Endometriosis: A Holistic Approach

Endometriosis is a common yet often misunderstood condition affecting around 1 in 10 women of reproductive age worldwide. It occurs when tissue similar to the lining of the uterus grows outside the womb, leading to inflammation, pain, and potential fertility issues. Despite its prevalence, many women struggle for years before receiving a diagnosis, often being told their symptoms are "just bad periods."

March is Endometriosis Awareness Month

March is Endometriosis Awareness Month in the UK, a crucial time to shed light on this often-overlooked condition. Awareness campaigns aim to improve education, encourage early diagnosis, and support those living with endometriosis.

Symptoms of Endometriosis

Endometriosis symptoms can vary widely, making it challenging to diagnose. Some common signs include:

• Chronic pelvic pain, especially during menstruation

• Pain during or after sex

• Heavy or irregular periods

• Bloating and digestive issues (often misdiagnosed as IBS)

• Fatigue and low energy

• Difficulty conceiving

  
  

Many women suffer in silence, believing these symptoms are normal. But if your period pain is severe enough to impact your daily life, it’s worth investigating further.

What Causes Endometriosis?

The exact cause of endometriosis remains unclear, but research suggests it may be linked to:

• Hormonal imbalances – Excess oestrogen can fuel inflammation and tissue growth.

• Immune dysfunction – The immune system may struggle to clear misplaced endometrial-like tissue.

• Gut health issues – An imbalanced gut microbiome and leaky gut may contribute to inflammation.

• Genetics – Women with a family history of endometriosis are at higher risk.

• Environmental toxins – Exposure to endocrine-disrupting chemicals (e.g., BPA, phthalates) may play a role.

  
  

The Conventional Approach: How GPs Typically Manage Endometriosis

Most women start their journey with a GP, who may offer options such as:

• Pain relief – NSAIDs like ibuprofen to manage discomfort.

• Hormonal treatments – The contraceptive pill, hormone patches, or IUDs to regulate cycles.

• Surgery – In severe cases, laparoscopic surgery to remove endometrial tissue.

• Fertility treatments – For those struggling to conceive.

  
  

While these approaches can provide symptom relief, they don’t address the underlying drivers of endometriosis.

A Holistic Approach to Managing Endometriosis

A functional medicine approach aims to identify and address the root causes of inflammation and hormone imbalances. Here’s how a targeted plan can help:

1. Balance hormones naturally

   • Support liver detoxification to help clear excess oestrogen.

   • Increase fibre intake to promote healthy oestrogen metabolism.

   • Consider magnesium and vitamin B6 to ease PMS symptoms.

     
     

2. Reduce inflammation and support gut health

   • Identify and eliminate trigger foods (such as gluten, dairy, and processed sugars).

   • Include anti-inflammatory foods like turmeric, wild-caught fish, and leafy greens.

   • Support gut bacteria with probiotics and prebiotic-rich foods.

     
     

3. Address nutrient deficiencies

   • Key nutrients like omega-3s, zinc, and vitamin D play a role in immune function and hormone balance.

   • Functional testing can help identify deficiencies and personalise a supplement plan.

     
     

4. Improve detox pathways

   • Reduce exposure to endocrine-disrupting chemicals (plastics, pesticides, and toxins in beauty products).

   • Support liver detoxification with cruciferous vegetables, green tea, and adequate hydration.

     
     

5. Optimise lifestyle factors

   • Prioritise stress management (chronic stress increases inflammation and worsens symptoms).

   • Get quality sleep (disrupted sleep can affect hormone balance).

   • Engage in regular, gentle movement like yoga or walking.

     
     

6. Use Castor Oil Packs for Pain and Detoxification

   • Castor oil packs applied to the lower abdomen may help reduce inflammation and improve lymphatic drainage.

   • They support detoxification by promoting liver function and hormone balance.

   • Regular use may help with pain relief by improving circulation to the pelvic area.

     
     

Functional Testing for Endometriosis

Testing can help take the guesswork out of managing endometriosis effectively. Some useful tests include:

• Comprehensive hormone testing (DUTCH test) – Provides a detailed picture of hormone metabolism.

• Gut microbiome testing – Identifies imbalances that may contribute to inflammation.

• Nutrient status testing – Assesses deficiencies in key vitamins and minerals.

Simple Recipe: Anti-Inflammatory Turmeric Smoothie

Support your body with this nutrient-packed smoothie:

Ingredients:

• 1 cup unsweetened almond milk

• 1/2 banana

• 1/2 teaspoon turmeric powder

• 1/2 teaspoon cinnamon

• 1 tablespoon chia seeds

• 1 teaspoon raw honey

• 1/2 teaspoon fresh ginger (grated)

• Handful of ice cubes

  
  

Method: Blend all ingredients until smooth. Enjoy as a refreshing anti-inflammatory boost!

Take the Next Step

Endometriosis can feel overwhelming, but you don’t have to navigate it alone. If you’re ready to take control of your symptoms with a personalised plan, let’s chat. Book a free 20-minute call here, and let’s explore how functional nutrition can help you feel your best.

About Lisa

Lisa Dack - your Nutritional Therapist

I’m Lisa Dack, a qualified, registered Nutritional Therapist with a special interest in gut health, hormonal imbalances, energy, skin issues and sustainable weight loss. I work one-to-one with individuals to uncover the root causes of their symptoms and create personalised nutrition, lifestyle and wellness plans that fit seamlessly into their lifestyles. Whether you’re struggling with chronic fatigue, digestive issues, or hormonal imbalances, I’m here to guide you toward lasting health transformations. Let’s work together to help you feel your best.