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Dr. Don Colbert, MD

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Healthy Living Articles Hormones & Vitality

DIM Can Help Balance Hormones During Menopause

Don Colbert, MD

Written by Don Colbert, MD, board-certified in family practice and in anti-aging and integrative medicine for more than 25 years
Last reviewed and updated: October 17, 2026

If you haven’t heard of DIM, or Diindolylmethane, it’s time to get acquainted.

It’s a compound that’s produced by our own bodies when we eat cruciferous vegetables, and it can help your body balance hormones during menopause.

Amazingly, you can now supplement it in addition to eating vegetables for the most benefit!

And, its advantages go beyond hormones.

In fact, DIM is a whole-body health promoter, from reduced cancer risk to improved skin to anti-viral properties.

If you’re looking to balance your hormones during menopause, and want nutrients that promote health overall, consider DIM. Here are 7 Ways DIM Can Balance Hormones During Menopause.

7 Ways DIM Can Balance Hormones During Menopause

1. Hormone Balance and Estrogen Metabolism

What hormone level is typically discussed during menopause?

That’s right, estrogen.

But did you know it’s not just about the level of estrogen? Its metabolism and balance in relation to other hormones matter just as much.

DIM alters the metabolism of estrogen in order to help our bodies balance hormones.  Estrogen levels and function can change in both women and men as we age.

Some experience estrogen dominance (elevated estrogen relative to other hormones) and others experience loss of testosterone and progesterone.

DIM may also help by blocking aromatase, the enzyme that converts testosterone to estrogen. This is a great first step toward hormone balance.

2. Bad Estrogens vs. Good Estrogens

Next, DIM shifts estrogen metabolism toward the more favorable 2-hydroxy pathway and away from 16-alpha-hydroxyestrone, often called a “bad” estrogen metabolite. In a pilot study of postmenopausal women, DIM supplements increased this favorable 2-hydroxy metabolite (6). Less favorable estrogen metabolites are thought to contribute to many premenstrual and menopause complaints, including fat gain, cramping, acne, and low energy, and they have been studied in relation to breast cancer risk.

Good estrogens promote leaner bodies with more muscle, high-quality collagen in connective tissues, healthy bone density, and good cholesterol levels.

DIM encourages estrogens to metabolize to the beneficial forms while deterring negative forms.

3. Anti-Cancer Properties

In research studies, DIM has been shown to possibly induce cancer cell death, reduce cancer cell growth, and potentially reduce risk. It is specifically thought to be important against breast, endometrial, and prostate cancer (1, 2).

4. May Help Against Human Papillomavirus (HPV)

Human papillomavirus (HPV) causes multiple medical disorders including cervical lesions, cervical cancer, and some throat (oropharyngeal) cancers.

A small pilot study evaluated oral DIM as a possible nonsurgical treatment for cervical dysplasia, the abnormal cervical cells usually caused by HPV. The research is still early, so DIM is not a substitute for regular Pap tests and HPV care with your doctor (3).

5. Supports Fat Loss

Loss of muscle and gain of fat is another unwanted side effect of menopause for many women.

DIM can help.

In lab and animal research, DIM reduced the formation of new fat cells and limited weight gain in mice fed a high-fat diet (4).

In addition, balanced hormones promote healthy weights and the ability to lose unwanted fat.

6. Strong Anti-inflammatory 

DIM helps activate an enzyme called AMP-activated protein kinase (AMPK).

AMPK is a key energy-sensing enzyme with anti-inflammatory effects, and it has been studied for its role in reduced cancer risk, overall bodily inflammation, and heart health (5, 2).

7. Skin Health and Acne Reduction

With hormonal changes, many women experience changes in skin health and appearance. This can include acne.

Hormonal acne is driven largely by androgens and by the shifting balance between estrogen and other hormones. Because DIM changes how estrogen is metabolized, it may help reduce these imbalances, although human research on DIM for acne is still limited.

Watch: What You Need to Know About Estrogen

In this Divine Health Podcast episode, Mary and I explain the three types of estrogen and how this hormone affects the immune system and the body in both women and men.

DIM Supplements to Balance Hormones During Menopause

There are many DIM supplements available, so it’s important to get one that supports whole-body health and overall balanced hormones.

A complete hormone support formula such as Hormone Zone, which combines DIM with vitamin D3 and vitamin K2, is a great choice.

DIM Supplement Warnings

In studies, DIM supplements have generally been well tolerated at typical doses.

However, if you are pregnant or breastfeeding, or have cancer, kidney disease, or other chronic diseases, it may be contraindicated for you. If you take tamoxifen or hormone therapy, talk with your doctor first, since one randomized trial found DIM lowered blood levels of active tamoxifen metabolites (7). Always talk to your doctor before beginning a new supplement.

