Gut Health & Hormone Balance in Perimenopause: The Overlooked Connection
- Shannon Wade
- Mar 13
- 3 min read
Updated: Apr 14
If you’re in perimenopause and struggling with weight gain, bloating, mood swings, or brain fog, you might think it’s all due to shifting hormones. But here’s something most women don’t realize—your gut health plays a major role in how well your hormones function.
That’s right! Your digestive system and hormones are deeply connected, and when your gut is out of balance, it can worsen menopause symptoms, making you feel even more exhausted, moody, and out of sync with your body.
So, let’s dive into how your gut influences hormones in perimenopause and what you can do to restore balance and feel your best.
How Your Gut Affects Hormones in Perimenopause
During perimenopause, estrogen, progesterone, and testosterone begin fluctuating. But what many don’t realize is that your gut microbiome helps regulate these hormones.
Here’s how:

Your Gut Helps Process &Eliminate Estrogen
Your gut contains special bacteria (estrobolome) that help break down and eliminate excess estrogen. If your gut microbiome is imbalanced, estrogen doesn’t get processed properly, leading to:
Worsened PMS & perimenopause symptoms
Bloating & weight gain (especially around the belly)
Increased risk of estrogen dominance (which can cause heavy periods & mood swings)

2. Your Gut Produces Mood-Regulating Neurotransmitter
Did you know that 95% of your serotonin (your happy hormone) is made in your gut? A healthy gut microElementsbiome supports the production of serotonin and dopamine, which help regulate:
Mood & emotional well-being
Sleep quality
Stress response
When your gut is out of balance, mood swings, anxiety, and depression can feel even worse during perimenopause.

Gut Inflammation Increases Cortisol & Triggers Stress
Chronic gut inflammation can spike cortisol (your stress hormone), which can:
Increase cravings & weight gain
Disrupt sleep
Leave you feeling constantly wired yet exhausted
By reducing inflammation in your gut, you can better regulate stress hormones and feel more balanced.
Best Foods to Support Gut & Hormone Balance in Perimenopause
The good news? You can heal your gut and support your hormones naturally by focusing on the right foods!
Gut-Healing & Hormone-Balancing Foods:
Fermented foods: yoghurt, sauerkraut, kimchi, and kefir provide healthy probiotics.
Prebiotic-rich foods: garlic, onions, bananas, and asparagus feed good gut bacteria.
Fibre-packed foods: flaxseeds, chia seeds, and leafy greens help with digestion and oestrogen balance.
Healthy fats: avocados, wild-caught salmon, and nuts reduce inflammation & support hormone production.
Protein-rich foods: grass-fed meats, eggs, and beans stabilize blood sugar & energy levels.
What to Avoid:
Excess sugar & processed foods: Feed bad gut bacteria & increase inflammation
Alcohol & caffeine: Can disrupt gut bacteria and worsen cortisol imbalances
Highly processed vegetable oils: Promote inflammation

Lifestyle Habits to Improve Gut & Hormone Balance
Get sunlight and fresh air: Supports circadian rhythms & gut microbiome
Stay hydrated: Helps flush toxins & support digestion
Move your body daily: Exercise helps reduce cortisol & support gut function
Manage stress: Try deep breathing, meditation, or yoga to support the gut-brain connection
Consider probiotics and digestive enzymes: Help restore gut balance & improve digestion with homemade protein shake.
The Bottom Line
Your gut health and hormones are deeply connected, and if you’re experiencing perimenopause symptoms like bloating, mood swings, and fatigue, your gut may be the missing piece of the puzzle.
By nourishing your gut with the right foods, reducing inflammation, and making simple lifestyle changes, you can support hormone balance naturally—so you can feel energized, clear-headed, and in control again.
Have you noticed how gut health affects your menopause symptoms? Drop a comment below and let’s chat!
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