
Living with endometriosis often means dealing with chronic inflammation, pain, heavy or irregular bleeding, and ongoing uncertainty about how daily choices affect symptoms. While endometriosis is a complex condition, nutrition can play a meaningful role in how the body responds to inflammation and how symptoms are managed over time.
An endometriosis diet is not about perfection or restriction for its own sake. Instead, it is about understanding how certain foods influence inflammation in the body and how nutrition can support liver function, particularly when it comes to estrogen metabolism. These two factors are central to symptom management in endometriosis, as discussed throughout this educational approach.
Quick Answer: An endometriosis diet focuses on reducing inflammation and supporting estrogen metabolism through nutrition. This includes eating more omega-3 rich foods, colorful fruits and vegetables, herbs, spices, and fiber-rich whole foods, while limiting processed foods, trans fats, sugar, refined carbohydrates, gluten, and dairy. Gradual dietary changes, symptom monitoring, and supportive lifestyle habits can help manage endometriosis symptoms more effectively.
This article explores how diet for endometriosis can be structured to reduce inflammatory load, support overall reproductive health, and help individuals make realistic, sustainable nutritional changes without overwhelm.
Endometriosis is described here as an inflammatory condition. Inflammation plays a key role in symptom severity, including pain and changes in menstrual patterns. Because inflammation is influenced by diet, nutrition becomes a practical tool that can be used daily to support the body.
The purpose of an endometriosis diet is not to cure the condition, but to help manage symptoms by:
Nutrition works alongside other approaches and should be viewed as one part of a broader strategy for managing endometriosis.
Inflammation is a natural response in the body, but in endometriosis it can become persistent and disruptive. Ongoing inflammation may contribute to pain, discomfort, and progression of symptoms.
Diet has a direct impact on inflammatory levels. Certain foods can increase inflammation, while others help regulate the inflammatory response. Understanding this connection helps explain why dietary changes are often recommended for people managing endometriosis.
An anti-inflammatory diet for endometriosis focuses on minimizing foods that promote inflammation and prioritizing those that help calm it.
Another key focus of endometriosis nutrition is liver function. The liver plays an important role in metabolizing estrogen. When liver function is supported through diet, estrogen metabolism may be more efficient.
Nutrition that supports digestion and liver health is emphasized because estrogen balance is closely linked to endometriosis symptoms. This is why fiber-rich foods, colorful plant foods, and whole ingredients are repeatedly highlighted in dietary recommendations.
Supporting estrogen metabolism through nutrition is about creating the right internal environment, not about extreme dietary rules.
Omega-3 fatty acids are highlighted as one of the most important components of an endometriosis diet. These fats help regulate the inflammatory response in the body.
Foods naturally high in omega-3 include:
For those who do not consume fish, omega-3 supplementation is mentioned as an option, depending on personal dietary choices.
Including omega-3 foods regularly is emphasized because of their role in reducing inflammation, which is central to managing endometriosis symptoms.
Color is repeatedly described as key when it comes to nutrition. Eating a wide variety of colorful fruits and vegetables helps ensure a broad intake of essential micronutrients.
Colorful plant foods are associated with:
Rather than focusing on specific fruits or vegetables, the emphasis is on variety and freshness. A colorful plate is a practical way to improve nutritional quality without complicated rules.
Herbs and spices are described as valuable additions to an endometriosis diet. Beyond adding flavor, they contribute to nutrient density and support digestion.
Using herbs and spices:
Both fresh and dried herbs and spices can be used, making this an accessible way to support anti-inflammatory nutrition without major dietary changes.
Fiber plays an important role in digestion and estrogen metabolism. Increasing fiber intake is encouraged, particularly through whole foods.
However, the approach to fiber is not one-size-fits-all. Individuals with digestive conditions such as IBS are advised to consider their tolerance and prioritize what feels manageable.
Fiber-rich foods can include:
The goal is balance, not excessive intake.
Processed foods are identified as a major contributor to inflammation. These are typically foods with long ingredient lists and additives that are far removed from their original source.
