Endometriosis is a common condition where tissue that behaves like the lining of the womb (endometrium) is found in other parts of the body. It can appear in many different places, including the ovaries, fallopian tubes, inside the tummy, and in or around the bladder or bowel (NHS, 2017)

The cause of endometriosis is unknown. There are a variety of hypotheses, including: 

  1. Relative oestrogen excess – endometriosis could be due to having higher levels of oestrogen compared to progesterone (Hall, 2001)

  2. Retrograde Flow

  3. Immune Response

The conventional medical approach to treating endometriosis include:

  • Anti-inflammatory pain-killers

  • Hormone medicines and contraceptives – including the combined pill the contraceptive patch, an intrauterine system (IUS), and medicines called gonadotrophin-releasing hormone (GnRH) analogues 

  • Surgery to cut away patches of endometriosis tissue 

  • An operation to remove part or all of the organs affected by endometriosis – such as surgery to remove the womb (hysterectomy)

Nutritional Support, may include the below:

  • Ensuring inflammation is reduced in the body, thus reducing the pain, especially through the balance on omega 6/3s in the diet. This would include removing dairy from the diet as this has inflammatory properties and monitoring nuts/seeds intake (omega 6) and increasing oily fish and flaxseeds (omega 3). 

  • Eating a diet that is high in anti-oxidants to ensure there is limited free radical damage

  • Ensuring detox pathways are working optimally to ensure excess oestrogens are being effective excreted in your poo – ideally aim for at least 2 poos a day. 

  • Having 3 portions (80g) of phytoestrogen foods a day. The higher the blood levels of oestrogen are likely to be the worse the individual symptoms are likely to be. However, phytoestrogen food bind to the oestrogen receptors in the body, where the bodies own oestrogen would have attached and the excess oestrogens are excreted from the body; Due to the fact the phytoestrogens are a weaker form of oestrogens, your body’s own stronger oestrogens will be excreted – which can support oestrogen dominant conditions like endometriosis (Castleman, 2010). 

  • Having at least 7 portions (80g) of vegetables a day and 4 of those should be cruciferous vegetables. Cruciferous vegetables, such as broccoli, brussel sprouts and cabbage, support the detoxification through the action of glucosinolates, activated and released through chewing. An example of this is indole-3-carbinol or its active metabolite di-indolymethane. These induce the enzyme CYP1A1, which converts oestrone to 2-hydroxyostrone rather than the 16-alpha-hydroxyoestrone (which is the oestrogen that is often higher than it should be in oestrogen dominant conditions such as endometriosis) (Nicolle and Beirne, 2010, p.83).

  • Calcium D-glucarate is a natural compound that aids detoxification and the regulation of estrogen. It not only inhibits β-glucuronidase, but also increases the activity of the glucuronidation Phase II pathway and aids detoxification of toxins and hormones (Douglas, 2001)

If you would like to discuss, how I could help you with your endometriosis – please contact me below. Everyone is welcome to a complimentary 20-minute call to discuss whether Nutritional Therapy would benefit them. 















Suggested Reading

D. Shepperson Mills “Endometriosis. A key to healing and fertility through nutrition”, 1999.


C. Lewett, Reclaim your life: your guide to aid healing of endometriosis, Endo Resolved, 2008


C. Lewett, Recipes for endometriosis diet, Endo Resolved, 2008


S. Cabot MD, Endometriosis, your best chance to cure it with natural hormones and

nutritional medicine, SBC International




D, Hall (2001) Heavy Periods Nutritional Influences on Estrogen Metabolism


D. Shepperson Mills “Endometriosis. A key to healing and fertility through nutrition”, Thorsons, 1999.

C. Lewett, Reclaim your life: your guide to aid healing of endometriosis, Endo Resolved, 2008


Castleman, M (2010) Blended Medicine: The best choices in healing, 1st Edition. Rodal. 


Davis CS, Clarke RE, Coulter SN, Rounsefell KN, Walker RE, Rauch CE, et al. Intermittent energy restriction and weight loss: a systematic review. Eur J Clin Nutr. 2016;70(3):292-9. 

Douglas, H (2001) Nutritional Influences on Estrogen Metabolism APPLIED NUTRITIONAL SCIENCE REPORTS


Endometriosis UK, 2017 Website found here: https://www.endometriosis-uk.org/understanding-endometriosis (last accessed 25/04/2017)


Lab Tests on-line, 2017 http://labtestsonline.org.uk/understanding/analytes/fbc/tab/test/


Mashhadi, N. Ghiasvand, R. Askari, G. Hariri, M. Darvishi, L (2012) 

 AntiOxidative and AntiInflammatory Effects of Ginger in Health and Physical Activity: Review of Current Evidence International Journal of Preventive Medicine, suppl. Supplement 1; Mumbai4 (Feb 2013) Available online here: http://search.proquest.com/openview/b3061388f7e875317e3cc9cb15eb9c1b/1?pq-origsite=gscholar&cbl=1566339 (last accessed 25/04/2017)


Nicolle L & Woodriff Berne A (2010) Biochemical Imbalances in Disease: A Practitioner’s Handbook. ISBN 978-1848190337 


Trickey R (2003) Women, hormones and the menstrual cycle. 2nd edn. Allen & Unwin. ISBN 978- 1865089805. 


Wobke, T. Sorg, B and Stenhilber, D (2014) Vitamin D in inflammatory diseases Front. Physiol. Accessed online: http://journal.frontiersin.org/article/10.3389/fphys.2014.00244/full (last accessed 26/04/2017). 

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