Sven Wombwell
Article by: Sven Wombwell
Estimated 11 minutes read

Gut health is a popular and crucial topic - and for good reason. It affects everything from your mental health and immune system to inflammation, skin health, and more.

However, one connection doesn't get enough attention: the link between gut health and female hormones. If you have imbalanced hormones, your gut won't be healthy. And if you have an unhealthy gut, your hormones won't be balanced. The two go hand in hand.

This article will explain all you need to know about gut health and female hormones, including potential ways to get a healthy gut for better hormonal balance.

The Nexus Between Gut Health and Female Hormones

Your gut does more than digest food - it helps maintain hormonal balance and affects your overall health status. While the connection between your gut microbiome and hormones is complex, we'll help you show how the two are connected:

Constipation and Hormonal Imbalance

You must be wondering, ‘What does constipation have to do with your hormones?'

Every time you have a bowel movement, your body eliminates waste from the food you eat. However, what many people don't realize is that this process also removes excess hormones. When you're constipated, your body can't get rid of waste efficiently. This can cause extra estrogen to be reabsorbed into your bloodstream, leading to a condition called estrogen dominance.

Estrogen dominance may trigger a range of unpleasant symptoms such as painful periods, weight gain, fibroids, and infertility. It also raises the risk of breast, ovarian, and uterine cancer. Moreover, it could also interfere with thyroid function, causing even more health issues.

This connection works both ways - hormonal imbalances can also lead to constipation. In many cases, constipation and hormone imbalances create a vicious cycle, making symptoms worse over time. For example, hypothyroidism can slow digestion, which may lead to constipation. That constipation, in turn, allows estrogen to recirculate in the body, worsening estrogen dominance.

Gut Inflammation & Hormone Imbalance 

Also known as Inflammatory bowel disease (IBD), gut inflammation can throw off hormone balance by setting off a chain reaction in the body.

When the gut becomes inflamed, it activates the immune system and may cause widespread inflammation. Over time, this chronic inflammation can disrupt cortisol (stress hormone) levels, sex hormones (estrogen and testosterone), and thyroid hormones.

These hormonal imbalances might lead to issues like adrenal fatigue, fertility problems, and thyroid disorders.

Emerging research suggests that some gut microbiomes increase inflammation, while others help reduce it. Make sure to strike a healthy balance in the gut microbiome to lower inflammation and support better hormone health.

Nutrient Deficiencies & Hormone Imbalance 

You aren't just what you consume; you're what you absorb. Your gut health plays a crucial role in absorbing nutrients from food and supplements, ensuring your body gets what it needs to function properly.

A healthy gut even produces certain nutrients, such as vitamin K and B vitamins. Nutrient deficiencies can significantly affect hormone balance, disrupting the body's complex signaling system. Vitamins and minerals are essential for hormone production, activation, and regulation.

For instance, vitamin D helps produce steroid hormones like cortisol and sex hormones, while iodine is necessary for thyroid hormone production. When the body lacks these nutrients, chances are it could impact hormone balance.

Deficiencies may lead to lower hormone production, altered receptor sensitivity, and disrupted feedback loops. This can result in issues such as irregular menstrual cycles, adrenal fatigue, or thyroid dysfunction. Eating a nutrient-rich diet is vital for healthy hormone function, but gut health is just as important. Without proper absorption, even the healthiest foods won't do their job.

The Estrobolome 

The estrobolome is a group of gut bacteria that help regulate how estrogen is processed in the body. These microbes can either increase or decrease active estrogen levels.

A healthy gut supports a well-functioning estrobolome, which helps keep estrogen levels in check. However, when gut bacteria are imbalanced, it can lead to problems like estrogen dominance, hormonal disorders, and a higher risk of estrogen-dependent cancers, such as breast cancer.

Gut Health & Thyroid Hormones

Your gut is key to your thyroid health because it absorbs key nutrients - like iodine, selenium, and zinc - required for thyroid hormone production.

A healthy gut also helps convert inactive thyroid hormones (T4) into their active form (T3). Without enough beneficial bacteria, this conversion process slows down, which can contribute to hypothyroidism. Some symptoms of an underactive thyroid include:

  • Fatigue
  • Weight gain
  • Sensitivity to cold
  • Dry skin and hair
  • Depression
  • Brain fog

Since 70 to 80% of the immune system is housed in the gut, poor gut health can weaken immunity. It has also been linked to autoimmune conditions like Hashimoto's thyroiditis, a disease where the immune system mistakenly attacks the thyroid.

