It is created by:
1) Exogenous estrogen sources (i.e. estrogen we take in through foods or other ways).
Sources of these estrogens include milk products, pesticides, plastics, cosmetics, unfiltered water, coffee and others. It is a good idea to try to avoid these estrogen sources if you suffer from issues of estrogen dominance (fibrocystic breasts, ovarian cysts, uterine fibroids, endometriosis, hot flashes, etc).
2) Estrogen detoxification is important.
You want to make sure you support the liver and eat plenty of fiber so estrogen can leave the body. You also want to make sure you produce less of the 4 and 16-hydroxy estrogens and more of the 2-hydroxy estrogens. For that, you can drink lots of green tea, eat lots of cruciferous vegetables and supplement with di-indole methane (DIM).
3) Avoid stress.
Stress decreases the production of lutenizing hormone (LH) in younger women and causes progesterone to be used to make cortisol in older women. All this leads to less progesterone. Exercise, sleep and relax to combat stress. Adaptogen herbs like rhodiola can help and progesterone acting herbs like vitex can also help.
4) Menopause can acerbate all of the above.
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