Why not just eat cruciferous vegetables?

If you don’t have any hormone balance concerns, you may get enough DIM by simply eating cruciferous veggies. However, vegetables do not contain DIM itself. They contain compounds that your stomach converts into DIM, and long-term storage and cooking can reduce how much of them you get.

What’s more, if you need help with hormone balance, you may need a higher dose than what you can get by eating these vegetables.

DIM supplements, such as Hormone Zone, are an effective way to get the DIM you need.

Bottom Line

DIM is an impressive compound that can promote hormone balance, especially during menopause. If you are suffering from menopausal symptoms including hormone imbalance, acne, weight gain, or inflammation, consider adding a hormone-balancing supplement that includes DIM such as Hormone Zone.

Frequently Asked Questions

What does DIM do for women in menopause?

DIM (diindolylmethane) forms in your stomach when you eat cruciferous vegetables like broccoli and cabbage. It influences how your body breaks down estrogen, shifting it toward the 2-hydroxy pathway that is considered more favorable. Small studies in women have shown this shift in urinary estrogen metabolites, which is why many women use DIM to support hormone balance during perimenopause and menopause. Large trials on menopause symptoms themselves are still lacking.

Can I get enough DIM from vegetables alone?

Vegetables do not contain DIM directly. They contain glucobrassicin, which becomes indole-3-carbinol and then DIM during digestion. Eating cruciferous vegetables every day is a great foundation, but the amounts used in studies are generally higher than most people get from food, and cooking and storage reduce these compounds.

How long does it take for DIM to work?

Studies that measured changes in estrogen metabolism generally lasted from about one month to several months. If you try a DIM supplement, give it at least two to three months, and work with your doctor to track your symptoms and, when appropriate, your hormone levels.

Can DIM help with weight gain during menopause?

It may play a supporting role. In mice fed a high-fat diet, DIM reduced the formation of new fat cells and limited weight gain, and a small 2022 study in premenopausal women reported more favorable estrogen metabolism and lower body fat with DIM. It works best alongside a healthy diet, regular exercise, and good sleep, not as a replacement for them.

Who should not take DIM?

Avoid DIM if you are pregnant or breastfeeding. If you have a hormone-sensitive cancer, take tamoxifen, or use hormone therapy, talk with your doctor first, because one randomized trial found DIM lowered blood levels of active tamoxifen metabolites. Some people notice headaches or digestive upset, so start with a low dose.

References

  1. Dalessandri KM, et al. Pilot study: effect of 3,3′-diindolylmethane supplements on urinary hormone metabolites in postmenopausal women with a history of early-stage breast cancer. Nutr Cancer. 2004.
  2. Thomson CA, et al. A randomized, placebo-controlled trial of diindolylmethane for breast cancer biomarker modulation in patients taking tamoxifen. Breast Cancer Res Treat. 2017.
  3. Godínez-Martínez E, et al. Effectiveness of 3,3′-Diindolylmethane Supplements on Favoring the Benign Estrogen Metabolism Pathway and Decreasing Body Fat in Premenopausal Women. Nutr Cancer. 2022.
  4. Del Priore G, et al. Oral diindolylmethane (DIM): pilot evaluation of a nonsurgical treatment for cervical dysplasia. Gynecol Oncol. 2010.
  5. Yang H, et al. 3,3′-Diindolylmethane suppresses high-fat diet-induced obesity through inhibiting adipogenesis of pre-adipocytes by targeting USP2 activity. Mol Nutr Food Res. 2017.
  6. Draz H, et al. Diindolylmethane and its halogenated derivatives induce protective autophagy in human prostate cancer cells via induction of the oncogenic protein AEG-1 and activation of AMP-activated protein kinase (AMPK). Cell Signal. 2017.

This article is for educational purposes only and is not medical advice. Talk with your own doctor before changing your diet, starting a supplement, or changing any medication. These statements have not been evaluated by the Food and Drug Administration. Products mentioned are not intended to diagnose, treat, cure, or prevent any disease.

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Don Colbert, MD, has been board-certified in family practice and in anti-aging and integrative medicine for more than 25 years. He is the medical director of the Divine Health Wellness Center, where he has treated more than 50,000 patients, and a New York Times bestselling author of books including The Seven Pillars of Health, What Would Jesus Eat?, Deadly Emotions and Keto Zone Diet, with more than ten million books sold. He hosts Dr. Colbert's Broadcast with his wife Mary and son Kyle, where faith meets functional medicine. He and Mary live in Orlando, Florida and Dallas, Texas.