Estrogen Fertility Guide

Estrogen Fertility Guide

Have you ever questioned the role of estrogen for your fertility? Most people relate the hormone estrogen to women. Estrogens are primary female reproductive messengers. Estrogen is essential for healthy bone formation, healthy gene expression, maintaining healthy cholesterol levels, and is vital for a healthy menstrual cycle.

How Estrogen Works

The first phase of the menstrual cycle is called the follicular phase. Throughout a woman’s life her ovaries contain thousands of follicles, and these follicles contain eggs. The pituitary gland begins releasing Follicle Stimulating Hormone (FSH) at the beginning of the menstrual cycle. The release of FSH signals some of the follicles in the ovary to begin maturing. As the follicles begin maturing they release and increase the hormone estrogen. The rising estrogen level signals the pituitary gland to curb release of FSH. Estrogen levels continue to rise and signal the pituitary gland to release Lutenizing Hormone (LH). LH surges, signaling the follicle to open and release the mature egg, this is ovulation. This is the ovulatory phase. Estrogen levels peak during this time, progesterone begins to increase.

The closed follicle produces the corpus luteum. This phase is called the Luteal phase. The corpus luteum produces progesterone. Both estrogen and progesterone stimlate the uterine lining to thicken. Estrogen remains relatively high, though progesterone levels gradually increase in preparation for fertilization. If the egg is not fertilized, it gradually disintegrates, no longer producing progesterone. Estrogen declines. This stimulates the uterine lining to shed, starting a new menstrual cycle.

Types of Estrogen: Natural & Synthetic

As more and more couples are diagnosed with infertility, more questions arise about estrogen’s role in infertility. With the advancement of science and technology, we have come to learn that there are human-made chemical toxins in our environment, known as endocrine disruptors. Some of these endocrine disruptors are called xenoestrogens. Xenoestrogens bind to our estrogen receptor sites, producing an estrogenic affect. And then there are phytoestrogens. Phytoestrogens are compounds found in plants, they also have the ability to bind to estrogen receptor sites and mimic our natural endogenous estrogens. Phytoestrogens have been shown to have a weaker estrogenic effect than our own endogenous estrogens, or xenoestrogens.

Endogenous Estrogen
These are natural estrogen’s our bodies produce. These are steroid hormones.

  • Estrone (E1)- Estrone is more related to menopause. During the development of the reproductive stage and during reproductive phase for females, estrone is relatively low. It becomes higher during menopause. Estrone is produced by the ovaries and adipose tissue (fat).
  • Estradiol (E2)- Estradiol is produced primarily by the follicles and corpus luteum in the ovaries. This estrogen is the most potent and abundant. Its main action is the involvement in development of secondary sex characteristics, and the menstrual cycle. For example, secondary sex characteristics for female humans would be the enlargement of breasts.
  • Estriol (E3)- This is also known as oestriol. This is produced during pregnancy by the placenta.

Xenoestrogens
These are a subclass of endocrine disruptors. Endocrine disruptors, also known as xenohormones, are human-made chemicals. These chemicals have the ability to interfere with the natural functions and development of our bodies. The main function of the endocrine system is to serve as our body’s message center. Hormones deliver messages, the endocrine system coordinates hormones.

Xenoestrogens have the ability to bind to our estrogen receptor sites; disrupting the function of the endocrine system. Not only can they mimic our natural hormones, but they can block other hormones from binding to receptor sites.

All xenohormones are endocrine disruptors. They can alter how natural hormones are produced, metabolized and eliminated.

Common known substances that have demonstrated estrogen mimicking effects on animals (including humans).

  • Atrazine (weed killer)
  • Butylated hydroxyanisole known as BHA (food preservative)
  • 4-Methylbenzylidene camphor known as 4-MBC (sunscreen lotions)
  • Erythrosine, FD&C Red No. 3, (food dye)
  • Bisphenol A (found in polycarbonate plastic and epoxy resin)
  • Ethinylestradiol (combined oral contraceptive pill, this is released into the environment as a xenoestrogen through the urine and feces of women who use this contraception)
  • Heptachlor and dieldrin, DDT (insecticides)

You may be thinking that DDT was banned in our country years ago, but it is not in other countries. Human-made chemical toxins impact us all; they are passed through our water, air, soil and food system. No matter where you live on this planet, you are impacted by this. In the United States alone, approximately 87,000 new synthetic chemicals have been produced since the 1940’s. Less than 3% of these chemicals have been tested for hormone disrupting properties.