Signs a food may be highly processed include:
Reducing processed foods helps lower inflammatory load and supports overall health.
Trans fatty acids are described as particularly harmful when it comes to inflammation. These fats are often found in foods made with hydrogenated vegetable oils.
Common sources include:
Limiting trans fats is emphasized as an important step in reducing inflammation, especially for individuals with endometriosis.
Sugar and refined carbohydrates are highlighted for their role in increasing inflammation through insulin spikes.
Reducing these foods is recommended not only for endometriosis management, but for general health. The focus is on awareness and moderation rather than complete elimination.
Gluten and dairy are common components of Western diets and are suggested to be limited, particularly during periods of symptom management.
Naturally gluten-free carbohydrate sources mentioned include:
These foods are presented as alternatives that fit more comfortably within an anti-inflammatory approach.
Visual presentation of food can be misleading. Simply adding fruit to foods that are high in gluten, dairy, or sugar does not automatically make them supportive of an endometriosis diet.
The emphasis is on whole, nutrient-dense foods rather than combining unhealthy foods with small amounts of healthy ingredients. Making sensible choices consistently is more effective than relying on surface-level health cues.
One of the most important messages in managing endometriosis through nutrition is the value of gradual change.
Trying to change everything at once can lead to restriction, frustration, and burnout. Instead, a step-by-step approach is encouraged.
Examples of starting points include:
Once these habits feel manageable, further changes can be introduced.
Planning is described as essential for successful dietary changes. Without preparation, even well-intentioned goals can fall apart.
Practical planning includes:
Preparation helps ensure that dietary changes fit into real life, not just ideal scenarios.
Symptom monitoring is encouraged as part of the process. Paying attention to how the body responds to dietary changes can help identify what has the greatest impact.
This may involve:
This approach allows for personalization without rigid rules.
While nutrition is described as a powerful tool, it is clearly stated that it is not the only factor in managing endometriosis.
Other supportive elements mentioned include:
Endometriosis management is not one-size-fits-all, and different strategies may be more effective for different individuals.
A holistic approach acknowledges that nutrition interacts with lifestyle, stress, movement, and overall wellbeing. Combining dietary strategies with supportive lifestyle changes can help create a more balanced and sustainable way of managing symptoms.
The goal is not perfection, but consistency and awareness.
An endometriosis diet centers on reducing inflammation, supporting estrogen metabolism, and improving overall nutritional quality. By focusing on anti-inflammatory foods, limiting those that increase inflammation, and making gradual, well-planned changes, individuals can use nutrition as a supportive tool in managing symptoms.
Most importantly, dietary changes should feel realistic and adaptable. Monitoring symptoms, planning ahead, and combining nutrition with other supportive lifestyle strategies allows for a more compassionate and effective approach to endometriosis management.
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00:00:00 Hello everyone, thank you so much for taking the time to watch this video today . During this presentation I will be talking about nutrition and how you can use it to help treat symptoms of endometriosis. Today I'm going to mainly discuss the fact that endometriosis is an inflammatory condition and how you can use nutrition to help reduce inflammation in the body and also promote liver function in order to metabolize estrogen well.
00:00:25 and also promote liver function in order to metabolize estrogen well. If you want more information on endometriosis and how it impacts fertility, the symptoms it causes and what's really going on in the body when you have it, I would encourage you to watch another video I made that's entitled endometri osis and how it impacts fertility. There's a lot more information specifically in that video. But today again I'm going to talk about how nutrition directly impacts the inflammatory levels in the body that are caused by endometriosis.
00:00:56 inflammatory levels in the body that are caused by endometriosis. I'll be telling you what anti-inflammatory foods to have lots of in your diet so that you reduce inflammation and help your liver metabolize estrogen really well. And then I will also be listing other foods that you will need to restrict. Unfortunately some of these are the really yummy naughty foods that we all like to enjoy from time to time. But if you have endometriosis it's so important to at least limit these if you
00:01:27 can't restrict them entirely. But all of these factors that I'm going to go through today will help to not But all of these factors that I'm going to go through today will help to not only just improve fertility in general, but prevent endometriosis from worsening and go increasing in stages and lowering your symptoms in the body so that you have less pain and irregular heavy bleeding. So what are the foods to include to help reduce symptoms of endometriosis?
