The Connection Between Gut Health and Hormonal Balance: Unlocking the Secrets
- Dr. Rebecca Sand
- Mar 16
- 5 min read
Recent research shows that the gut is not just for digestion but is vital for regulating hormones that affect our mood, weight, cycles, fertility, and overall health.
Read on for effective strategies to improve gut health, leading to better hormonal balance.
Understanding Gut Health
Gut health refers to the balance of microorganisms in our digestive tract, an environment home to trillions of bacteria, viruses, fungi, and other microbes. These organisms play crucial roles like influencing immunity, metabolism, and hormone production.
When these microorganisms are out of balance—a variety of conditions known as dysbiosis—it can lead to various health problems, including many hormonal issues. Studies have shown that a diet high in fiber can increase beneficial bacteria by up to 30%, highlighting the profound impact our food choices have on gut health.
Increasing dietary fiber alone can has been associated with lower circulating levels of estrogen and other sex hormones, which may reduce the risk of hormone-dependent cancers such as breast cancer, as well as reduce symptoms of PMS, cyclical migraines, and heavy or painful periods.
The Gut-Hormone Connection
Hormones act as chemical messengers in the body, affecting everything from metabolism to stress management. Insulin is one of the key hormones influenced by gut health and is essential for regulating blood sugar levels. A study found that individuals with gut dysbiosis had a 50% higher chance of developing insulin resistance, which could lead to diabetes, weight gain, cholesterol issues and so much more.
Additionally, gut microbiota produce short-chain fatty acids (SCFAs) that play a role in producing hormones tied to appetite control, such as leptin, GLP-1, and ghrelin. For instance, when SCFAs are present, leptin levels rise, signaling to the brain that we are full and helping to regulate body weight more effectively.
(More on how to increase SCFAs below 👇)
Diet: The Foundation of Gut Health
Diet is crucial in shaping gut microbiota. Consuming a variety of whole foods promotes a diverse microbiome. Here are some strategies to enhance gut health:
1. Emphasize Fiber-Rich Foods
Dietary fiber improves hormone health by modulating gut hormone secretion, enhancing satiety, improving insulin sensitivity, and influencing sex hormone levels, thereby contributing to overall metabolic and reproductive health.
Diets high in mixed dietary fibers can up-regulate colonic fermentation and increase the relative abundance of saccharolytic bacteria, leading to higher SCFA concentrations.
Increase fiber-rich foods like fruits, vegetables, legumes, and whole grains. These foods are rich in dietary fiber, which acts as a prebiotic and feeds beneficial gut bacteria. Aim for at least 25 to 38 grams of fiber daily. For example, one cup of cooked lentils contains over 15 grams of fiber, making them an excellent choice.
✨ Pro Tip: if this is a big jump for you, ease in slowly. Adding in lots of fiber suddenly may cause gas and bloating.
2. Incorporate Fermented Foods
Adding fermented foods like yogurt, sauerkraut, kimchi, and kefir to your diet can boost gut health. These foods contain probiotics that help diversify gut microbiota. Research shows that consuming one serving of fermented food daily can increase beneficial bacteria levels by about 40%.
Some fermented foods and beverages that are naturally high in SCFAs, such as kombucha and vinegar, can acutely deliver SCFAs to the blood, particularly acetate.

3. Limit Processed Foods
Highly processed foods often lack nutrients and can contribute to gut dysbiosis. Foods high in added sugars and unhealthy fats disrupt gut flora. In fact, studies suggest that consuming a diet rich in ultra-processed foods can reduce microbial diversity by up to 25%, which leads to further health complications.
Ultra-processed foods can harm sex hormones through exposure to endocrine-disrupting chemicals, metabolic disturbances from unhealthy dietary components, and increased inflammation, all of which can disrupt normal hormonal regulation and reproductive health.
4. Practice Mindfulness and Relaxation Techniques
Engaging in stress-reducing activities like yoga, meditation, and deep-breathing exercises can positively influence both gut health and hormonal balance. For instance, daily mindfulness practices can reduce cortisol levels by up to 32%. Just 10 minutes a day can lead to improvements in overall well-being.
The Role of Stress Management
Stress has a significant impact on gut health, which in turn affects hormonal balance. When stressed, our bodies release cortisol, a hormone that can alter gut permeability and lead to a "leaky gut." As a result, this can cause hormones to be produced irregularly, thus impacting cycles.
5. Prioritize Quality Sleep
Strive to get 7-9 hours of restful sleep each night. Creating a sleep routine signals that it is time to relax. Simple changes like reducing screen time before bed, crafting a comfortable sleep environment, and avoiding caffeine in the late afternoon can help enhance sleep quality.
Sleep and Hormonal Regulation
Sleep is essential for hormonal balance. Insufficient sleep can cause imbalances in cortisol, insulin, and growth hormone. Inadequate sleep can also negatively impact the microbiome, which is fundamental for overall health.
💤 Fun fact: most of us will ovulate at night! If you are trying to regulate your cycle, promote ovulation, or are trying to conceive, do not skip on sleep!
6. Drink Plenty of Water
Aim to drink at least 8 glasses of water per day. If plain water doesn't entice you, consider infusing it with fruits or herbs to improve taste and encourage you to drink more.
The Impact of Hydration
Staying hydrated is essential for gut health. Water aids digestion, nutrient absorption, and ensures the intestinal mucosa remains intact.
7. Consider Probiotics
Probiotic supplements can benefit individuals, especially after antibiotic use or in cases of digestive distress. They help replenish good bacteria in the gut, improving digestion, and potentially stabilizing hormonal levels.
If dietary changes are insufficient, specific supplements may support gut health and hormonal balance. Always consult a healthcare professional before starting any supplements.
Check out the Turd Nerds episode on how to support your microbiome through probiotics:
8. Prebiotics and Fiber Supplements
If you struggle to get enough dietary fiber, prebiotic or fiber supplements can help. They support gut bacteria and digestion, influencing hormonal production positively.
Most of you have heard me say it, but psyllium husk is a rockstar here!
✨👇 Check out Dr. Sand's favorite Prebiotic + Probiotic Protocol on Fullscript.
Achieving Hormonal Balance Through Gut Health
Balancing hormones by improving gut health is a practical goal grounded in extensive research. By focusing on dietary choices, managing stress, ensuring adequate hydration, and prioritizing quality sleep, individuals can enhance their gut microbiome and achieve hormonal balance.
Recognizing the deep connection between gut health and overall well-being empowers us to make informed choices. Remember: there is a lot you can do with diet!

The information in this article is not intended to replace your doctor’s advice. Consult with your local healthcare professional before starting or stopping any medication or supplement.
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