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Unveiling the Estradiol to Progesterone Ratio and Empowering Health through Estrogen Balance

Empowering Pharmaprodia Compounding Pharmacy for Customized Hormonal Formulations:

By: Dr. Richard Nkwenti; R.Ph; IMD; Ph.D; Board Certified in Anti Aging Medicine and a Fellow in Anti aging, Metabolic and Functional Medicine

Are you tired of feeling out of balance? Seeking a personalized solution for your hormone-related health concerns? Look no further than Pharmaprodia Compounding Pharmacy. We specialize in creating customized hormone formulations for menopause, birth control, and other medicine needs in our state-of-the-art laboratory.

With our expertise in compounding hormones for medicine, we understand that one size does not fit all when it comes to birth control and menopause in female bodies. Our team of skilled professionals utilizes state-of-the-art production techniques and cutting-edge laboratory technology to deliver optimal health outcomes.

For your patients struggling with estrogen dominance, look no further than the experts at Pharmaprodia Compounding Pharmacy. Our skilled pharmacists can work closely with you to formulate a personalized prescription that addresses your patient's unique hormonal imbalance. We have the flexibility to calibrate estradiol to progesterone ratios and craft customized medications that restore harmony. With our state-of-the-art laboratory, we can compound specialized hormone therapies tailored to each patient's needs. Don't settle for one-size-fits-all treatments - call us today to order a custom prescription that finally gets your estrogen dominant patients feeling balanced. Our personal touch provides optimal outcomes. At Pharmaprodia, we take a personalized approach to hormone therapy, considering the estrogen concentration and other sex hormones. By carefully calibrating the estradiol to progesterone ratio, we ensure that each formulation is tailored to your unique requirements, especially if you have high estrogen levels. Your well-being is our top priority, and our commitment to quality and safety remains strong, whether you are using hormone therapy for medical reasons or as a form of birth control.

Trust the experts at Pharmaprodia Compounding Pharmacy for your medicine needs. Experience the power of sex hormones and birth control, and unlock a healthier you with our regulatory hormones. Visit us today and discover the difference we can make in your life.

In the field of medicine, fluid regulation and balance are crucial for maintaining overall health. The body fluid, including blood and other bodily fluids, plays a vital role in various physiological processes. One common issue related to fluid balance is dehydration, which occurs when the body loses more fluids than it takes in. Medications and hypertonic saline infusion can help in managing fluid levels. Laboratory tests are conducted to measure the production and composition of body fluids. Understanding the phases of fluid regulation and the pathways of antidiuretic hormone (AVP) is essential for maintaining proper fluid balance. EUHY

Introduction: The Significance of Estrogen-Progesterone Ratio

Maintaining a balanced estrogen-progesterone ratio is crucial for overall health and well-being in medicine. The delicate interplay between these two hormones can have a profound impact on various aspects of our lives, including our luteal phase and our relationship with our bodies. Understanding the role of estrogen and progesterone in the body is key to achieving harmony through proper hormonal balance.

Importance of maintaining a balanced estrogen-progesterone ratio

The concentration of sex hormones, specifically estrogen and progesterone, is crucial for regulating various bodily functions. Disruptions in this hormone ratio can lead to a range of health issues. Estrogen dominance, where estrogen levels surpass progesterone levels, has been associated with PMS, irregular menstrual cycles, weight gain, and certain cancers. Conversely, low estrogen levels relative to progesterone can cause fatigue, mood swings, and decreased bone density.

Impact of imbalanced hormones on overall health

Imbalanced hormones can wreak havoc on our bodies. Hormonal fluctuations during different phases of life, such as puberty, pregnancy, or menopause, can disrupt the delicate equilibrium between estrogen and progesterone. This imbalance not only affects reproductive health but also impacts other bodily systems like metabolism, cardiovascular function, immune response, and mental well-being. Exercise heat stress and dehydration can further exacerbate hormonal imbalances. Additionally, the luteal phase of the menstrual cycle is particularly susceptible to hormonal disruptions.