00:01:54 So anti-inflammatory foods and mainly omega-3 foods are foods that are high in So anti-inflammatory foods and mainly omega-3 foods are foods that are high in omega-3. So you want to go for oily fish, salmon, mackerel, sardines or even any type of fish. If you don't like the oily fish will contain lots of omega-3. And this really has a positive impact on inflammation in that it reduces inflammation in the body. Your omega-3 fatty acids help to regulate the inflammatory response within the
00:02:22 body. So immediately if you have inflammation, if you have lots of omega-3 foods, they will reduce inflammation in the body. they will reduce inflammation in the body. So that is really important to consider. Color is key. I say this probably to every client I see. But certainly when you think about color, you're definitely getting all your essential micronutrients in your nutrition.
00:02:44 And these of course will have digestive aids that will help liver function and also anti-inflammatory properties. So do go for fresh, colorful foods. The ones that you see in the image on the slide. So fruits and vegetables, lean proteins, high fiber foods, which will come to So fruits and vegetables, lean proteins, high fiber foods, which will come to high fiber as well in a moment. The third on the list there are herbs and spices.
00:03:08 Now these again are wonderful digestive aids, really high in anti-inflammatory components. So if you want to flavor your food, it doesn't have to be just salt or just salt and pepper. And getting some good dried spices in there and lots of fresh and dried herbs if you can to flavor your foods. But this will also increase the nutrient density of a meal. But this will also increase the nutrient density of a meal.
00:03:32 So do keep it colorful with lots of herbs and spices and keep your omega-3 foods in as much as you can. And also fiber-rich foods. Now it's a good idea to not have too many starchy carbohydrates in your nutrition if you suffer with endometriosis. However, the good whole grain foods that are naturally gluten free, which I'll come to in the next slide, are good to have for women especially, we're all being encouraged now to are good to have for women especially, we're all being encouraged now to
00:04:00 increase our fiber intake daily and if possible. I've said this before in other videos, but if you do suffer with IBS or problems with your digestive system and fiber is an issue for you, take that into consideration and don't immediately think, "Oh, well I have to increase fiber if I have endometriosis if you have IBS as well." And fiber is an issue, then focus on the top three that are listed above. Now you know what you should be having. Here's what you should try to remove or Now you know what you should be having. Here's what you should try to remove or
00:04:32 at least limit in your nutrition if you have endometriosis and you want to reduce inflammation. So processed foods. So if you look at the back of a packet and the ingredients list is very extensive and it's not sort of whole close to source, then it is highly processed. If you've got ingredients that you're not even sure what they are, they don't seem natural or they're difficult to pronounce, put it down, don't go for it, chances are it's been highly processed, lots of additives, emulsifiers and things that can increase inflammation in the body.
00:04:59 additives, emulsifiers and things that can increase inflammation in the body. You also want to remove or at least highly limit trans fatty acids. So these are unsaturated fats that have been hydrogenated and these are really, really bad, especially when it comes to inflammation and we're learning more and more about the dangers of having high amounts of trans fatty acids in your diet. So please try to limit these. Again, look at the back of packaging. If you see So please try to limit these. Again, look at the back of packaging. If you see
00:05:30 hydrogenated vegetable oil, these are trans fats. But most foods such as crisps, cakes, biscuits, all the things we like to enjoy in the evening or on the weekend from time to time and things that we give to children a lot are high in trans fatty acids and we should not be consuming lots of these. They are bad for us and they are really awful when it comes to inflammation. They will increase inflammation a lot in the body. Sugar and refined carbohydrates. I mean, this is a given, again, these will
00:05:55 Sugar and refined carbohydrates. I mean, this is a given, again, these will spike insulin and this will increase inflammation in the body. So do limit these even for general health. That's a good idea. But especially if you've got an inflammatory condition such as endometriosis and also gluten and dairy. Again, we kind of have so much gluten in dairy in the Western diet, I think, at the moment. And it's just really a good idea to vary your dairy and just limit gluten. Try
00:06:25 to have naturally gluten-free foods, potatoes, rice, quinoa, nuts, seeds. These don't contain gluten and are good carbohydrates with anti-inflammatory These don't contain gluten and are good carbohydrates with anti-inflammatory properties as well to include in your diet. Now, the picture I've chosen, I said before, color is key and color is very important. But please don't be fooled just because something is decorated with lots of fresh fruit that is healthy underneath that fresh fruit in the image that you have.