Xenoestrogens are most commonly stored and concentrated in the fat cells in our bodies and other animals. This is important when considering how much fatty, non-organic meats you eat. Xenoestrogens are more concentrated in fatty meat products. As they move up the food chain, they become more concentrated. These endocrine disruptors are all around us. Xenoestrogens come from chemical pollution via plastics, body care products, household cleaning products, feminine care products, pesticides, herbicides, paint fumes, petrochemicals, ect.

Phytoestrogens
These are found in many plant foods we consume daily; seeds, beans, grains and in many medicinal plants. Phytoestrogens are not true estrogen, but they may have a similar action to our own endogenous estrogens. Phytoestrogens exert weaker estrogenic effects on cells, compared to endogenous estrogens, or xenoestrogens. Phytoestrogens have been shown to have an anti-estrogenic effect premenopausally. They do this by competing for hormone receptor sites. If they bind to the estrogen receptor sites first, they actively block xenohormones from binding. This occupies the receptor sites with less estrogenic phytoestrogens, which protects the receptor sites from much stronger xenohormones.

The most important question that came to my mind, when I learned the above information was, “How are phytoestrogens good for us when they are also blocking our own good endogenous estrogen?” The answer lies in xenohormones. Most natural health care practitioners will agree, it is best to protect our estrogen receptor sites from chemical xenoestrogens through eating a whole food, nutrient dense diet naturally rich in phytoestrogens. We live in a time unlike any other for humanity. Humans, hundreds-to-thousands of years ago, did not have to deal with xenohormones like we do today.

In menopausal and post-menopausal women, estrogen naturally declines as the ovaries move into a resting phase. Studies have shown that populations that ate greater amounts of phytosetrogens, had women who were menopausal that had sustained bone density, fewer menopausal symptoms, and a lower incidence of breast cancer.

Types of phytoestrogens in order of strength

  • Isoflavones- most commonly found in soy. Other sources are Red Clover, Alfalfa. Isoflavones are often found in the legume family, Fabacea. Because of the way soy products are produced, marketed and sold, we feel that soy products in the diet contain concentrated forms of phytoestrogens, which may lead to estrogen dominance.
  • Lignans- most commonly found in flax and sesame seeds.
  • Flavanoids- powerful antioxidants and anti-inflammatory effects, with weak estrogenic effects. Found in most yellow, red, purple and black fruits. Found in Royal Jelly as well.
  • Coumestrol- found in high concentrations of sprouted soy and red clover.

Note: It is important to know that in order for phytoestrogens to be metabolized by the body properly, healthy intestinal flora is essential. Be sure that you are also consuming healthy pre-biotics, and probiotics such as fermented foods like kimchi, saurkraut, kombucha, yogurt, kefir, ect.

What About Estrogen Dominance or Low Estrogen?

Estrogen dominance can happen for many reasons:

  • Commercially raised meats and dairy contain large amounts of estrogens, and consuming them can cause hormonal imbalance.
  • Pollution and stress mimic estrogen at the estrogen receptor sites.
  • Eating a large amount of processed soy products can also mimic estrogen.
  • PCOS and endometriosis can also have an estrogen dominate action.

Symptoms of Estrogen Dominance

Breast tenderness
Allergy symptoms like asthma and hives
Decreased sex drive
Depression with agitation and/or anxiety
Dry eyes
Early onset of menstruation
Fat gain, usually around the middles
Fatigue
Breast cancer
Foggy thinking
Hair loss
Headaches
Increased blood clotting
Fertility issues
Irregular periods
Insomnia
Polycystic ovaries
Sluggish metabolism
PMS

Symptoms of Low Estrogen

Hot flashes
Night sweats
Anxiety
Vaginal dryness
Loss of libido
Mood swings
Migraine headache
Arthereosclerosis
Rapid heartbeat
Bloating
Low back pain
Thinning hair
Arthritis

When you compare both lists, it can be confusing; this is because many of the same symptoms of estrogen dominance are the same, or similar to low estrogen. Many women who are estrogen dominant are also progesterone deficient. If you suspect any hormonal imbalance, you may want to talk to your doctor about hormone testing. It is extremely hard to solve fertility issues, if you are not exactly sure if the fertility issue is hormone related or not. If you have been trying to get pregnant for over a year, hormone testing may help determine if there is an imbalance.

