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Gut Health and Hormones

Dr. Heather Finley, gut health expert explains Why Gut Health and Hormones Are Connected │ gutTogether® Program

Why Gut Health and Hormones Are Connected

Many women spend years trying to balance their hormones through clean eating, supplements, or restrictive diets, only to find themselves still battling bloating, fatigue, mood swings, or heavy periods. 

It’s frustrating to feel like you’re doing everything right and still not seeing results. What often gets missed is the powerful connection between gut health and hormones.

Your digestion plays a far bigger role in hormone balance than most people realize. The gut is where your body eliminates used hormones, especially estrogen, and when that system isn’t running smoothly, things start to back up, literally and hormonally.

If you’re constipated, not fully eliminating each day, or missing key nutrients like fiber, your body can end up reabsorbing estrogen that it’s supposed to get rid of. Over time, that can lead to symptoms like PMS, breakouts, and unpredictable cycles.

Understanding how gut health and hormones work together is the first step toward lasting relief. When your digestion is regular, your microbiome balanced, and your body properly nourished, your hormones finally have the foundation they need to thrive.

The Overlooked Connection Between Gut Health and Hormones

Constipation is more than just uncomfortable; it directly impacts your hormones. Once your body is done using estrogen, it sends it to the liver to be packaged up for removal. From there, it should be cleared through the gut with a daily, complete bowel movement.

If you’re not eliminating regularly, that estrogen doesn’t just disappear. It gets reabsorbed into your bloodstream and continues circulating, creating a hormone traffic jam. 

This is why so many women experience bloating, mood swings, and heavy or painful periods when their gut is sluggish.

Fiber: The Unsung Hero of Hormone Balance

One of the biggest missing pieces for women struggling with hormone symptoms is fiber. When you cut out grains and legumes in the name of “clean eating,” you often end up cutting out your best fiber sources. Piling your plate with veggies looks good on paper, but it’s not always enough to meet your fiber needs. 

Fiber plays two critical roles for gut and hormone health. Soluble fiber acts like a sponge, binding to estrogen, toxins, and cholesterol so they can be carried out of the body. Insoluble fiber acts like a broom, adding bulk and keeping motility strong so things keep moving. When you have both, your gut clears estrogen efficiently, and your hormones stay in balance. 

Women who eat more fiber consistently show lower circulating estrogen levels, which means fewer symptoms of estrogen dominance.

The Gut Microbiome, Beta Glucuronidase, and the Estrobolome

Your gut bacteria also play a major role in hormone regulation. One enzyme called beta-glucuronidase can actually “unwrap” the estrogen that your liver worked so hard to package up, sending it right back into circulation.

High levels of this enzyme often come from gut imbalances or low fiber intake. Then there’s the estrobolome, the collection of gut bacteria responsible for metabolizing estrogen. When the estrobolome is balanced, estrogen is cleared as it should be. 

When it’s disrupted, estrogen is reactivated and recycled, fueling symptoms like PMS, bloating, acne, and heavy cycles. Supporting your microbiome with fiber and balanced nutrition keeps these systems working for you instead of against you.

Signs Your Gut Might Be Affecting Your Hormones

If you’re wondering whether your gut could be the reason your hormones feel off, here are some red flags:

  • You’re not having complete, satisfying bowel movements every day
  • You notice bloating, irritability, or sluggishness leading up to your period. 
  • You’re eating far less than the recommended 25 to 35 grams of daily fiber, which is the case for most Americans. 
  • You deal with painful or heavy periods, hormonal acne, or mood swings. 

All of these can point to poor estrogen clearance and a gut that needs more support.

5 Simple Shifts to Support Gut Health and Hormones

If your gut is holding your hormones hostage, the good news is that small, intentional changes can make a big difference. You don’t need an extreme overhaul to start feeling better, just a few consistent habits that support daily elimination and estrogen clearance.

1. Prioritize fiber-rich foods

    Most women fall short on fiber, which is essential for binding and clearing estrogen. Focus on adding foods like oats, beans, lentils, and whole grains alongside vegetables to hit the recommended 25 to 35 grams per day.

    2. Balance both soluble and insoluble fiber

      Soluble fiber acts like a sponge, soaking up estrogen and toxins, while insoluble fiber works like a broom to keep waste moving. Aim to include both daily by combining foods like beans, apples, chia seeds, and leafy greens.

      3. Track your intake and symptoms

        Spend a few days noting how much fiber you’re eating and how your body responds. Pay attention to bowel movement frequency and how symptoms like bloating or mood changes show up around your cycle.

        4. Support your microbiome

          Your gut bacteria, especially the estrobolome, play a major role in hormone balance. Feed them with a variety of plant foods, resistant starches, and prebiotic fibers to keep estrogen metabolism working smoothly.

          5. Make daily elimination a non-negotiable

            Constipation is a clear signal that your gut and hormones are struggling. Create a routine that supports regular bowel movements, whether that’s more hydration, fiber, gentle movement, or mindful stress management.

            Take the First Step Toward Better Digestion and Smoother Cycles

            Constipation is not just a gut issue; it is a hormone issue. When your body can’t fully eliminate estrogen, symptoms pile up and your cycle suffers. By focusing on daily elimination and prioritizing fiber, you can create real change in how your hormones feel month to month. 

            If you’re tired of trying to balance your hormones without seeing results, start with your gut. This simple shift could be the missing piece you’ve been looking for. 

            Take my free Gut Health Quiz to uncover possible root causes and get action steps you can start now, or if you’re ready for deeper support, work with our team in gutTogether® for a personalized plan that helps you feel better for good.

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            Hi, I’m Dr. Heather

            Registered dietitian and helps people struggling with bloating, constipation, and IBS find relief from their symptoms and feel excited about food again.

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