Understanding the role of estrogen and progesterone in the body

Estrogen and progesterone are hormones that play a crucial role in female sexual development, reproductive function, and menstrual cycle regulation. Estrogen promotes the growth and maturation of the uterus lining, while also impacting bone density maintenance. Progesterone works alongside estrogen to prepare the uterus for potential pregnancy and supports stable moods and healthy sleep patterns. These hormones have a significant impact on hormone concentration, luteal phase, exercise heat stress, and overall health.

Achieving harmony through proper hormonal balance

To achieve optimal hormone balance during the luteal and exercise heat stress phases, it is essential to carefully analyze the estradiol to progesterone ratio. Regular monitoring of hormone levels, such as through plasma osmolality tests, can provide valuable insights into any imbalances. Based on the research analysis, healthcare providers can recommend appropriate interventions to restore harmony between estrogen and progesterone.

Prioritizing self-care practices can also help promote hormone balance, especially in relation to heat, impact, dehydration, and overall hormonal health. Engaging in regular exercise, managing stress levels, getting sufficient sleep, and following a balanced diet rich in whole foods can contribute to maintaining a healthy relationship with hormones. Certain supplements or medications may be prescribed to address specific hormonal imbalances effectively.

Understanding Estrogens: Role in Energy Balance and Health

Estrogens play a vital role in our bodies, influencing various aspects of our health and well-being, including exercise, heat, and bone health. From energy levels to cardiovascular function to brain function, estrogens have a significant impact on our overall vitality and the relationship between these factors.

One key aspect of estrogen's influence on our bodies is its effect on energy levels and metabolism. Estrogens help regulate the production of ATP (adenosine triphosphate), which is the primary source of energy for cellular processes. By optimizing estrogen levels, we can ensure that our cells have ample energy to carry out their functions efficiently. This is particularly important during exercise, as heat and impact can have an impact on energy levels, especially in individuals with higher body mass.

Furthermore, estrogens also impact dehydration in the body. They play a role in regulating thirst and maintaining proper hydration levels during exercise. Adequate fluid consumption is essential for optimal metabolic function and overall well-being. When estrogen levels are balanced, it helps promote healthy fluid intake and ensures that our bodies stay properly hydrated, especially in hot conditions.

Another area where exercise can exert its influence is on bone health. These hormones help maintain bone density by inhibiting osteoclast activity (cells responsible for breaking down bone tissue) while promoting osteoblast activity (cells responsible for building new bone). By keeping heat levels within an optimal range, we can support strong bones and reduce the risk of conditions like osteoporosis. Additionally, maintaining fluid balance is important for overall bone health.

Estrogens also play a crucial role in cardiovascular health, helping maintain healthy cholesterol levels and reducing risks of heart disease. They increase HDL cholesterol and decrease LDL cholesterol, supporting overall cardiovascular well-being for participants.

Furthermore, exercise has a profound impact on brain function. These hormones influence neurotransmitter production and receptor sensitivity, affecting mood regulation, cognitive abilities, memory formation, and even neuroplasticity. By maintaining optimal estrogen levels, heat can support healthy brain function and reduce the risk of cognitive decline in participants. Additionally, dehydration can also affect brain function.

To ensure overall well-being, it is crucial to maintain optimal estrogen levels. This can be achieved through various lifestyle choices and habits. Regular exercise, a balanced diet rich in phytoestrogens, and stress management techniques all contribute to hormone balance. Avoiding excessive alcohol consumption and minimizing exposure to endocrine-disrupting chemicals can help promote healthy estrogen levels. Additionally, it is important to consider the impact of heat, body mass, and fluid intake on estrogen levels.

Balancing Estrogen Dominance: Strategies and Tips

Identifying symptoms and causes of estrogen dominance

Estrogen dominance occurs when there is an imbalance between estrogen and progesterone levels in the body, with estrogen overpowering progesterone. This hormonal imbalance can lead to a range of symptoms that affect both physical and emotional well-being, including heat intolerance, dehydration, and reduced exercise tolerance in participants.

