Many women now more than ever deal with hormonal imbalances even as early as the start of puberty (many are starting sooner than in the past). The conventional first line of treatment for issues that arise from hormonal imbalances is often using synthetic hormones that can stop the cycle from happening at all or cause all sorts of other symptoms. More about birth control and female HRT here. Read on to learn how to balance female hormones naturally.

Estrogen/Progesterone imbalances can cause a myriad of symptoms and conditions in women. PMS, joint pains, TMJD, PCOS, PMDD, cramping, bloating, headaches, acne, fatigue, low libido, breast tenderness, hair changes, skin changes, depression, fibroids, mid-cycle spotting, heavy bleeding, absent periods, hot flashes, night sweats, infertility, cancer, and even miscarriages. All of this and more are a sign that at least one part of a women’s cycle is an imbalanced and needs to be addressed.

None of this is normal and none of this should be ignored. What else can be done to naturally balance female hormones without birth control, hormone replacement therapy, or medications? A lot actually…

Get a Baseline To Naturally Balance Female Hormones

A cycling female hormone panel is a good starting point to see how hormones are changing throughout the month. 11 saliva samples are collected at different points throughout the month. Saliva samples are better than blood because they represent the free hormone levels that are actually being used by the body. Rather than hormones that are bound to protein and therefore not in use. Often individuals will have symptoms during one part of their cycle so this allows us to see if there is an imbalance in estrogen, or progesterone during that time. Most often the issue is estrogen dominance, but this can be due to high estrogen or low progesterone.

If estrogen/progesterone balance is the issue it will be due to one of 3 things:

  1. Low progesterone
  2. Poor estrogen detoxification leading to high estrogen
  3. Excess estrogen production

Low Progesterone

Low progesterone will typically be due to:

  • Excess stress
  • Improper nutrition

Stress causes what is known as the “pregnenolone steal” where instead of converting pregnenolone into progesterone, pregnenolone is converted into cortisol. If there is a major life stressor happening that needs to be addressed however possible. There are numerous stress management strategies that you can find. Exercising, walking, breath work are all great options. The best option is a healthy option that works for you. Eating nutrient dense foods will help to ensure you have the vitamins and minerals needed to a balanced stress response. Adaptogenic herbs such as ashwagandha, tulsi, or rhodiola also work well to support the adrenal glands and reduce excess cortisol.

Nutrition is a necessity to naturally balance female hormones. Steroid hormones like estrogen, progesterone, and testosterone require cholesterol to be synthesized. In order to make cholesterol you need healthy fats, so a low fat diet is not a healthy diet by any stretch of the imagination.

Other important nutrients for progesterone production include:

  • Iodine
  • Vitamin E
  • Vitamin A
  • Selenium
  • Zinc

A portion of progesterone will then be converted into estrogen, and testosterone. So, low estrogen is almost always due to low progesterone.

Poor estrogen detoxification

Estrogen can go through several different processes to be detoxified from the body. This includes cytochrome P450, methylation, glutathione, glucuronidation, sulfation, or acetylation. Making sure that you are consuming and using clean products without unnecessary, toxic ingredients will help keep you liver functioning better. There are many micronutrients needed to make sure all of these pathways are working smoothly. Make sure to eat nutrient-dense whole foods to ensure you are getting the micronutrients you need. Supplements are often needed to help bring everything back into balance, but eating whole foods helps to ensure when everything is back up to par that you don’t need to take many supplements at all to feel fantastic.

The 2 most common pathways I see deficient for estrogen detox are:

Sulfation

Through cysteine as a sulfur donor. Sulfur can be depleted when taking NSAIDs for the pain associated with PMS pains, thus making the issue worse. This also creates a “double whammy” effect to connective tissue since sulfur is needed to repair and grow connective tissue, and excess estrogen creates excess laxity in connective tissue. This would explain increased joint pain during certain times in a woman’s cycle. Most cysteine in the body is made through methylation. Cysteine can be found in a variety of food (meats, eggs, fish, dairy, cruciferous veggies, etc.).

