10/02/2026
🌿 You Don’t “Lose” Oestrogen — You Lose Pathways
“When ovarian oestradiol fluctuates, the body doesn’t panic.
It adapts — if the pathways are working.”
One of the biggest myths around perimenopause is that pain appears because oestrogen simply disappears.
Clinically, that’s not what I see.
Yes — ovarian oestradiol changes.
But the body has multiple adaptive pathways that support oestrogen signalling beyond the ovaries:
• liver conjugation and clearance
• conversion in adipose tissue
• endocrine activity of skin and fascia
Here’s the part that often gets missed.
These pathways are not just chemical.
They are mechanical, neurological, and circulatory.
When I assess women in pain during perimenopause, I often find:
• restriction between the liver and diaphragm
• reduced diaphragmatic movement affecting circulation and autonomic tone
• fascial compensation through the abdomen, hips, thighs, and calves
• adipose tissue acting as a stress buffer under chronic load
This isn’t a weight issue.
It’s a load-management and signalling issue.
Add chronic stress and cortisol dominance, and the system shifts into protection:
• joints stiffen
• muscles reduce output
• fascia grips instead of gliding
• pain sensitivity increases
So this isn’t:
❌ “just hormones”
❌ “just ageing”
❌ “something you have to push through”
It’s a whole-body adaptive response.
That’s why meaningful support isn’t one pill or one supplement.
It’s about:
• restoring movement and circulation
• unloading liver–diaphragm restriction
• improving fascial glide
• rebuilding nervous system safety
• then supporting chemistry second
You don’t lose oestrogen.
You lose access.
And access can be rebuilt.