Symptoms of estrogen dominance, such as heat, dehydration, and fatigue, can manifest in various ways among participants, et al.

  • Irregular menstrual cycles

  • PMS (premenstrual syndrome) symptoms like bloating, breast tenderness, mood swings, and dehydration due to heat and changes in body mass can be managed by staying hydrated and drinking plenty of fluids.

  • Weight gain, particularly around the hips and thighs

  • Fatigue and low energy levels

  • Mood disturbances such as irritability or depression

  • Insomnia or disrupted sleep patterns

  • Decreased libido

Several factors, such as heat, dehydration, exercise, and changes in body mass, contribute to the development of estrogen dominance.

  1. Diet: Consuming processed foods high in synthetic hormones or pesticides can disrupt hormone balance.

  2. Stress: Chronic stress triggers the release of cortisol, which can interfere with normal hormone production.

  3. Environmental toxins: Exposure to chemicals found in plastics, pesticides, personal care products, and household cleaners may disrupt hormonal activity.

  4. Xenoestrogens: Synthetic compounds found in certain plastics, cosmetics, and industrial pollutants mimic estrogen's effects in the body.

  5. Liver dysfunction: A compromised liver function may impair the breakdown and elimination of excess estrogens from the body.

Lifestyle changes to reduce estrogen dominance

Making lifestyle adjustments such as incorporating regular exercise can help rebalance hormone levels by reducing exposure to environmental estrogens while promoting overall health and preventing dehydration. Staying hydrated by consuming enough fluid is also crucial for maintaining hormone balance.

Consider implementing these lifestyle changes:

  • Eat a balanced diet: Focus on whole foods rich in fiber, antioxidants, and phytoestrogenic compounds like flaxseeds or soybeans that help modulate estrogen levels.

  • Exercise regularly: Engage in regular physical activity to support healthy hormone metabolism and reduce fat stores where excess estrogen can accumulate.

  • Manage stress: Incorporate stress-reducing activities into your routine, such as meditation, yoga, or deep breathing exercises.

  • Avoid environmental toxins: Opt for natural and organic products whenever possible to minimize exposure to harmful chemicals.

  • Maintain a healthy weight: Excess body fat can contribute to estrogen dominance, so maintaining a healthy weight is crucial.

  • Get enough sleep: Aim for seven to eight hours of quality sleep each night as it plays a vital role in hormone regulation.

Natural remedies for balancing estrogen levels

In addition to lifestyle changes, regular exercise and maintaining a fluid intake can assist in balancing estrogen levels.

  1. Herbal supplements: Certain herbs like chasteberry, black cohosh, and dong quai have been traditionally used to support hormonal balance.

  2. Essential oils: Some essential oils possess hormone-balancing properties when used topically or aromatically. Examples include clary sage and lavender oil.

  3. Flaxseed

Recognizing Symptoms and Causes of Estrogen Dominance

Estrogen dominance is a condition that occurs when there is an excessive amount of estrogen in the body compared to progesterone. This hormonal imbalance can lead to various health issues and disrupt the delicate equilibrium necessary for overall well-being. By understanding the symptoms and causes of estrogen dominance, we can take proactive steps towards achieving hormone harmony through exercise and maintaining fluid balance.

Common signs indicating estrogen dominance

Recognizing the signs of estrogen dominance is crucial in identifying potential imbalances within our bodies. Some common symptoms include exercise-induced imbalances and fluid retention.

  • Irregular menstrual cycles

  • Mood swings and irritability

  • Breast tenderness or swelling

  • Weight gain, particularly around the hips and thighs

  • Fatigue and low energy levels

  • Decreased sex drive

  • Insomnia or disrupted sleep patterns

If you regularly experience symptoms such as exercise intolerance, fluid retention, et al., it may be indicative of elevated estrogen levels.

Factors contributing to elevated estrogen levels

Several factors, including exercise and fluid intake, can contribute to increased levels of estrogen in the body.

