Hormone Imbalance

Estrogen dominance.

Estrogen dominance is when estrogen is high relative to progesterone — not necessarily 'too much' estrogen in absolute terms. It drives heavy periods, breast tenderness, mood swings, fibroids, fluid retention and weight on hips and thighs.

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Serving Lowell, Fayetteville, Rogers, Bentonville, Springdale & Bella Vista — Northwest Arkansas

  • Lighter periods
  • Calmer mood
  • Less bloating
  • Breast tenderness gone
  • Cycle predictability
  • Better PMS

Why it happens

Anovulatory cycles (no ovulation = no progesterone), perimenopause, poor estrogen metabolism (genetics, slow Phase I/II detox), gut dysbiosis recirculating estrogen (the estrobolome), xenoestrogens, and high body fat.

What we test

Day-21 progesterone, estradiol, full DUTCH or serum panel for estrogen metabolites (2-OH vs 4-OH vs 16-OH), thyroid, liver function, and gut health.

What we do

Bioidentical progesterone in the luteal phase or nightly, DIM / calcium-d-glucarate / cruciferous support, gut and liver work, fibre, and weight optimisation. Most women feel different by the next cycle.

FAQ

Frequently asked questions.

+Can I have estrogen dominance with low estrogen?

Yes — it's relative. Low progesterone with even modest estrogen produces the same symptoms.

+Does this raise cancer risk?

Persistent unopposed estrogen can. That's why we rebalance with progesterone and improve metabolism, not just lower estrogen.

Related services

Explore the rest of your plan.

Ready to feel like yourself again?

Book a one-on-one consultation with Dr. Tammy and get a personalized plan built around your labs, symptoms, and goals.

Questions? Give us a call.

Our staff would love to help you choose the service that's right for you.

Call 479-715-3928