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Combined oral contraceptives suppress endogenous hormone production and replace it with synthetic hormones. Does the oral contraceptive pill cause estrogen dominance? Conversely, a woman with elevated estradiol may not be estrogen dominant if progesterone is proportionally elevated. A woman can have low-normal estradiol and [https://www.howeasynetwork.com](https://www.howeasynetwork.com/@lovmaynard7265?page=about) still be estrogen dominant if progesterone is effectively absent from anovulatory cycles or perimenopausal progesterone decline. It describes an unfavorable estrogen-to-progesterone ratio. Treating all estrogen dominance presentations the same way produces inconsistent and often inadequate results.
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