  1. Hormonal fluctuations: Fluctuations in hormones during different stages of life, such as puberty, pregnancy, perimenopause, and menopause, can lead to temporary spikes in estrogen.

  2. Obesity: Adipose tissue (fat cells) produce an enzyme called aromatase that converts testosterone into estrogen. Therefore, excess body fat can result in higher estrogen production.

  3. Stress: Chronic stress can disrupt hormone balance by increasing cortisol levels, which interferes with proper hormone regulation.

  4. Dietary choices: Consuming a diet high in processed foods, saturated fats, and refined sugars may contribute to hormonal imbalances.

Environmental sources of xenoestrogens

Apart from internal factors, external influences also play a significant role in disrupting hormone balance. Exercise is an important factor to consider when it comes to maintaining hormonal health. Xenoestrogens, which are synthetic compounds that mimic natural estrogens, can disrupt hormone balance when introduced into the body. Some common sources of xenoestrogens include fluid.

  • Plastics (BPA and phthalates)

  • Pesticides and herbicides

  • Personal care products containing parabens and phthalates

  • Hormones present in non-organic meat and dairy products

Reducing exposure to environmental sources and incorporating regular exercise can help mitigate estrogen dominance and maintain fluid balance in the body.

Hormonal imbalances leading to estrogen dominance

Estrogen dominance can also arise from hormonal imbalances within the body. Several factors, including exercise and fluid, contribute to these imbalances.

  1. Insufficient progesterone production: A decrease in progesterone levels relative to estrogen can result in an imbalance favoring estrogen dominance.

  2. Impaired liver function: The liver plays a vital role in metabolizing hormones, including estrogen. If the liver is not functioning optimally, it may struggle to eliminate excess estrogen from the body.

  3. Thyroid dysfunction: Thyroid hormones influence estrogen metabolism, and any disruption in thyroid function can impact hormonal balance.

  4. Endocrine disruptors:

Assessing Estrogen Levels: Comparing with Progesterone

Evaluating hormone levels is crucial for understanding the intricate balance within our bodies. One key aspect to consider is the ratio between estradiol, a type of estrogen, and progesterone. This ratio plays a significant role in maintaining the fluid balance within our bodies.

Methods for evaluating estrogen levels

There are several ways to evaluate estrogen levels in the body, including measuring the concentration of estradiol in blood tests. These tests can be performed at different stages of a woman's menstrual cycle to track fluctuations in hormone levels.

Another method involves urine analysis, which provides valuable insights into overall estrogen metabolism. This type of test assesses the breakdown products of estrogens in bodily fluid and can help identify potential imbalances or abnormalities.

Saliva tests offer a non-invasive approach to measuring fluid hormone levels. Saliva samples can be collected at specific times during the day to capture variations in fluid hormone production throughout the menstrual cycle.

Importance of comparing estradiol with progesterone

While evaluating estrogen levels alone provides some information about hormonal health, comparing fluid estradiol with progesterone offers a more comprehensive understanding. Estradiol and progesterone work together in a delicate dance during different phases of the menstrual cycle.

During the follicular phase, which occurs before ovulation, estradiol fluid increases steadily while progesterone remains relatively low. This rise in estradiol helps prepare the uterus for potential pregnancy by thickening its lining with fluid.

Following ovulation, during the luteal phase, both estradiol and progesterone fluid increase further. However, it is essential to maintain an appropriate balance between these two hormones. If there is an imbalance—such as elevated estradiol or insufficient progesterone—it can lead to various health issues, including menstrual irregularities and fertility problems.

Interpreting hormone test results

When receiving hormone test results, it's crucial to seek professional guidance for accurate interpretation. Hormone levels can vary significantly depending on the individual's fluid and the specific phase of their menstrual cycle. A healthcare provider experienced in hormonal health can help analyze these fluid results and determine if any imbalances or abnormalities exist.