Natural Therapies for Estrogen Balance

Tips for Balanced Estrogen: Part 1

Rather than work to manipulate estrogen levels, it may be best to work on nourishing the endocrine system with fertility superfoods, as well as consuming whole food sources of phytoestrogens. If you have estrogen dominance, the goal should be to avoid xenoestrogens, cleanse the body of endocrine disruptors, nourish the endocrine system, and promote healthy hormonal balance.

Fertility Cleansing

The Fertility Cleanse is a special cleanse that uses specific herbs, foods, and techniques to help your body to detoxify the body and uterus prior to becoming pregnant.

Tips for Balanced Estrogen: Part 2

It is important to cleanse toxins from your body as much as possible, prior to conception and breastfeeding. Your body will use fat stores during pregnancy and breastfeeding, which go directly to your baby. Exercise and fertility cleansing are two essential tools to aid the body in the removal of toxins in preparation for pregnancy! Xenohormones that come from chemical pollution via plastics, body care products, household cleaning products, feminine care products, pesticides, herbicides, paint fumes, petrochemicals, ect., need to be avoided and cleansed from the body.

The liver is responsible for hormone metabolization, and excretion via bile. If we are unable to metabolize and excrete hormones properly, they will stay in our body and be stored in our fat cells. Exercise helps to reduce fat in the body and promotes natural cleansing through sweat. Most toxins are stored in our liver, kidneys and fat cells. In addition, sweating and drinking plenty of water during the Fertility Cleansing phase is essential to complete removal of toxins/excess hormones. Consider sauna, hot baths, aerobic exercise. Rinse the body with cold water after sweating. Drink plenty of clean filtered water in glass, ceramic, or stainless steel containers.

Avoid Exposure to Xenohormones

    Eat Organic: What you ingest daily has the greatest impact on your exposure to xenohormones. Organic foods are raised and grown without the use of harmful pesticides, herbicides, growth hormones, and are often raised ethically and humanely. Foods that contain the most xenohormones are conventionally raised meats, dairy products and processed foods. Choose organic whole foods when possible.

    Avoid Plastics: Plastics leach xenoestrogens into our food, water and bodies. Never heat your food in plastics. When plastics are heated they release xenoestrogens directly into your food, in more concentrated levels, which mimic estrogen in the body. Choose glass or stainless steel storage containers, pots, and pans!

    Use Natural Feminine Care Products: Most feminine care products contains tons of xenohormones. This is because they are made up of human-made chemicals including: polyester, polypropylene, propylethylene, and dioxin. These are all known endocrine disruptors. There are many natural options available!

    Use Natural, Organic body products: Most conventional body products contain a wide variety of xenohormones, including chemical preservatives, fragrance and dyes.

    Choose Organic Gardening and Yard Care Practices: This is one of the best ways to avoid pesticides, chemical fertilizers, and herbicides. You will also be protecting the environment from xenohormones when you choose organic practices.

Consume Adequate Amounts of Fiber and Phytoestrogen Foods

Eat fiber with each meal to help keep the blood sugar levels balanced. Fiber also removes excess estrogens from the body. Good sources of fiber are vegetables, beans, seeds (especially flax and sesame), nuts, and whole grains. Phytoestrogens are found most often in the legume family, which is the bean family. Consume beans, seeds, sprouted foods, and whole grains. Phytoestrogens can also be found in herbs such as Red Clover, Alfalfa and Licorice Rt. Drinking daily herbal infusions of these herbs may aid in estrogen balance.

Consuming a whole food nutrient dense diet rich in fresh vegetables, fruits, whole grains, beans, dark leafy green vegetables and herbs, as well as minimal organic meat and dairy consumption, has been found to be very beneficial for fertility health.

Learn More About the Benefits of DIM

DIM may be one of the easiest and best ways to promote healthy estrogen balance. DIM, which stands for diindolymethane, comes from the plant chemical I3C, short for indole-3-carbinol. DIM stimulates the body to metabolize bad estrogens, not your good ones. For estrogen to be modified into its final form before passing out of the body (removal) it has to be combined with oxygen for aerobic metabolism. DIM increases specific aerobic metabolism for estrogen, this in turn multiplies the chance for estrogen to be broken down into good beneficial estrogen metabolites (2-hydroxy estrogen). When the good estrogen metabolites are increased by the DIM, this creates a reduction in bad estrogen (16-hydroxy estrogen) which have the potential to cause cancers, endometriosis, uterine fibroids, ect. Good estrogen metabolites protect the heart and brain with antioxidant activity. Increased bad estrogen may be promoted by obesity and exposure to man made environmental toxins. DIM promotes healthy estrogen metabolism. For DIM to be effective, it must be taken with food.

