Estrogen dominance is defined by the ratio between estrogen and progesterone, where an imbalance can cause the body to experience high-estrogen symptoms even if levels are not pathologically high.

“I like that ratio to be a 1:20 ratio. So if estradiol specifically, so there's three estrogens. There's estradile, estrone, and estriol. We like testing estradiol in both men and women because that's your most potent estrogen. So if estradiol is 20 times higher than your progesterone level, then you”