Understanding the fluid reference ranges provided with the test results is also crucial. These fluid ranges indicate what is considered normal for a particular hormone at a given stage of the menstrual cycle. Comparing individual hormone levels to these fluid reference ranges helps identify potential deviations from optimal balance.

Seeking professional guidance for accurate assessment

Given the complexity of hormones and their impact on overall health, seeking professional guidance is paramount when assessing estrogen levels and ensuring hormonal harmony. A qualified healthcare practitioner specializing in fluid hormonal health can provide personalized recommendations based on your unique circumstances.

Remember, self-diagnosis or self-treatment based solely on hormone test results may not yield optimal outcomes.

Effects of High Estrogen: Impact on Men, Women, and AMAB Individuals

How high estrogen affects men's health

High levels of estrogen can have significant effects on men's health. While estrogen is typically associated with women, it also plays a crucial role in the male body. When the balance between estrogen and testosterone is disrupted, it can lead to various complications.

One of the primary concerns for men with elevated estrogen levels is the potential impact on their reproductive system. Excess estrogen can interfere with testosterone production, leading to decreased libido, erectile dysfunction, and even infertility. High estrogen levels in men may contribute to the development of gynecomastia, a condition characterized by enlarged breast tissue.

Furthermore, elevated estrogen has been linked to an increased risk of cardiovascular problems in men. Studies have shown that high levels of this hormone may contribute to arterial stiffness and promote inflammation within blood vessels. These factors can ultimately increase the likelihood of heart disease and other cardiovascular complications.

Potential risks associated with elevated estrogen in women

In women, an imbalance in estrogen levels can also pose significant risks to their overall health. While estrogen is essential for menstrual cycle regulation and fertility, excessive amounts can lead to several adverse effects.

One potential risk is an increased likelihood of developing certain types of cancer. High levels of estrogen have been associated with an elevated risk of breast cancer in women. This hormone stimulates cell growth within breast tissue and may contribute to abnormal cell proliferation.

Moreover, imbalanced estrogen levels can cause disruptions in menstrual cycles and exacerbate premenstrual syndrome (PMS) symptoms. Women with high estrogen may experience heavier or irregular periods, mood swings, bloating, and breast tenderness during their menstrual cycles.

Understanding the impact on assigned male at birth (AMAB) individuals

The impact of high estrogen extends beyond cisgender men and women; it also affects assigned male at birth (AMAB) individuals, including transgender women and intersex people. Estrogen plays a crucial role in gender transition for transgender women, as it promotes the development of feminine secondary sexual characteristics.

For AMAB individuals with intersex variations, high estrogen levels can have complex effects on their health. The interplay between hormones and genetics in intersex conditions can lead to diverse outcomes. Some individuals may experience delayed or abnormal puberty, fertility issues, or other health concerns due to imbalanced estrogen levels.

Long-term consequences of unbalanced estrogen levels

Regardless of gender identity, the long-term consequences of unbalanced estrogen levels should not be overlooked. Chronic exposure to high estrogen can have far-reaching effects on various aspects of health.

In addition to the risks mentioned earlier, prolonged elevation of estrogen may increase the likelihood of developing osteoporosis in both men and women. Estrogen helps regulate bone density, and when its balance is disrupted, it can contribute to decreased bone strength and an increased risk of fractures.

Furthermore, imbalanced estrogen levels have been associated with mood disorders such as depression and anxiety.

Managing Estrogen Dominance Naturally: Diet and Stress Management

Dietary recommendations for reducing estrogen dominance

Making dietary changes can play a significant role in restoring hormonal balance. Certain foods can either promote or inhibit estrogen production, so being mindful of what you eat is crucial.

To reduce estrogen dominance, consider incorporating the following dietary recommendations:

  1. Increase cruciferous vegetables: Foods like broccoli, cauliflower, kale, and Brussels sprouts contain compounds that support liver detoxification and help metabolize excess estrogen.

  2. Opt for organic produce: Conventionally grown fruits and vegetables often contain pesticides that can disrupt hormone balance. Choosing organic options reduces exposure to these harmful chemicals.