Royal Jelly for Hormonal Balance

Regular consumption of high-quality Royal Jelly has been shown to help balance hormones. Royal Jelly may be beneficial for those individuals that desire to promote hormonal balance, as it helps to provide support to the endocrine system. It may also help with problems that are related to hormonal imbalance. A study done in Japan and published in 2007 shows that Royal Jelly has the propensity to mimic human estrogen, which may help those that suffer from low estrogen levels. Estrogen is essential for healthy bone formation and healthy gene expression, and is vital for a healthy menstrual cycle. Because Royal Jelly has the propensity to mimic estrogen, it is similar to phytoestrogens, which have been found to protect the body from xenohormones and estrogen dominance.

Support the Endocrine System with Maca

Fertility CleanseIn women, maca aids the body by helping to control estrogen in the body. Estrogen levels that are high or low at the wrong time can keep a woman from becoming pregnant or keep her from carrying to term. Excess estrogen levels also cause progesterone levels to become too low. Taking maca may help to increase the progesterone levels which are essential to carrying a healthy pregnancy.
Too much estrogen in men produces erectile dysfunction or lack of libido, low sperm count, and lowered production of seminal fluid. Men who use maca have been seen to have an increased libido and healthy sperm.

Maca is an adaptogen herb, that supports healthy endocrine system function, aiding both the pituitary, adrenal, and thyroid glands (all involved in hormonal balance). Adaptogens increase resistance to mind-body stress and enhance overall vitality and health through non-specific endocrine (known as hormone/stress glands) support. Plants recognized as adaptogens help to normalize the bodies functions even during diseased states, are non-toxic, nutritive, and have been deemed safe for long term use.

Key Points to Remember
We must realize that we live in a time where there is more chemical pollution than at any other time in the history of humanity. Because of this, there are more fertility issues. In order to bring about balance, we must change the way we view life. Take control of your fertility through healthy lifestyle choices. In order to have balanced estrogen levels in the body, we must change how and what we consume. This means internally and externally. There is hope through change and awareness. There are many allies for estrogen balance; whole foods, herbs, bee products, and education!

“The next major advance in the health of the people will be determined by what the individual is willing to do for himself.”
-John Knowles, Former President of the Rockefeller Foundation

References:
1. Phytoestrogens Demystified, Juliet Blankespoor, Traditionls In Western Herbalism Class, 2011
2. wikipedia.org/wiki/Estrone
3. wikipedia.org/wiki/Estrogen
4. merckmanuals.com/home/womens_health_issues/biology_of_the_female_reproductive_system/menstrual_cycle.html
5. natural-hormones.net/estrogen-symptoms-low-levels.htm

Comments

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[-] 16 Comments
  1. Hi. What range of estrogen values would you consider to be normal during the luteal phase? Above what number signifies possible estrogen dominance? I know that the ratio of progesterone to estrogen is important, but I would think that there is a cut off for what would be “worrisome” estrogen levels?

    • Hi JJ,

      Estrogen (Estradiol – E2) is rarely tested during the luteal phase. Doctors perform estradiol (E2) testing on day 3 in the follicular phase. They may test on other days in the follicular phase if you are doing a medicated cycle. This will help them to see if the follicles are maturing well. Different clinics have different levels they feel are acceptable and it may vary depending on weight, so it really would be best to ask your doctor about this. I am not a medical doctor, nor trained in interpretation of medical test results. Since test results may vary from clinic to clinic and even person to person, it would be a disservice to our readers to put out a definitive estrogen level that would be considered “too high”.

      Thanks for contacting us!

  2. Update 2014 – We are back! We have been away for a while and we sure have missed all of your wonderful questions and thoughts on our articles. Moving forward, one of our staff herbalists will be here to respond to comments! We look forward to connecting with our readers once again!

    • I started taking flaxseed to treat hot flushes .I am 49 and my periods stopped for 4 months. Now they have started again – is this the result of the flaxseed or just nature?

