Estrogen dominance refers to a hormone imbalance where estrogen levels are abnormally high compared to progesterone levels. Some key signs and symptoms include irregular periods or changes in flow, PMS symptoms like bloating, breast tenderness, and mood swings, fatigue, trouble sleeping, low libido, and weight gain, especially around the hips and thighs. Some potential causes include perimenopause and menopause (declining progesterone), chronic stress, obesity, high estrogen foods, environmental estrogens, and conditions affecting hormone metabolism like thyroid disorders. Consequences if untreated may include infertility, higher risk of female cancers, osteoporosis, and cardiovascular disease. Treatment options aim to rebalance hormones and may include lifestyle changes like exercise, nutrition, and stress management, herbal therapies like maca or vitex, bioidentical hormone therapy, and Selective Estrogen Receptor Modulators (SERMs). If you experience symptoms of estrogen dominance, it's recommended to consult with the healthcare professionals at Optimal Balance Hormone Therapy for proper evaluation and treatment options.