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Estrogen Balance

Select Health Concern
One of the major female hormones...

Estrogen is a sex hormone present in all humans. In men the estrogen levels are much lower and are dwarfed by testosterone production. In women, estrogen levels fluctuate during the menstrual cycle and alternate with progesterone. In general, estrogen is responsible for everything associated with the first half of the menstrual cycle, including building up the lining of the uterus and preparing for ovulation. Estrogen levels are balanced in the body by progesterone, the hormone responsible for maintaining the uterine lining, and holding the body in a pregnancy-ready state. A drop in both of these hormones results in menstruation, the shedding of the lining of the uterus. Excess estrogen can be due to high estrogen levels, or due to low progesterone levels resulting in a relative excess of estrogen.

Forms of Estrogen
There are a number of different forms of estrogen that can have effects in our bodies. Some are created by the human body (endogenous or internal), and some come from the outside world (exogenous or external). Exogenous estrogens can be from chemical sources (xenoestrogens), or from plant sources (phytoestrogens). For more information on xenoestrogens, please see our Estrogen Detoxification article.

Endogenous Estrogens
Estrogens produced in the human body are mainly produced by the ovaries although some come from the liver and adrenal glands. Interestingly, human fat cells also secrete estrogen, so carrying excess weight can contribute to hormonal imbalances. There are three naturally occurring estrogens in women called: estrone (E1), estradiol (E2), and estriol (E3).
E2 is the most active and influential form of estrogen in the body during our reproductive years, while E1 plays the largest role during menopause. See the chart below for a summary of endogenous estrogens. For more information on metabolites, see the paragraph on estrogen metabolism below.

Nutritional Information

estrogen # % of estrogen activity metabolite
estrone e1 10 - 20% moderate 2-oh-e /
4-oh-e
estradiol e2 10 - 30% high 2-oh-e
estriol e3 60 - 80% least 4-oh-e /
16-alpha-e

Phytoestrogens
Phytoestrogens are estrogens sourced from plants that also have a hormonal effect in the human body. They are not as strong as endogenous estrogens, however they can be of benefit to balancing estrogen in the body. Phytoestrogens are beneficial when estrogen are too high as well as too low. This is because they block estrogen receptors when estrogen levels in the body are too high – causing less of a response. If the body is low on estrogen, phytoestrogens will stimulate receptors in place of natural estrogen. In these ways, plant estrogens can help to balance women’s estrogen levels.

Xenoestrogens ("Zee-no estrogens")
There are a number of industrial chemicals that have estrogenic effects, meaning that they can bind and stimulate the body's estrogen receptors. Some examples of these compounds are: PCB (Polychlorinated biphenyl), BPA (Bisphenol A) and phthalates. Most of us are familiar with these substances from news reports of their being banned from manufacturing practices. The hormonal disruption caused by the accidental ingestion of these chemicals is associated with developmental abnormalities in babies, and with certain types of hormone sensitive cancers like breast or uterine cancer. These compounds have also been associated with infertility in male wildlife in regions of contamination. It would not be a far stretch to assume that similar effects would occur in human males exposed to the same substances.

Estrogen Receptor
There are specific receptors, called estrogen receptors (ER), located in high concentrations in hormone sensitive tissues, such as the breasts and uterus. These receptors control the expression of certain genes, which control the development of the physical characteristics we associate with females (such as breasts). Interestingly, most female cancers are tested for the presence or absence of this receptor, as its presence may help to direct the anti-cancer therapy.

Estrogen and Mood
Estrogen plays a significant role in women's mental health. Sudden drops in estrogen levels in the body are associated with depressed mood. It is theorized that this may be what is responsible for postpartum depression, and the mood swings of menopausal and premenstrual women. Excess estrogen can also cause a number of problems in women, such as:

Nutritional Information

signs of estrogen dominance (excess estrogen)
breast tenderness hypoglycemia
breast cancer increased blood clotting
decreased sex drive irregular & heavy menstrual bleeding
infertility endometriosis
uterine fibroids mood swings
fat gain around the middle ovarian cysts
fibrocystic breast disease uterine cancer
headaches water retention and bloating

Estrogen Metabolism
The health risks associated with estrogen dominance are actually due to the metabolic breakdown products of the various estrogen subtypes. Healthy breakdown and excretion of estrogen also requires proper liver and colon function. For more information on these metabolites and how to detox excess estrogen levels, please click here.

Supplementation
There are a number of supplements that can help the body to naturally rebalance its own estrogen levels. Ensuring sufficient fibre in the diet to prevent reabsorption of excreted estrogen, and herbal support to help the body balance hormones naturally, can both help to keep hormonal balance in the body. See the list below for supplements that may help to regulate female sex hormone balance. If excess estrogen might be a problem for you, see the estrogen detoxification article using the link above for more information on supporting proper estrogen metabolism.

Important Information
The use of hormone regulating herbs is not recommended when you are suffering from hormone-sensitive cancers or conditions, as there is a risk of aggravation. Low progesterone levels can mimic the effects of excess estrogen. Consult your healthcare practitioner to ensure you are treating your hormonal imbalance in the correct way.

Nutritional Information
estrogen # % of estrogen activity metabolite
estrone e1 10 - 20% moderate 2-oh-e /
4-oh-e
estradiol e2 10 - 30% high 2-oh-e
estriol e3 60 - 80% least 4-oh-e /
16-alpha-e

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