Gut Health & Blood Sugar Hormones 

A well-balanced gut microbiome helps regulate blood sugar levels by improving nutrient absorption and controlling the release of insulin, the hormone responsible for managing blood sugar.

However, if gut bacteria become imbalanced or the gut lining becomes damaged (a condition known as leaky gut), inflammation and insulin resistance can develop. This can lead to high blood sugar levels, weight gain, and an increased risk of conditions like PCOS and endometriosis.

Gut Health & Adrenal Hormones 

The adrenal glands produce cortisol, the body's main stress hormone. When you're under stress, cortisol levels rise, which can:

  • Increase gut inflammation
  • Damage the gut lining, leading to leaky gut
  • Disrupt the balance of gut bacteria

At the same time, poor gut health can signal stress to the body, triggering the adrenal glands to release even more cortisol. This creates a vicious cycle of chronic stress and worsening gut health.

Signs Your Gut and Hormones May Be Out of Balance

If your gut microbiome doesn't function properly, you may experience symptoms of both poor digestion and hormonal imbalance.

Some common gut issues that affect hormones include:

  • Bloating, gas, or constipation
  • Acid reflux or heartburn
  • Frequent diarrhea or irritable bowel syndrome (IBS)
  • Chronic fatigue
  • Skin conditions like acne, eczema, or rosacea

Moreover, hormonal symptoms linked to poor gut health often include:

  • Irregular or painful periods
  • PMS symptoms like mood swings, breast tenderness, and bloating
  • Unexplained weight gain, especially around the midsection
  • Low energy or brain fog
  • Sleep disturbances
  • Anxiety or depression

If you have several of these symptoms, your gut health may be affecting your hormones.

How To Improve Gut Health For Hormonal Balance: 7 Actionable Tips

Believe it or not, your gut health and hormonal balance are deeply connected.

A healthy gut helps regulate hormone levels, while an unhealthy gut can lead to hormone imbalance, which can cause issues from irregular periods and mood swings to weight gain, and even conditions such as polycystic ovary syndrome (PCOS) and autoimmune diseases.

Fortunately, you can support both your gut and hormones by making simple lifestyle and dietary changes, such as:

Eat a Nutrient-Rich Diet to Support Gut Flora

A strong gut microbiome depends on the food you eat. When you consume a nutrient-rich diet, it can support the growth of beneficial bacteria, which play a key role in hormone balance.

Here are a few healthy foods you should consider:

  • Fiber-rich foods: Whole grains, fruits, and vegetables support digestive function by feeding intestinal bacteria.
  • Fermented foods: Yogurt, kimchi, kefir, sauerkraut, and miso contain probiotics that help maintain a diverse gut microbiome.
  • Healthy fats: Avocados, nuts, seeds, and olive oil reduce chronic inflammation, which can disrupt hormone levels.
  • Lean proteins: Chicken, fish, tofu, and legumes support hormone production and overall health status.
  • Prebiotic foods: Garlic, onions, asparagus, and bananas feed the good bacteria in the digestive system.

Avoid These Gut-Damaging Foods:

It's equally important to know what not to eat. Make sure you don't consume these foods:

  • Artificial sweeteners: These can disrupt gut flora and lead to gut dysbiosis.
  • Processed foods: High-sugar and processed foods contribute to an unhealthy gut and insulin resistance.
  • Excess alcohol consumption: Alcohol weakens the intestinal barrier, leading to leaky gut and inflammation.

When you focus on nutrient-rich and whole foods, you can naturally improve gut health and balance your female hormones.

Maintain a Diverse Gut Microbiome with Probiotics

A diverse gut microbiome is crucial for hormonal balance. Probiotics introduce beneficial bacteria into your digestive tract, helping to regulate estrogen metabolism and support overall digestive function.

Some benefits of probiotics for hormones may include:

  • Improve bowel movements and digestion.
  • Help process estrogen metabolites, reducing estrogen dominance.
  • Strengthen the intestinal barrier and prevent leaky gut.
  • Reduce chronic inflammation, which can disrupt hormone production.

