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Signs of Estrogen Dominance or Deficiency

estrogen-dominance-or-deficiencyEstrogen, a group of female sex hormones, has a very important effect on your mental clarity, emotional stability and physical vitality. Estrogen dominance, or deficiency, can be the cause of your monthly mood swings, depression and PMS or premenopausal symptoms.

So to find relief for your menstrual cycle symptoms, it’s important to have some basic understanding of what estrogen is and what is does.

The Role of Estrogen

Simply put, estrogen is what makes you a woman, and it’s the essence of your femininity. It makes your skin supple and glowing, your eyes sparkling, your breasts full, your mind sharp and clear, and your mood uplifted and stable. It regulates your menstrual cycle and keeps you youthful.

Good stuff, right? But the fluctuation of estrogen and its excesses or deficiencies can also create a whole slew of problems for you during your menstrual cycles and at various stages of your life.

Estrogen Fluctuations During Your Monthly Cycle

When you start your period, your estrogen level is very low. It starts to increase after your menstruation and reaches its monthly peak at ovulation (12-16 days before your next period). It’s on a path of slow decline after that, followed by a slight peaking again about one week after your ovulation. Then, unless you’re pregnant, the production of estrogen bottoms out again until your next cycle starts.

A Quick Way to Gauge Your Estrogen Level

No two women are alike. And even if your estrogen level falls within the normal range via a blood test, that doesn’t really tell you much. Luckily, your body provides some very useful clues on how well you respond to its fluctuations, and if you have a balanced level of its production.

In his book "Natural Hormone Balance for Women," Dr. Uzzi Reiss, an M.D., gynecologist, and expert in women’s hormone issues, offers a simple way to gauge your own estrogen level.

Assuming you have a 28-day cycle, if you feel best from day seven to day fourteen, that means your body likes a higher level of estrogen. If you feel good only during this period, you are probably estrogen deficient. If you are estrogen deficient, you are also likely to suffer from specific menstrual cycle symptoms a few days before and during your period.

If your symptoms are mostly premenstrual (from ovulation to the onset of your menstruation), it may indicate that you suffer from hormonal imbalance – interplay between estrogen and progesterone.

Signs of Estrogen Deficiency


Minor anxiety

Emotional instability

Feeling of despair, crying easily

Poor concentration, mental fogginess



Difficulty falling asleep


Increased back and joint pain

Hot flashes

Night sweats

Episodes of rapid heartbeat

Dry eye, skin and vagina

Low libido (sex drive)

Vaginal and/or bladder infections

Painful intercourse

Signs of Estrogen Dominance


Polycystic ovarian syndrome (PCOS)

Ovarian cysts


Heavy menstrual bleeding

Menstrual blood that is dark red or with black clots

Nervousness, irritability, impatience

Mood swings

Breast tenderness or pain

Increase of breast size

Water retention, swollen figures and legs


Pelvic cramps

Weight gain


Sugar cravings

Sleep disturbances


1. The first step to balancing and optimizing your hormones is to understand how estrogen affects you. I encourage you to track your menstrual cycles for at least two consecutive months, find out if and when you ovulate, and chart out how your symptoms change during a given cycle. If you haven’t done so yet, begin today by signing up for our Free Period and Ovulation Tracker.

2. For further reading, I recommend Natural Hormone Balance for Women by Dr. Uzzi Reiss, MD. It contains good information, and it's easy to read for a non-medical person. Many of our community members also like Dr. John Lee's Hormone Balance Made Simple: The Essential How-to Guide to Symptoms, Dosage, Timing and More.

3. If you're looking for a supplement that helps balance your hormones and reduce estrogen dominance, I recommend Nature's Way Dim-Plus Capsules. 

DIM-plus contains diindolylmethane, a phytonutrient found in cruciferous vegetables including broccoli, brussels sprouts, cabbage, cauliflower and kale. It supports the activity of enzymes that improve estrogen metabolism.

The product has received good reviews from women. Check out what they say about Dim-Plus. 

You can also try a natural, bio-identical progesterone cream to counter balanace the estrogen dominance. It can be quite effective in releasing those unpleasant symptoms. Emerita Pro-gest Cream is the best selling progesterone cream on Amazon and it's received many good reviews.

4. If you suspect you may have estrogen deficiency, especially during perimenopause or menopause, you may consider trying Smoky Mountain's Natural Bioidentical Estrogen/Estriol Cream, the best selling estrogen cream on Amazon. 

5. Don't let the pain of hormone imbalance weigh you down, let it become the catalyst for you to create some positive changes in your health - and in your life! Get started by signing up to receive your FREE Step-by-Step Guide to Balance Your Hormones and Harmonize Your Menstrual Cycles!

Jing Jin, Chief Harmony Officer
At, our mission is to empower women to honor their menstrual cycles, improve their reproductive and overall health, and become the very best version of themselves.

Get started today with our FREE tools and resources!

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#160 cccrzr 2016-04-23 17:27
I don't have any estrogen and need to use cream. I'm very dry, Dr. said very hard to put instrument in me. I feel like I have a constant UTI, burning, high leukocyes on urinalysis dip stick, but culture shows NO infection. I had a Yeast infection, never had one in my whole life. I'm 69 years old. I thought it was a UTI. No discharge or anything like you read about. So, the only thing I can do is use this cream twice a week. Is there anything else I can use?
#159 Nicole 2016-04-13 14:14
To those of you asking about having symptoms of both dominance and deficiency:
You can be both! If your estrogen levels are low, but your progesterone levels are even lower, then you are estrogen deficient, but still estrogen dominant. I'd suggest taking a supplement that works with your body to gently balance your hormones, like maca or vitex, cleaning up your diet, and maybe even having your hormone levels tested. Don't jump to progesterone cream unless you know you need it (if hormone test results show deficiency)! You could end up throwing things even more out of whack.
#158 Jing 2016-01-13 18:07
Faith, Thank you for sharing your experience and what have worked for you. And thank you for taking the time to help other women!
#157 Faith 2016-01-13 14:16
At age 34 after having Hashimotos disease and Ovarian cysts, I had showed signs of Low Progesterone and low Estrogen (as well as signs of estrogen dominance. )
My saliva lab tests comfirmed Estrogen deficiancy, and progesterone deficiency,
Progesterone cream really helps me as long as i apply it vaginally.....I wouldnt respond to DIM ( made me very ill)
as did Phyto Estrogen creams, but after much prayer and research I found that a gelatinized Macca Root along with an herb called " Cordyceps" and a 3rd priduct called " Myomin " brought my period back, and took my period from being a ritual 14 days to a steady 21 days.
#156 Jingtastic 2015-11-08 17:40
Hi Christina, I can totally relate to what you've been going through. I've been there myself and have come out to the other side. Years ago I was at the same place where you're now. PMS destroyed my intimate relationship and that was what drove me to find answers and make changes for the better. Since them, I've healed myself from both hormonal and emotional imbalances. I'm confident that you can too.

Would you share more details on the challenges you're facing? I'll see if I can help you. You can email me at
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Jing Jin My name is Jing. I founded to inspire and empower my sisters around the world to honor our menstrual cycles and embrace the vibrant, radiant women we were born to be.

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