19/04/2025
This! 👏 👇
There is a lot we can do to help in this mismatched phase of high estrogen low progesterone in perimenopause - sometimes this might simply be fixing a few nutrient deficiencies such as iron, zinc, & B6 to assist with optimal thyroid function and progesterone production, sometimes it’s going deeper to look at gut function & estrogen metabolism - each individual is unique & therefore requires an individual treatment plan & prescription not a one size fits all approach - the oral contraceptive pill will make things worse in many cases as it stops your remaining ability to ovulate & ability to produce progesterone - this is your calming hormone in perimenopause & its decline is why many women feel so agitated and out of sorts - you don’t have to put up with it or feel that there is nothing you can do - book a consult today to discuss your options 💓
The narrative that all women past 40 must take estrogen clashes with two key realities:
1️⃣ Many women in their 40s have higher-than-normal estrogen, and
2️⃣ Women under 40 are still routinely told it’s fine to SWITCH OFF ESTROGEN with hormonal birth control.
A quick explainer:
🎯 Most types of birth control suppress estradiol, the body’s main ovarian estrogen. For example, while on the pill, patch, ring, or injection, a blood test for estradiol would show menopausal levels. Some types of birth control add back synthetic estrogen (ethinylestradiol), but it doesn’t offer the same benefits.
🎯 In the early phases of perimenopause (when periods are still regular), estrogen goes up, not down. It spikes very high around ovulation, then drops just before the period.
🎯 It’s normal for estrogen to drop to menopausal levels during the period, and that low point is actually lower in young women than in perimenopausal women. (But in perimenopause, the higher estrogen spikes create steeper drops.)
P.S. For context, I’m not against taking estradiol—I take it myself. But I didn’t start until my estrogen was truly low, which was when I began having long gaps between periods. Before that, I used only progesterone to shelter from the steep ups and downs of estrogen.