    • Elizabeth Willett, MA, CH

      Hello Tamsin!
      Flax is phytoestrogenic, which means that it has the tendency to mimic estrogen in the body. Consumption of freshly ground flax seed and flax oil may promote healthy estrogen activity in the body which is important for a healthy menstrual cycle. While I have no way of knowing for sure if flax alone has supported the return of menstruation for you (given I only know this one bit about your diet, lifestyle and that which are doing to support your reproductive system health), it may be contributing to this change you have experienced.

  3. please, I want to know those symptoms for estrogen are related to the natural fertility? Are there side effects to any of the natural fertility treatments?

  4. I have a condition, adenomyosis and have been trying to conceive for the past 2years without success. My uterus is enlarged, about 13cm by 10 cm. woul you recommend I use the fertility herb to see if I can conceive? Do I have a chance getting pregnant in this condition

  5. Hello.
    I have low progesterone,but my estradiol levels are perfect.can my progesterone be low because i have hypothyroidism? i’m taking Levothyroxine every day but ,can i take adrenal strenght or adreno boost from native remedies at the same time? I’m always tired and lack of energy and i feel all the symptoms of adrenal fatigue ,i don’t think i feel like that because of my thyroid ,my levels are perfect now.by the way my fsh is high and my amh is 1.4 .I’m 38 years old.please i need your help.thanks

    • Hi Jay,

      When our adrenals have a lot of stress placed on them it puts our body into a state of catabolism. Catabolism is the break-down of our bodies; destructive metabolism. Over time the body will slow down the thyroid as a protective measure. Many natural health care practitioners will agree that in order to treat the thyroid effectively, you must first address stress reduction and adrenal support. Adrenal fatigue may lead to not only thyroid issues, but a compromised immune system as well. Adrenal Strength may be fine to use with that medication for your thyroid, but you will need to ask your doctor first. I am not familiar with the other adrenal product you mentioned. High FSH may be a sign that your follicles are not responding to release of FSH. Have you considered ways to increase your egg health? Please consider a consultation for further specific guidance!

      Best Wishes,

      Dalene

  6. Hello,
    After trying to conceive for 2 years, we have finally figured out that I’m not ovulating because I never have an LH surge (but have a regular 28 day cycle). There is always a dominant follicle, but it never gets pushed out of the ovary. My 21 day progesterone is very low (also showing I don’t ovulate). I’m not sure if I have low estrogen that never reaches that peak to trigger the LH surge or if I’m in an estrogen dominant state because I don’t produce much progesterone int he luteal phase? And what supplements would you suggest to take for either condition?
    Thank you for your help,
    Michelle

    • Hi Michelle,
      One of the best remedies I have ever seen for lack of LH surge is Vitex. It works wonders. The best way to use vitex in this case is taking the full amount in the morning, every day of the month except for when you are bleeding. It may take at least 3 months until you see results, but sometimes it works sooner. Also make sure you are eating enough fats, fats are necessary for hormone production in general, especially saturated fats. Yes, I said saturated fats :) This mean full fat dairy (organic and raw), animal products, coconut oil, etc. Vitex will not work without proper diet. If you are overweight or underweight, this could be affecting your hormone levels and then ovulation is affected. Check out our fertility diet information as well. Once diet and vitex has been tackled check back in and let us know how you are doing. The good news is that this issue is one of the easiest to balance naturally.

  7. Hi,

    I am wondering whether my conclusion would be correct as it would be logical to assume that high estrogen levels (or assuming high estrogen levels due to cosmetics, milk, other synthetic endocrine disruptors etc) would cause the formation of more than normal granulosa cells to turn into eggs, ie to cause the use of above average use of granulosa cells to be used, thus resulting in a low AMH levels 5-6 years later?

    M

  8. Hi,

    I just came across your website by chance and find it to be interesting. We have been trying to have a baby for the past 2 years, unfortunately without too much success at this point. I have been diagnosed to have pre-menopausal symtoms, which was a big shock since I was then only 34 and had never missed my period. Since then, we have been to the fertility center and have had so far 4 inseminations, after the 4th one, the doctors have suggested that we should now try insemination with hormone stimulation (Menopur). I have not started this treatment yet as my hormones have just not been good, 2 cycles ago, there was a cyst and I was asked to administer Utrogest through the vagina. During the last cycle, the cyst was gone but was scanned with another cyst-like follicle. After the blood test, because of the high estrogen level, I could not start with the treatment again. It’s really frustrating for me the last 4 months because it seems like my hormones just won’t balance! Do you think the royal jelly and maca will help in my case? I would really appreciate your feedback. Thanks in advance!