  3. Include fiber-rich foods: Whole grains, legumes, and flaxseeds are excellent sources of fiber that aid in eliminating excess estrogen from the body.

  4. Consume healthy fats: Incorporate sources of omega-3 fatty acids such as salmon, walnuts, and chia seeds into your diet to support hormone production and reduce inflammation.

  5. Limit alcohol intake: Alcohol can impair liver function, hindering its ability to process hormones effectively. Minimizing alcohol consumption helps maintain hormonal equilibrium.

Incorporating stress management techniques to balance hormones

Stress has a profound impact on hormone levels in the body. Chronic stress can lead to an imbalance between estradiol and progesterone levels, exacerbating estrogen dominance. Implementing effective stress management techniques is essential for achieving hormonal harmony:

  1. Regular exercise: Engaging in physical activity not only helps regulate weight but also aids in balancing hormones by reducing cortisol (stress hormone) levels and promoting endorphin release.

  2. Practice mindfulness: Activities like meditation or deep breathing exercises help activate the parasympathetic nervous system, which counteracts the effects of stress on hormone production.

  3. Get enough sleep: Prioritize quality sleep to support hormonal balance. Aim for 7-9 hours of uninterrupted sleep each night to allow the body to repair and restore hormone levels.

  4. Engage in hobbies: Participating in activities you enjoy helps reduce stress levels and promotes emotional well-being, indirectly contributing to hormonal equilibrium.

Beneficial foods and supplements for hormonal harmony

Certain foods and supplements can be beneficial in promoting hormonal balance and reducing estrogen dominance. Consider incorporating the following options into your routine:

  1. Herbal supplements: Supplements like chasteberry (Vitex agnus-castus) and evening primrose oil have been traditionally used to support hormone regulation.

  2. Adaptogenic herbs: Adaptogens such as ashwagandha, rhodiola, and holy basil help the body adapt to stress and promote overall hormonal balance.

  3. Omega-3 fatty acids: In addition to dietary sources, omega-3 supplements can provide an extra boost in reducing inflammation and supporting hormone production.

  4. Vitamin D

Conclusion

In conclusion, achieving hormonal balance is crucial for empowering your health and overall well-being. By understanding the significance of the estradiol to progesterone ratio, you can take steps towards harmonizing your hormones and optimizing your body's functions.

Throughout this article, we have explored the role of estrogen in energy balance and its impact on health. We have also delved into strategies and tips to balance estrogen dominance, recognizing its symptoms and causes along the way. We discussed how to assess estrogen levels by comparing them with progesterone.

It is important to note that high estrogen levels can affect not only women but also men and individuals assigned male at birth (AMAB). Managing estrogen dominance naturally through dietary choices and stress management techniques can be highly beneficial in restoring hormonal equilibrium.

To further support your journey towards hormonal harmony, remember to prioritize a healthy diet rich in nutrients that promote hormone regulation. Find effective ways to manage stress as it plays a significant role in hormone imbalance.

By taking proactive steps towards balancing your hormones, you can experience improved energy levels, mood stability, better sleep quality, enhanced fertility (if applicable), and an overall sense of well-being.

Remember that every individual's hormone balance is unique; what works for one person may not work for another. It is always advisable to consult with a healthcare professional who specializes in hormone health for personalized guidance tailored to your specific needs.

Take charge of your health today by embracing the power of hormonal balance. Small changes in lifestyle habits can make a significant difference in how you feel both physically and emotionally.

FAQs

Can I achieve hormonal balance solely through diet?

While diet plays a crucial role in achieving hormonal balance, it is just one piece of the puzzle. Incorporating nutrient-rich foods into your meals can certainly support hormone regulation but consider adopting other lifestyle changes such as stress management techniques for optimal results.

How long does it take to see the effects of hormone balancing strategies?

The timeline for experiencing the effects of hormone balancing strategies can vary from person to person. Some individuals may notice improvements within a few weeks, while others may require several months. Consistency in implementing these strategies is key for long-term success.