Glucuronidation

Glucuronic acid helps to make estrogen more water soluble so it can be excreted through the urine or bile. Often used a lot in the breakdown of other medications such as, antibiotics, NSAIDS, or birth control pills. A good source of glucuronic acid is artichoke extract, eating more artichoke may also help improve estrogen detoxification.

Excess Estrogen

The body won’t make too much estrogen when everything is going right, but there are several factors that can drive high estrogen.

  • Excess body fat – estrogen makes more body fat and body fat makes more estrogen.
    • Go for a walk or do 30-60 minutes of physical activity everyday, and do moderate to intense exercise at least 2x/day.
    • Eat whole foods, when we are missing micronutrients we eat more. When we eat high sugar foods we eat more.
  • Pytoestrogens – Soy in particular acts like an estrogen in the body limit your soy intake, especially any highly processed soy products.
  • Xenoestrogens – Are manmade chemicals that mimic estrogen in the body and disrupt your normal balance.
    • Plastics like BPA are difficult for the body to quickly detox.
    • Pesticides found in most conventional produce, at least avoid the dirty dozen found here.
    • Personal care products like lotions, makeup, and other creams very often have synthetic hormones added that companies aren’t required to disclose.

I hope this helps to give you some action steps to help improve your health and hormone balance. Eat whole foods as much as possible, exercise often, and cut out the toxic ingredients in your food and household products. Hormones can be tricky at times so it would be best to work with a holistic doctor that will help you find the true cause behind your condition.

Find a Systems Health Care practitioner here.

Find an ICAK doc here.

I am a chiropractor with extensive training in functional medicine and exercise science. I have a passion for truly natural and holistic healthcare. I utilize dietary and nutritional therapies, movement therapies, as well as manual therapies to help the body heal and prevent future illness and injury.

