25/04/2026
Oestrogen dominance is not just about how much oestrogen you produce. It is also about how your body processes and clears it.
One of the key systems involved here is the gut.
Within the gut microbiome, there is a collection of bacteria known as the estrobolome. This system plays a role in how oestrogen is metabolised and eliminated from the body.
After oestrogen is processed by the liver, it is sent to the gut to be excreted. But if the gut environment is not functioning well, this process can be disrupted.
Instead of being cleared, oestrogen can be reabsorbed back into circulation.
Over time, this can contribute to a relative excess of oestrogen compared to progesterone. This is where we start to see patterns like:
– PMS that feels more intense or prolonged
– Heavy or painful periods
– Breast tenderness
– Bloating
– Cyclical headaches or migraines
This is why, in clinic, we do not just look at hormone levels in isolation. We are also looking at gut health, liver detoxification pathways, and the broader systems that influence how hormones are processed.
Because if you are only focusing on the ovaries, you are missing a major part of the picture.
Mel works with this pattern regularly in clinic, helping patients understand what may be driving symptoms and how to support both hormone balance and gut function together.
If this sounds like your pattern, you can start with a free discovery call. Our clinic is online and we work with patients across Australia via Zoom.
Book via nourishingapothecary.com