Endometriosis

Endometriosis: When Hormones and Pain Collide

Endometriosis is a painful and often misunderstood condition where tissue similar to the lining of the uterus grows outside of it—most commonly on the ovaries, fallopian tubes, and pelvic lining. This rogue endometrial-like tissue is highly sensitive to hormonal changes during the menstrual cycle. As estrogen rises and falls, this tissue responds by thickening and bleeding—just like the uterine lining—except there’s nowhere for the blood to go, leading to inflammation, pain, and sometimes the formation of scar tissue and adhesions.

While the exact cause is still being studied, endometriosis is often considered an autoimmune-like, hormone-driven disorder. Managing it takes a multi-faceted approach. Good news: there are things you can do to feel better.

---

🥦 Nourish to Fight the Flame: Anti-Inflammatory Foods

Certain foods can calm inflammation and support hormonal balance:

• Leafy greens (like kale, spinach, arugula)

• Broccoli and other cruciferous veggies

• Salmon and omega-3 rich fish

• Bone broth – rich in collagen and gut-healing nutrients

• Blueberries and dark-colored berries for antioxidants

• Ground flaxseeds – help metabolize excess estrogen

---

💪 Ease the Pain: Magnesium-Rich Foods

Magnesium is a natural muscle relaxer that can help reduce pelvic pain and cramping:

• Almonds

• Avocados

• Pumpkin and sunflower seeds

• Spinach

• Black beans

---

🚫 What to Avoid: Foods That Stir the Hormonal Pot

Some foods may spike inflammation or mess with your hormones. Try to limit or ditch:

• Dairy (especially conventional/non-organic)

• Gluten (can trigger immune responses in some people)

• Red meat (especially processed)

• Alcohol

• Pesticide-laden produce – choose organic when possible

---

🧘‍♀️ Movement = Medicine

Exercise can help reduce estrogen levels and improve circulation, digestion, and stress—major wins for managing endo. But go with what feels good. Overdoing it can backfire.

• Low-impact movement like walking, yoga, Pilates

• Pelvic floor physical therapy – especially if you have pain with sex or bladder issues

• Stretching and breathwork to ease pelvic tension

---

💊 Hormone Therapy: Turning Down the Volume

Since endometriosis is fueled by estrogen, hormone therapy can help by calming those monthly hormone surges:

• Birth control pills or the hormonal IUD to regulate or suppress periods

• GnRH medications to reduce estrogen production (typically for short-term use)

• Progestin-only therapy to counteract estrogen and thin endometrial tissue

Treatment is personalized—what works for one woman may not be right for another. Talk with your provider about your goals (pain relief, fertility, cycle control) to find the best fit.

---

🌿 Supplements That May Help

Always check with your provider first, but these are commonly used:

• Magnesium glycinate – for cramps and muscle relaxation

• Omega-3s – anti-inflammatory and hormone balancing

• Curcumin (turmeric) – powerful anti-inflammatory

• NAC (N-acetylcysteine) – may reduce endometrial lesion growth

• Zinc – supports immune function and hormone balance

• DIM – helps metabolize excess estrogen in the liver

---

💡 Final Thought:

Managing endometriosis isn’t a one-size-fits-all journey. You are your best advocate. Track your symptoms, try dietary and lifestyle changes, and don't be afraid to ask for support. You deserve to feel your best.

---