Are there any natural supplements that can help balance hormones?

Yes, certain natural supplements, such as chasteberry and maca root, have been found to support hormone balance. However, it is essential to consult with a healthcare professional before incorporating any supplements into your routine to ensure they are safe and appropriate for you.

Can stress really impact hormone balance?

Absolutely! Chronic stress can disrupt the delicate balance of hormones in your body, leading to imbalances and potential health issues. Implementing stress management techniques like mindfulness, exercise, and self-care practices can greatly contribute to hormonal harmony.

Is estrogen dominance reversible?

Yes, with proper lifestyle modifications and guidance from a healthcare professional specializing in hormone health, estrogen dominance can be managed effectively. By addressing underlying causes and adopting targeted interventions, you can restore hormonal equilibrium over time.

REFERENCES:

1. Tremellen K, Pearce K. Diagnosis of endometrial pathology and estrogen receptor expression from the menstrual effluent. Fertil Steril. 2012 Mar 1;97(3):643-7. doi: 10.1016/j.fertnstert.2011.11.044. 


2. Obr AE, Edwards DP. The biology of progesterone receptor in the normal mammary gland and in breast cancer. Mol Cell Endocrinol. 2012 Jun 8;357(1-2):4-17. doi: 10.1016/j.mce.2011.10.030.


3. Stanczyk FZ, Hapgood JP, Winer S, Mishell DR Jr. Progesterone is a critical regulator of estrogen-induced cyclooxygenase-2 expression in human uterine epithelial cells. J Biol Chem. 2013 Jun 14;288(24):18067-76. doi: 10.1074/jbc.M113.474647.


4. Torka R, Milinska K, Pertynski T. Effects of estradiol and progesterone modification - in vitro study performed on interstitial uterine leiomyomas. Neuro Endocrinol Lett. 2015;36(5):424-33. 


5. Murkes D, Carlson R, Daggett A, Lea RG. Regulation of progesterone receptor isoforms expression by estradiol and progesterone in normal and tumor breast tissues. Curr Med Chem. 2011;18(28):4310-8. doi: 10.2174/092986711803413998.


6. Tseng L. Estrogen hegemony: the times are changing. Uterus & Ovary 2014;4(2):42–45.


7. Shufelt CL, Noel Bairey Merz C, Thompson DD. Contraceptive hormone use and cardiovascular disease. J Am Coll Cardiol. 2009;53(23): 221–231. 


8. Otaño-Lugassy N, Hudson M, McDowell I, Poppe K. Hormone replacement therapy in family medicine: a shift in perspective. BMC Fam Pract. 2019;20(1):131. 


9. Santoro N. Perimenopause: From Research to Practice. J Womens Health (Larchmt). 2016;25(4):332–339. doi:10.1089/jwh.2015.5556


10. Wdowiak A, Wiktor H, Wdowiak L. Evaluation of the effect of using different contraceptive methods on the sex hormone balance and lipid metabolism in premenopausal women. Ann Agric Environ Med. 2007;14(3):441-8. 


11. Koper OM, Bagozzi RP, Lafreniere VK. Hormonal mediation of women’s behavioral responses to the threat of unwanted pregnancy. Ann Behav Med. 2015;49(3):352-363. doi:10.1007/s12160-014-9670-3


12. Piltonen T, Puurunen J, Hedberg P, et al. Oral, transdermal and vaginal combined contraceptives induce an increase in markers of chronic inflammation and impair insulin sensitivity in young healthy normal-weight women: a randomized study. Hum Reprod. 2012;27(10):3046-3056. doi:10.1093/humrep/des225


13. Stricker R, Eberhart R, Chevailler MC, Quinn FA, Bischof P, Stricker R. Establishment of detailed reference values for luteinizing hormone, follicle stimulating hormone, estradiol, and progesterone during different phases of the menstrual cycle on the Abbott ARCHITECT analyzer. Clin Chem Lab Med. 2006;44(7):883-7. doi: 10.1515/CCLM.2006.160.