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Endometriosis Diet: What To Eat For Managing Symptoms of Endometriosis

Endometriosis is an estrogen-dependent inflammatory disorder that usually causes infertility, pelvic pain, and ovarian masses. There are few types of endometriosis:


  • Superficial Peritoneal Lesions: this type of endometriosis is the most common. The lesions involve the peritoneum, which is the connective tissue, which bound the pelvic cavity and abdominal wall. This means that superficial peritoneal lesions can answer for severe pain.
  • Ovarian Endometriomas: these fluid-filled cysts are also known as chocolate cysts. These cysts are located in the ovaries and can damage healthy tissue.
  • Deep Infiltrating Endometriosis: these lesions are usually located under the peritoneum, which means they can cause severe pain. This type of endometriosis is also considered as the latest stage of endometriosis.
Endometriosis Diet

Endometriosis Symptoms

Many women experience different symptoms, because endometriosis can cause many symptoms, and some of the most common ones include:


  • Painful menstrual cycle
  • Chronic pelvic pain (pain in lower tummy or back)
  • Fatigue
  • Painful urination
  • Cramps around menstruation
  • Pain during or after sexual intercourse
  • Heavy menstrual bleeding, or spotting or bleeding in between periods
  • Discomfort during bowel movement
  • Abdominal bloating and nausea
  • Diarrhoea or constipation
  • Infertility issues

Treatments For Endometriosis

Before choosing a treatment option for endometriosis, the doctor will consider such factors as age, symptoms, severity of endometriosis. Treatment options for endometriosis can include:


  • Pain medications
  • Hormone therapy
  • Surgery
  • Exercise
  • Nutrition therapy

What Is The Link Between Endometriosis and Diet?

It's true that there's not much research that studies the relationship between endometriosis and eating habits. However, some people have said that eating certain foods helps relieve their symptoms and that eating other foods triggers a flare-up.


Research from 2013 showing that women who consumed more omega-3 fatty acids and vegetables were protected from the many symptoms of endometriosis, whereas the women who had a high intake of trans fat, red meat, and coffee were experiencing the exact opposite effect. Defining the link between endometriosis are diet is still requiring more studies and researches.

Endometriosis Diet: Foods that Positively Affect Endometriosis

If a woman wants to keep her inflammation and pain caused by endometriosis in check, it’s best to consume a nutrient-dense, healthy diet that’s primarily plant-based and full of vitamins and minerals. The diet for managing symptoms of endometriosis need consists of:


High fibre foods. The main reason why women need to include fibre in their diet is to decrease circulating estrogen in their system. Besides this reason there are other benefits for consuming fibre:

  • Reducing constipation
  • Absorption of minerals and vitamins
  • Controlling blood sugar levels
  • Reducing the risk of cancer
  • Reducing inflammation
  • Reducing risk for developing
  • Reducing cholesterol level
  • Maintaining a healthy weight


There is a list of foods high in fibre that will help you to decrease circulating estrogen in organisms:

  • Apples
  • Strawberries
  • Raspberries
  • Bananas
  • Broccoli
  • Orange
  • Lentils
  • Avocados
  • Split Peas
  • Flax seeds
  • Oats
  • Quinoa


Iron-rich foods. A woman who has endometriosis can experience heavy bleeding, that's why it is important to add more foods with iron into the diet. Moreover, a woman with endometriosis has a higher risk for developing iron-deficient anaemia because of heavy bleeding menstruation. Consuming iron-rich foods has also other benefits:

  • Improving cognitive function
  • Enhancing muscle contraction
  • Boosting immune system
  • Improving sleeping


There is a list of iron-rich foods:

  • Dark leafy greens
  • Broccoli
  • String beans
  • Lentils
  • Tofu
  • Peas
  • Pumpkin seeds
  • Whole wheat bread


Foods high in omega-3 fatty acids. Many types of fats, including plant oils that are rich in omega-6 fats, can increase inflammation in the body and also promote pain. However, omega-3 fatty acids have the opposite effect, helping reduce inflammation and pain. Consuming food high in omega-3 fatty acids have other benefits:

  • Managing insulin levels
  • Improving mental and physical health
  • Preventing heart disease
  • Reducing stress
  • Reducing bowel disease


There is a list of foods high in omega- 3 fatty acids:

  • Salmon
  • Flax seeds
  • Chia seeds
  • Shellfish
  • Walnuts
  • Canola oil


The goal is to consume and use fats that have lower saturated fat and a higher Omega-3 to Omega-6 ratio to reduce rates of inflammation associated with endometriosis.

Foods high in antioxidants


There is a list of foods high in antioxidants:

  • wild blueberries
  • blackberries
  • pinto beans
  • sweet cherries
  • goji berries
  • strawberries
  • cranberries
  • dark chocolate
  • spinach


A woman who experiences endometriosis for managing symptoms of endometriosis need to eat more organic foods, vegetable proteins, complex carbohydrates, monounsaturated or polyunsaturated fats, foods high in fibre, foods high in Omega-3 fatty acids, foods high in antioxidants, spices that contain anti-inflammatory compounds and herbs with anti-inflammatory properties.

Endometriosis Diet: Foods that Negatively Affect Endometriosis

There is a list of foods that women with endometriosis should stay away from or just eat less:


Animal and dairy proteins. Milk, cheese, yoghurt, ice cream, and kefir are foods that contain dairy. Dairy foods may sometimes have added hormones, which are related to hormone imbalances in people with endometriosis. For some people with endometriosis, dairy products may contribute to symptoms. However, dairy and meat are excellent sources of calcium, vitamin D, protein, and iron.


Simple carbohydrates. There is a list of simple carbohydrates to avoid:

  • Soda
  • Breakfast cereal
  • White rice
  • Packaged cookies
  • Baked treats


Saturated and trans fats. Trans and saturated fats may worsen cramps and contribute to the spread of endometriosis. There is a list of foods high in trans fat that it is better to avoid:

  • Pancakes and Waffles
  • Ice Cream
  • Biscuits and Cinnamon Rolls
  • Ground Beef
  • Cookies and Cakes
  • Meat Sticks
  • Canned Chili


Beverages. In general, women with endometriosis should drink more water than any other sort of drink.  To avoid inflammation and maintain healthy liver function, it is better to avoid alcohol. Some researchers report that caffeine and alcohol intake increases the risk of endometriosis, which might be why some women choose to avoid them.


The nonprofit information hub Healthy Women supports the idea that diet and endometriosis symptoms are linked. The site cautions women with endometriosis to stay away from high-fat foods, since they may increase the level of circulating estrogen in the body. The more fat in a woman's diet, the more estrogen her body produces. Some foods can contribute to inflammation and symptoms:

  • Artificial trans fats
  • Sugar and high-fructose corn syrup
  • Vegetable and seed oils
  • Caffeine and alhockol
  • Processed meat
  • Refined carbohydrates
Polina Pylypenko • Oct 06, 2021
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