00:06:50 And the best fruit in the image there is cake and dairy and gluten and all the wrong things to have. So make sensible choices and don't think by just adding fruit and healthy So make sensible choices and don't think by just adding fruit and healthy things alongside the other stuff. It isn't about having a good balance. You want to have just the whole nutrient- dense, colorful foods in your diet and take out all the stuff that's bad for you .
00:07:13 It doesn't have to be for life, but certainly when you're trying to manage your endometriosis and you're thinking about conceiving a child, this is the time to really get serious about your nutrition and keep it as healthy and fresh as possible. So your final thought for the day. First on the list, I have gradual changes. So your final thought for the day. First on the list, I have gradual changes. So when it comes to managing your endometriosis using nutritional strategies, if you try and do too much too soon without planning, it can all go wrong.
00:07:42 So take the advice that I've given in this video and see what can I do first? Whether that's, "Okay, I need to have more fish." Or if I'm the vegan or vegetarian, I'm going to try and supplement my nutrition with an omega-3 pill or oil or whatever it is that you're comfortable taking. or oil or whatever it is that you're comfortable taking. Or it can be, "Okay, right, I do not have enough color in my diet. I need some more fruit and vegetables." Then start with that and as you go along, you can start to cut out gluten and
00:08:11 dairy and whatever it is, but just don't try and rush everything and then feel overly restricted because this is where people run into problems. I'll come to step three after this because I think planning and preparation is key when it comes to making these gradual changes. key when it comes to making these gradual changes. There's a phrase I like to use which is "fail to prepare and prepare to fail." So make sure you know what you're doing and look at your lifestyle and how you can make changes so that you're doing your best to manage inflammation and end
00:08:46 ometriosis in the body. Also monitor symptoms. See what changes had the most effect on symptoms. That will make it easier to determine what might be causing the problem in the That will make it easier to determine what might be causing the problem in the first place. If you find that you cut out gluten and everything seemed to be going really well, but then you gradually introduced it again and symptoms started to come back.
00:09:10 You just have to stay off gluten, which a lot of people have to do nowadays. That might not be the case for you, but just monitor symptoms. Let's see what's having the effect and let's see what's not really making a difference at all. And then lastly, nutrition is a powerful tool to help you reduce symptoms of endometriosis, but it's not the only thing. It's only part of the solution. endometriosis, but it's not the only thing. It's only part of the solution. I'm a nutritionist, so I am big into helping people treat reproductive
00:09:39 conditions using nutrition and also supplements. But what lifestyle changes can you bring in? I've added a lovely photograph of some ladies about to do yoga. So exercises, key, mindfulness, stress management, and then that also combined with possibly medications to help treat endometriosis as well. So it's not a one-size-fits-all. Sometimes nutrition will work better for some So it's not a one-size-fits-all. Sometimes nutrition will work better for some people and maybe not as effective for others.
00:10:07 And that is all based on other external factors that could be impacting the severity of symptoms with your endometriosis. So please do take on board as many holistic treatments as you can when it comes to managing information and estrogen metabolism in the body. body. But thank you so much for listening and I hope this has been helpful. body. But thank you so much for listening and I hope this has been helpful.