Gut Health and Hormones: How Your Gut Affects Your Hormonal Balance and What You Can Do
- Dr. Alyssa Brooks McPeak
- Sep 27, 2024
- 4 min read

In recent years, gut health has become a hot topic in the wellness world. What many women don’t realize, however, is that the health of your gut doesn’t just impact digestion—it plays a vital role in maintaining your hormone balance. From mood to metabolism, your hormones are at the heart of your overall well-being. Understanding the gut-hormone connection can help you unlock better health, energy, and balance. Let’s dive into how gut health affects your hormones and what you can do to optimize both.
The Gut-Hormone Connection
Your gut is more than just a digestive organ; it’s often called your “second brain” because it plays such an important role in overall health. One of its most critical functions is maintaining hormonal balance. Here’s how:
1. Gut Microbiota and Hormones
Your gut contains trillions of bacteria and other microorganisms, collectively known as the gut microbiome. These bacteria help with digestion, but they also influence hormone production and regulation. For example, some gut bacteria are responsible for converting inactive thyroid hormones into their active form. This means that an unhealthy gut can directly affect thyroid function, leading to energy imbalances, weight gain, and more.
2. Estrogen Metabolism
Your gut is also responsible for breaking down and eliminating excess estrogen from your body. When gut health is compromised, estrogen levels can build up, contributing to conditions like PMS, PCOS, Endometriosis, and even estrogen dominance, which can increase the risk of cancers, such as breast cancer. A healthy gut ensures estrogen is processed and removed properly, helping maintain hormonal balance.
3. Cortisol and Stress Response
Your gut has a significant relationship with your stress hormone, cortisol. A healthy gut supports a balanced response to stress, while an unhealthy gut can lead to an overactive stress response. This imbalance can disrupt your cortisol levels, which are closely tied to weight gain, fatigue, mood swings, and sleep problems.
4. Serotonin Production
Interestingly, about 95% of your serotonin (the “feel-good” hormone) is produced in the gut, not the brain. Serotonin plays a key role in regulating mood, appetite, and sleep. If your gut is imbalanced, serotonin production can suffer, leading to mood disorders like anxiety and depression, as well as sleep disturbances.
Signs Your Gut May Be Affecting Your Hormones
Hormonal imbalances can manifest in many ways, some of which may surprise you. Here are a few signs that your gut health might be impacting your hormones:
- Unexplained weight gain or loss
- PMS, irregular periods, or severe period pain
- Chronic fatigue or low energy
- Bloating, gas, or constipation
- Anxiety or depression
- Difficulty sleeping or waking up feeling unrested
- Skin issues like acne or eczema
How to Optimize Gut Health for Better Hormone Balance
Improving your gut health doesn’t have to be complicated, but it does require a few intentional changes to your diet and lifestyle. Here are key steps to take:
1. Increase Fiber (vegetable) Intake
Fiber is essential for feeding the good bacteria in your gut and promoting a diverse microbiome. Eating a variety of plant-based foods like vegetables, fruits, legumes, and ancient grains will help create an environment in which your gut bacteria can thrive. This, in turn, helps regulate hormones like estrogen and cortisol.
2. Eat Fermented Foods
Fermented foods like yogurt, kefir, sauerkraut, kimchi, and kombucha are rich in probiotics, which are beneficial bacteria that support gut health. Consuming these foods on a daily basis can help increase the number of healthy bacteria in your gut, improving digestion and hormone regulation.
3. Prioritize Healthy Fats
Hormones are made from fat (cholesterol), so including healthy fats in your diet is crucial for hormone production. Focus on omega-3 rich foods like salmon, walnuts, chia seeds, and flaxseeds, as well as monounsaturated fats from sources like olive oil and avocados.
4. Manage Stress
Chronic stress can wreak havoc on both your gut and your hormones. Prioritizing self-care time and practicing stress management techniques like meditation, yoga, deep breathing exercises, and regular physical activity can support a healthier gut and a more balanced hormonal response.
5. Stay Hydrated
Drinking enough water is essential for supporting digestion and the elimination of excess hormones from the body. Aim for at least half your body weight in ounces of water a day to keep your gut functioning optimally.
6. Limit Processed Foods and Sugar
Refined sugars and processed foods cause inflammation in the gut, leading to imbalances in your gut bacteria. Over time, this can interfere with hormone production and regulation. Focus on real, whole, nutrient-dense foods to support both your gut and your hormonal health.
7. Consider a Probiotic Supplement
If you’re dealing with significant gut or hormone imbalances, you might benefit from a high-quality probiotic supplement. Probiotics can help restore balance to the gut microbiome, improving digestion and hormone regulation. Look for multiple strains of good bacteria, especially S. Boulardii for intestinal lining health, and L. Reuteri + L Rhamnosus for vaginal health.
A Holistic Approach to Hormone Health
The gut-hormone connection is powerful, and by focusing on gut health, you can make a significant impact on your hormonal balance. By nourishing your microbiome with vegetables + plants, fermented products, healthy fats, and probiotics, and by managing stress and limiting processed foods, you’ll support a healthier gut—and healthier hormones.
Remember, there is no quick fix when it comes to hormone health, but making these simple, sustainable changes can lead to lasting improvements in your energy, mood, and overall well-being.
Sources:
- "The Role of Gut Microbiota in Hormonal Health," Journal of Endocrinology and Metabolism
- "Gut Health and Hormone Balance: The Estrogen Connection," American Journal of Women's Health Studies

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