You feel it in your body — even if no one has given it a name yet.

The weight that accumulates around your hips and belly despite a clean diet and regular exercise. The PMS that has been getting progressively worse — the mood swings, the breast tenderness, the bloating that begins a week before your period and refuses to fully resolve. The periods that are heavier than they used to be, or more irregular, or both. The fatigue that is worst in the first half of your cycle. The anxiety that spikes seemingly without reason. The brain fog that clouds your thinking on days when you should feel clear. The fibroids or endometriosis that your gynaecologist has attributed to genetics and offered to manage with the pill.

This constellation of symptoms has a name. It is called estrogen dominance — and it is one of the most common and most consistently mismanaged hormonal conditions in modern medicine.