PCOS and Estrogen Dominance

Balancing Hormones for Better Mood, Metabolism, and Fertility

For many women with Polycystic Ovary Syndrome (PCOS), the underlying problem isn’t just excess testosterone — it’s estrogen dominance.

Estrogen dominance occurs when estrogen levels outweigh progesterone, disrupting the delicate balance that governs your cycle, mood, and metabolism. It can amplify classic PCOS symptoms — from weight gain and mood swings to irregular periods and fertility challenges.

At Cheval Wellness, we specialize in identifying and correcting estrogen dominance through functional hormone testing and personalized treatment plans. Our goal is to help you feel balanced, clear-headed, and in control again.

What Is Estrogen Dominance?

Estrogen dominance doesn’t always mean your estrogen is “too high.”
In many cases, your progesterone is too low in comparison — creating an imbalance that throws your entire endocrine system off rhythm.

This can happen naturally during perimenopause, postpartum recovery, or with conditions like PCOS — where irregular ovulation means your body isn’t producing enough progesterone to counterbalance estrogen.

Symptoms of Estrogen Dominance

  • Irregular or heavy periods
  • Bloating or water retention
  • Tender breasts or PMS symptoms
  • Weight gain (especially around the hips, thighs, and belly)
  • Mood swings, anxiety, or irritability
  • Headaches or fatigue
  • Low libido
  • Difficulty conceiving

 

Because these symptoms overlap with other hormonal disorders, proper testing is essential to confirm the root cause.

How PCOS and Estrogen Dominance Are Connected

PCOS and estrogen dominance often go hand in hand.

When you don’t ovulate regularly (a hallmark of PCOS), your body doesn’t release enough progesterone — allowing estrogen to stay unopposed.
Meanwhile, insulin resistance and inflammation can further increase estrogen production and impair liver detoxification, creating a hormonal “traffic jam.”

This cycle can worsen:

  • Weight gain (especially abdominal fat)
  • Mood instability
  • PMS and menstrual irregularity
  • Fertility issues

At Cheval Wellness, we address both conditions simultaneously — balancing hormones, improving liver detox pathways, and restoring natural hormone rhythm.

Our Estrogen Balance Protocol

Your treatment plan begins with a comprehensive hormone evaluation to assess:

  • Estradiol, progesterone, and testosterone ratios
  • Thyroid function (since sluggish thyroid can worsen estrogen dominance)
  • Liver and gut health marker
  • Insulin resistance and inflammatory markers

Then, we create a personalized plan to help your body process and balance estrogen effectively.

1. Hormone Optimization

We use Bioidentical Hormone Therapy (BHRT) to restore balance between estrogen and progesterone.
This can include:

  • Progesterone supplementation to offset excess estrogen and stabilize cycles
  • Estradiol optimization to support bone, heart, and brain health without overstimulation
  • Thyroid support, when imbalance contributes to estrogen buildup

2. Liver and Gut Detoxification Support

Your liver is responsible for metabolizing and clearing excess estrogen. When it’s overloaded, estrogen recirculates — worsening symptoms.

We focus on optimizing detox pathways through:

  • Nutritional support (cruciferous vegetables, fiber, antioxidants)
  • Supplements such as DIM (Diindolylmethane) or Calcium-D-Glucarate to enhance estrogen clearance
  • Hydration and gut microbiome balance for healthy hormone elimination

This gentle, functional approach supports long-term balance instead of temporary fixes.

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3. Weight and Metabolic Management

Because excess fat tissue produces estrogen, managing weight is key to reversing estrogen dominance.

Our team combines medical weight loss programs, metabolism boosters, and lifestyle support to reduce adipose-driven estrogen.

4. Lifestyle and Stress Balance

Chronic stress raises cortisol, which competes with progesterone — worsening estrogen dominance.

We help you implement strategies for better sleep, stress reduction, and exercise balance to naturally support hormonal harmony.

Expected Results

When estrogen and progesterone are balanced, you can expect noticeable improvements in:

  • Weight stability and reduced bloating
  • Regular, predictable menstrual cycles
  • Better mood and mental clarity
  • Improved sleep and libido
  • Fewer PMS symptoms
  • Enhanced fertility and cycle health

Most women begin noticing results within 6–12 weeks of personalized care.

Why Women Choose Cheval Wellness for PCOS and Estrogen Dominance

  • Advanced Hormone Expertise: Led by Dr. Angela Mineo, DNP, APRN, Advanced BHRT Certified through Worldlink Medical.
  • Functional, Whole-Body Approach: We treat the root cause — not just symptoms — by supporting hormones, liver function, and metabolism.
  • Personalized Plans: Every treatment is tailored to your lab results and body chemistry.
  • Integrated Programs: Seamlessly combines hormone therapy, nutrition, and weight management.
  • Compassionate, Confidential Care: Dedicated to helping women understand their hormones and feel in control of their health again.

Take the First Step Toward Hormone Balance

If you’re feeling off-balance, gaining weight for no reason, or struggling with mood and cycle changes, estrogen dominance may be the missing link.

At Cheval Wellness, we’ll help you understand your hormones — and bring them back into harmony.