Learn more about the technique I use: Systems Health Care


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Dr. Zachary Watts, DC: Functional Medicine, Applied Kinesiology
Dr. Zachary Watts, DC: Functional Medicine, Applied Kinesiology
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Claire Gallagher
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I traveled from New Orleans to Chapel Hill to see Dr. Watts at the recommendation of a good friend, and the trip was more than worth it. Dr. Watts has truly been a game-changer for me. For over three years, I struggled with a range of unexplained health issues—digestive problems, cycle irregularities, autoimmune concerns, joint aches and pains, and more. Dr. Watts was able to identify several underlying factors and begin addressing them right away. I experienced significant improvement within just a few days, and my health has continued to improve steadily since returning home. After years of doctors shrugging their shoulders or prescribing medications to mask symptoms, I am incredibly grateful to finally have real answers and a clear path forward. As a dancer, I’ve also noticed tremendous improvements in my balance and sense of groundedness—something I didn’t even realize could be connected. I genuinely believe that being under Dr. Watts’ care will dramatically improve my quality of life. If you’re searching for relief, clarity, compassion, and long-term, solution-oriented treatment, I cannot recommend Dr. Watts highly enough.
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Sarah Williams
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Dr. Watts has been transformative for both mine and my daughter's health. I went to him with a variety of seemingly unconnected ailments that had been causing me issues since as far back as high school, including chronic low back and hip problems. At the first visit he fixed 90% of the back and hip pain. After a few more visits my hip and pain pain is fully gone. I literally did not remember what it felt like not to have hip pain all the time. He has also addressed a host of other issues including a thyroid issue, unbalanced hormones, and vertigo. I had seen many doctors and specialists over the years for these issues to no avail. I cannot recommend Dr. Watts highly enough.
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Jason Kristof profile picture
Jason Kristof
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Dr. Watts is a fantastic practitioner! I hobbled into his office barely able to walk, and he fixed both my foot and my knee. He takes time to truly understand your issues and addresses each with attentiveness and care. I believe that without Dr. Watts I would still be in pain today! If you have had issues that other doctors have not been able to fix, I would highly suggest to make an appointment with Dr. Watts!
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Zach McKeel
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I’m 32 years old and I have had a chronic GI symptoms dating back to 2017, and acid reflux for the last 20 years. Over the last two years, I was in constant discomfort, sometimes chronic pain. I had already been stuck in the cycle of conventional medical doctors that could not identify any real problems they could fix. They would only give common diagnosis like acid reflux, GERD, and gastroenteritis and prescribed medicine to mask symptoms, which none of them successfully did. I ultimately gave them up and turned to functional medicine. But even that journey started 4 years ago and didn’t get me very far. I was anxious. I wasn’t performing well at work or as a father. I wasn’t sleeping well and I was drinking a lot before bed on weeknights and weekends. A friend of mine recommended Dr. Gangemi’s office. After my first visit with Dr. Watts, I left with a plan and a genuine hope for healing I haven’t had in 8 years. Zach listened intently, and was very thorough in getting to the root cause of what was happening in my body. He answered any and all questions honestly and professionally. Six weeks and four visits later, I am experiencing improvements that are changing my life. I’m incredibly grateful for Dr. Watts and everyone on their team. I would recommend them to anyone for any health concern.
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Allison Crooker
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I love working with Dr. Watts. He is both a knowledgeable kinesiologist and a great listener. I came to him with a persistent physical issue which he worked on from it's root cause out. Through a regimen of supplements and kinesthetic adjustments, I no longer suffer from that physical issue! I am thankful to have Dr. Watts as the lead of my healthcare team.
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Kathleen Lee
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I have been doing my own research and biohacking for over 15 years. There were a few things I could not pin point. I’ve tried several different doctors across multiple fields (standard and natural) and wasted a lot of time and money with several and others leading me back in circles starting over. I found Dr. Watts because I’m a barefoot runner (have been since I was a kid) and I wanted to run a marathon. Not knowing how his office could actually help me with my few items I was trying to pin point I decided to give it a shot. Very glad I did. Not only has Dr. Watts helped me in health issues and with running my first marathon but he is also open to a lot of questions and ideas I have. Others will shut you down as soon as you mention something that goes against what the norm is and Dr. Watts is far from that. Muscle testing is a game changer because everyone is different and you cannot blanket everyone into the same fixes. It’s specific to you alone. BUT you also need someone who knows what they are doing and constantly tests themselves to make sure there is no bias to best help the patient. I travel several hours one way to see Dr. Watts. His office is filled with open minded people who genuinely care. I wish I found Dr. Watts earlier it would have saved me a lot of time, frustration and money. Thank you Dr. Watts and everyone at Systems Health Care!!!
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Talya Tacosa O’Dea
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Dr. Watts is fantastic! My family and I drive 6 hours round-trip to see Dr. Watts and it is absolutely worth it. He has completely changed our lives within just a few months. He found and cured the hidden cause of a difficult condition my 6 year old daughter had, helped me get off of a medication that I had been trying to stop for nearly 6 years, cured chronic issues I struggled with, helped me manage my grief after the loss of a loved one, and more. He has “nailed-it” with each and every issue I have brought to him. Thanks to Dr. Watts, my family's health is now thriving and we are so grateful. I don’t question any of his health and lifestyle recommendations because I completely trust him. My family and I will be patients of Dr. Watt’s for life.
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Casey O'Dea
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I went to Dr. Watts with an issue that my doctors had told me would take minimally 3 months to even START to see any improvement, and probably closer to 6 months to reach any level of full recovery. After the first 3 appointments with Dr. Watts I was already back on my feet - and with 2 months I was fully recovered, a full month before I was supposed to even start seeing any improvement at all. Dr. Watts dialed in on what would actually heal and correct the issues, as opposed to just masking symptoms. Today I'm not only fully recovered ahead of schedule, but over all I feel better now than I did before. I'll be a lifelong patient of Dr. Watts.
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Melissa profile picture
Melissa
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I can't say enough about Dr. Watts. The first thing I will say is that he cares. Not just about what he does, but he cares about the person sitting in front of him. I was so tired of being in front of other Doctors and feeling like I barely got time, and didn't feel heard. I highly recommend Dr. Watts. It the first morning I woke up a little more rested and in hardly any pain :)
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