748. What Really Causes Endometriosis? Estrogen, Genetics, and Autoimmune Links
The Female Health Solution Podcast
Release Date: 09/08/2025
The Female Health Solution Podcast
Have you ever been told your labs are “normal,” but you still feel exhausted, foggy, wired, or not like yourself? I'm Dr. Jenny, one of the docs on the team with Dr. Beth Westie. In this episode of The Female Health Solution Podcast, I share my clinical perspective after working with hundreds of women inside Dr. Beth Westie’s practice. We dive into why normal blood work doesn’t always mean your hormones are functioning well and how deeper testing helps us uncover what’s really happening behind the scenes. I also show the difference between blood work and the DUTCH Test, why cortisol...
info_outlineThe Female Health Solution Podcast
If you are exhausted all the time and can’t figure out why, this episode is for you. Today I’m breaking down the real truth about adrenal health, cortisol, and fatigue, and why so many women feel stuck, dismissed, or confused when it comes to their energy. Fatigue is not one thing. It is not always just stress, and it is definitely not something you should be told to “just push through.” One of the most frustrating things about fatigue is that so many symptoms overlap. Low energy can come from nutrient deficiencies, blood sugar instability, thyroid dysfunction, estrogen or progesterone...
info_outlineThe Female Health Solution Podcast
The wired-but-tired feeling is incredibly common, especially for women, and it’s one of the most frustrating places to be. You want energy during the day. You want sleep at night. But instead, it feels like your body is doing the exact opposite of what it should. In this episode, I’m breaking down what’s actually happening behind the scenes when you feel wired but tired and why pushing harder, drinking more coffee, or just “trying to relax” usually makes things worse. When I see this pattern, it almost always points back to dysfunction in the HPA axis, which controls your adrenal...
info_outlineThe Female Health Solution Podcast
Have you ever noticed that your energy is not consistent throughout the month? Some weeks you feel sharp, motivated, and on top of everything, and other weeks you feel exhausted, anxious, foggy, or completely wiped out. That is not random. That is hormones. In this episode, I walk you through how estrogen and progesterone impact your energy across your entire cycle and why understanding this changes everything. Once you see it, you cannot unsee it. I break down what a typical 28 day cycle looks like and what your hormones are supposed to be doing at each phase. What we cover in this episode:...
info_outlineThe Female Health Solution Podcast
How do you know if it’s really your cortisol causing symptoms like exhaustion, burnout, low mood, or low libido? How do you know if it’s adrenal insufficiency, adrenal dysfunction, or something else entirely? In this episode, I break down exactly how to tell the difference between low cortisol and high cortisol, why symptoms overlap with thyroid issues and other hormone imbalances, and why guessing or treating blindly can actually make things worse. What I Cover in This Episode • The difference between adrenal function vs cortisol output • Why blood, saliva, and urine cortisol...
info_outlineThe Female Health Solution Podcast
In this episode, I break down why you can feel exhausted all day but suddenly wired the moment you try to sleep. We talk about how cortisol, melatonin, blood sugar, and perimenopause all play a role, and what you can actually do to get real rest. What we cover: 1. Cortisol and melatonin basics Your circadian rhythm depends on high cortisol in the morning and low cortisol at night. If cortisol spikes in the evening, you will feel “tired but wired.” Taking melatonin will not help if melatonin is normal and cortisol is the real problem. 2. How DUTCH testing reveals the root cause A...
info_outlineThe Female Health Solution Podcast
In this episode of the Female Health Solution Podcast, I break down one of the biggest frustrations women face: Your labs come back “normal,” yet you still feel exhausted, inflamed, moody, or nothing like yourself, and no one can explain why. Here’s what we cover: Why basic blood work misses the real problem Regular labs look for disease, not dysfunction. A standard CBC or hormone panel can’t show how your hormones are produced, processed, or eliminated. Blood tests catch crises, not the early warning signs of perimenopause, adrenal burnout, or estrogen dominance. What DUTCH...
info_outlineThe Female Health Solution Podcast
Your hormones are not separate from your life. They’re responding to it. And nothing reveals that more clearly than the holiday season. Every year, women take on more—more planning, more emotional labor, more mental load, more pressure to make everything magical. And we tell ourselves it’s “just busy,” but physiologically, there’s so much more happening beneath the surface. When your schedule gets unpredictable, your meals get irregular, or your sleep gets pushed aside, your cortisol rises. When cortisol rises, progesterone dips. And when progesterone dips, you feel it: heavier...
info_outlineThe Female Health Solution Podcast
Today is a little different...I'm pulling back the curtain on what’s really happening inside your body during this stage of life—and what most women are never told. If you’re in your 40s (or even your late 30s) and you’ve wondered, “Is this perimenopause… or is something actually wrong with me?” this conversation is for you. As I’ve moved into my forties myself, and having worked with hundreds of women in this phase, I’ve become even more aware of how much confusion and noise surrounds this transition. Perimenopause has almost become a buzzword, but very few women understand...
info_outlineThe Female Health Solution Podcast
In this episode, I’m breaking down exactly how specific herbs in our cycle-based tinctures support your hormones in a real, clinical way—not just “woo” or wishful thinking. We talk through five key herbs you’ll find in my Estrogen support and progesterone-support tinctures—red clover, angelica, white peony, Vitex, and red raspberry leaf—and what they actually do in the body: How red clover helps your estrogen receptors work properly (without “adding more estrogen”) so you can calm brain fog, mood swings, and night sweats. Why angelica and white peony are powerful...
info_outlineWhat actually causes endometriosis?
If you’ve been struggling with painful periods, fertility challenges, or symptoms that doctors brush off without testing your hormones, you are not alone. Endometriosis is one of the most under-researched and misunderstood conditions women face, even though it can be completely debilitating.
In this episode, I break down:
-
Why research is so limited on endometriosis and how that impacts the care women receive.
-
What we do know so far:
-
It’s estrogen-driven, and hormone processing plays a big role.
-
Genetics can increase your risk (especially if you’re a poor methylator or detoxer).
-
It’s often tied to your immune system and can behave like an autoimmune condition.
-
-
How endometrial tissue behaves once it migrates outside the uterus—it can attach like scar tissue or a web, causing pain, inflammation, and even impacting organs like the bladder or bowel.
-
Why your symptoms are unique: no two women experience endometriosis in the exact same way, which is why dismissive comments like “you can’t have it because you got pregnant” are just flat-out wrong.
I also share why the DUTCH Test is one of my favorite tools for uncovering the root hormone patterns behind endometriosis. Unlike standard bloodwork, it shows how your body is actually processing estrogen, cortisol, neurotransmitters, and more—giving us a real window into what’s going on and where to start.
Here’s the most important thing: you don’t have to guess anymore, and you don’t have to do this alone. If you’re ready to finally get answers and a plan that’s personalized to you, I invite you to apply for my 1:1 VIP Program. In this high-level coaching program, we combine advanced testing like the DUTCH test with a comprehensive strategy tailored to your body—so you can finally start feeling like yourself again.
When your body functions better, you feel better.
Apply here: https://drbethwestie.com/jumpstart-program/