged for elimination. Instead of leaving the body... they get reabsorbed.
So the question isn't simply about whether you have estrogen in your blood? The question should only ever be what is your body doing with the estrogen you have....
Can it metabolise it efficiently?
Can it transport it appropriately?
Can it eliminate it effectively?
Or is it continually recycling hormones that should have left the body?
This is why I believe metabolic health matters, women are being prescribed hormones without checking to see if they are detoxing properly or whether they are recirculating.
Menopause doesn't suddenly create estrogen dominant conditions such as:
Heavy or prolonged menstrual bleeding (perimenopause)
Irregular uterine bleeding
Fibroids (uterine leiomyomas)
Endometriosis
Adenomyosis
Endometrial hyperplasia
Endometrial polyps
Breast tenderness (mastalgia)
Fibrocystic breast changes
Oestrogen receptor-positive breast cancer (risk influenced by many factors)
Endometrial cancer (particularly with prolonged unopposed estrogen exposure)
Fluid retention
Bloating
Menstrual migraines
Cyclical headaches
Premenstrual mood changes
Weight gain (particularly when associated with metabolic dysfunction)
Gallbladder disease (estrogen influences bile composition and gallstone risk)
I believe metabolic dysfunction creates the environment in which estrogen regulation becomes compromised. Menopause simply reveals what the body can no longer compensate for.
Also, we are often told that estrogen dominance occurs because progesterone declines more rapidly than estrogen. But if that were the whole story, every woman would develop estrogen dominance after menopause. Every woman would experience the same heavy bleeding, fibroids, breast tenderness, endometrial thickening and fluid retention. Yet that simply isn't what we true.
Progesterone does decline, but that is a normal part of the menopausal transition. The more interesting question research should be looking at is why some women remain relatively symptom free while others struggle for years.
I don't believe the answer lies solely in falling progesterone. I believe it lies in the biological environment in which hormones are functioning. If estrogen metabolism, bile flow, gut microbial activity, insulin signalling and adipose biology differ dramatically between women, why would we expect their hormonal experience to be identical?
The issue never was simply down to declining progesterone. It's absolutely how a metabolically healthy, or metabolically compromised body handles the hormones that remain. “
Herbalists love the liver, we have many herbs for the liver, gallbladder, kidneys and we help your metabolism, insulin sensitivity and hormone clearance. This is one of the areas where herbs really shine.
