The transition through perimenopause, menopause, and post menopause involves significant hormonal changes, particularly in estrogen, progesterone and testosterone levels, leading to various symptoms and health concerns. The intestinal microbiota is integral to metabolism and regulation of hormones, including estrogens. A specific collection of gut bacteria, sometimes referred to as the “estrobolome,” is involved in metabolizing estrogens. Dysbiosis, or an imbalance in gut microbiota, can disrupt estrogen metabolism, potentially exacerbating menopausal symptoms and increasing the risk of hormone-related conditions.

 

The gut microbiota contributes to the regulation of estrogen levels through the deconjugation of estrogen metabolites, influencing their reabsorption and activity in the body. An imbalance in gut bacteria can disrupt this process, potentially leading to estrogen deficiency or dominance, each associated with various health issues.

 

While menopause is primarily associated with declines in estrogen and progesterone, testosterone levels can also be affected, influencing libido. The intestinal microbiome interacts with sex hormones and maintaining a diverse and balanced microbiota may support sexual health during menopause. A resilient gut microbiome can influence neurotransmitter production, potentially enhancing sexual desire and function.

 

Maintaining a healthy and diverse microbiota through targeted prebiotic fibers, cultured and fermented foods and/or probiotic supplementation along with dietary choices supports hormonal balance, sexual health, and weight management during menopause. I will help you incorperate specific probiotic strains and nutrient-rich foods to alleviate symptoms and promote overall well-being during this transitional period.