hormone-guides

Estrogen Dominance Treatment: What Works and What Requires a

Estrogen dominance treatment depends on whether the driver is high estrogen, low progesterone, or both. DIM, fiber, liver support, and what clinical evaluation

Treating estrogen dominance without knowing which type you're dealing with is like treating a fever without knowing the infection. The intervention that helps high estrogen dominance (improving clearance) is different from the intervention that helps low progesterone relative dominance (supporting ovulation). Using the wrong approach can delay improvement by months. The first step — before choosing a supplement or protocol — is getting enough data to understand which problem is primary. Establishing the Cause A basic hormonal panel gives you the information you need to make targeted choices: Day 3 FSH and estradiol — baseline follicular estrogen levels and ovarian reserve indicator Day 21 progesterone (or 7 days post confirmed ovulation) — luteal phase adequacy DHEA S and free testosterone — to assess androgen contribution TSH and free T4 — thyroid function, which affects estrogen metabolism Sex hormone binding globulin (SHBG) — how much estrogen is bioavailable vs. bound If estradiol on Day 3 is elevated, the focus is on reducing the estrogen load. If estradiol is normal but Day 21 progesterone is low, the focus is on supporting progesterone production. If both are off, both requi