You can take probiotics through fermented foods or supplements. However, it's best to consult a healthcare provider before starting a supplement to find the right type for your health issues. If you seek to lose weight, you can include probiotics in your plan along with Fem Excel's Semaglutide program for weight loss solutions.

Reduce Stress to Support the Gut-Brain Axis

The gut-brain axis is a connection between the digestive organs and the brain. High stress can negatively impact the gastrointestinal tract, which may lead to gut microbiome imbalance, hormone imbalance, and even digestive issues like irritable bowel syndrome.

Listed below are some ways to reduce stress for a healthy gut:

  • Meditation and mindfulness: They help regulate hormone levels by reducing stress hormones like cortisol.
  • Adequate sleep: Poor sleep contributes to compromised gut health and worsens hormonal imbalance. Make sure to get a good night's sleep of 7-9 hours.
  • Gentle exercise: Activities such as yoga and walking may improve digestion, boost mood, and support hormone balance.

Taking steps to manage stress can create a vicious cycle of healing, where both gut health and hormonal balance improve together.

Improve Digestive Function and Prevent Leaky Gut

A strong intestinal barrier can help prevent a leaky gut - a condition where toxins enter the bloodstream and contribute to hormonal imbalance and chronic inflammation.

If you wish to strengthen the intestinal barrier, follow the tips:

  • Consume collagen-rich foods: Bone broth, eggs, and fish can help support your digestive tract health.
  • Stay hydrated: Drink enough water as it helps flush toxins from the GI tract.
  • Limit antibiotics and NSAIDs: Overuse of antibiotics disrupts gut flora, while NSAIDs (like ibuprofen) can weaken the intestinal barrier.

Maintain a Healthy Menstrual Cycle by Balancing Estrogen

Estrogen dominance occurs when there is too much estrogen in the body relative to progesterone. This imbalance can contribute to uterine fibroids, breast cancer, and ovarian cancer (as we mentioned).

A well-functioning gut microbiome helps regulate estrogen levels by breaking down excess estrogen and preventing it from being reabsorbed into the body.

Here's what you can do:

  • Eat fiber-rich foods to help eliminate excess estrogen.
  • Support liver function with cruciferous vegetables like broccoli, Brussels sprouts, and kale.
  • Avoid endocrine disruptors found in plastics, pesticides, and chemical-laden beauty products.

Keep your estrogen levels balanced. This will help support a regular menstrual cycle and overall hormonal health.

Be Mindful of Birth Control and Medications

Certain medications, including birth control pills, can impact gut microbiome balance. While birth control is sometimes necessary, long-term use can alter intestinal bacteria, leading to poor gut health.

If you use birth control, make sure to:

  • Support your gut health with probiotics and fermented foods.
  • Eat a nutrient-rich diet to help maintain hormone balance.
  • Consider working with a healthcare professional to monitor your hormone levels.

Remember, being aware of how birth control affects your gut health allows you to take proactive steps to maintain a healthy gut.

Avoid Toxins and Endocrine Disruptors

Many environmental toxins, such as pesticides, plastics, and artificial sweeteners, can negatively affect gut bacteria and disrupt hormone production.

Make sure to reduce exposure by:

  • Choosing organic foods to limit pesticide intake.
  • Using glass or stainless steel containers instead of plastic.
  • Avoiding products with synthetic fragrances, which contain hormone-disrupting chemicals.

When you reduce toxic exposure, it can help protect your digestive system, intestinal microbiome, and hormonal balance.

Conclusion

There you have it! Now you know the connection between gut health and female hormones. A balanced gut can support hormone regulation, reduce inflammation, and promote overall well-being.

Whether you deal with PMS, PCOS, fertility issues, or menopause symptoms, improving gut health can make a substantial difference. Make sure to eat a gut-friendly diet, reduce stress, and include probiotics. This way, you can naturally improve your gut and hormonal health. Small, consistent changes can lead to big improvements in how you feel every day.

If you suspect a gut hormone imbalance, consider consulting a healthcare professional such as Fem Excel for personalized guidance. As one of the nation's top online clinic for pre-menopause, perimenopause and menopause, and postmenopause, we provide personalized care and exclusive 60-day follow-ups that you won't find anywhere else.

Remember, taking care of your gut is one of the best things you can do for your hormonal and overall health.

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