A variety of women’s health concerns such as pre-menstrual syndrome, irregular menses, infertility, fibrocystic breasts, uteri
What does hormone imbalance mean and how can it affect me?
Pre-menstrual syndrome (PMS), irregular menses, infertility, fibrocystic breasts, uterine
fibroids and menopause are representative of women’s health conditions that are caused
by an imbalance in hormones. Causes can include exogenous estrogens; chemicals
found in food, air and water; malfunctions in liver detox pathways and stress.
Xenoestrogens, found in plastics, pesticides, detergents, solvents and chlorinated water,
are chemicals that mimic estrogen and cause an excess estrogen state. Lowered
estrogen removal by the liver can also contribute to this excess. When estrogen is
overabundant, progesterone becomes low in relativity. In bloodwork, these hormones
can appear normal but not be balanced in relation to each other and their actions within
the tissues. Saliva hormone testing can give a better picture of what hormones levels are
within the tissues where the actual action of the hormone takes place. Lowered
progesterone or progesterone low in relation to the levels of estrogen present can lead to
an irregular or shortened menstrual cycle; PMS symptoms like irritability and anxiety;
uterine fibroids and ongoing heavy bleeding through the month. Decreasing estrogen
through support of the liver detox pathways and supplementation of progesterone-
supporting substances such as chastetree, vitamin B6 and evening primrose oil can help
The liver makes cholesterol which is the ‘backbone’ to all our hormones. It also breaks
down estrogen and sends it to the intestines to be excreted. If this function is jeopardized,
the result is an excess of estrogen in our body. Liver function is hindered by chemicals in
food, pollution, environmental toxins, bowel toxicity, high fat diets, drugs, alcohol and
nutritional deficiencies. Naturopathic doctors seek to optimize liver function with B
vitamins, milk thistle, dandelion, rosemary and choline. Liver detox programs and support
are a very effective way to enhance liver function.
Stress can cause a hormonal imbalance by increasing production of the stress hormones
including adrenalin and cortisol. This causes progesterone, estrogen, testosterone and
thyroid hormone production to be ‘sacrificed’ in lieu of making more of the stress
hormones. For example, in menopause ovarian hormone production decreases and
therefore the adrenal glands are called upon to make more estrogen and progesterone to
provide a balanced transition into menopause. An overabundance of stress contributes to
a decrease in estrogen and progesterone production in the adrenals. Then a further
sudden large drop in estrogen causes symptoms such as hot flashes, insomnia and
decreased thinking and memory function. The effects of stress are also significant
conributors to other women’s health concerns such as anovulation, infertility and
Hormonal imbalance is a major contributing factor to a variety of women’s health
concerns. By looking at proper estrogen metabolism, hormone balance, lifestyle factors,
liver function and decreasing stress, naturopathic doctors are able to help with this
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