medically reviewed by Dr Neethu

5 mins read

Updated on October 26, 2023

Guide to Implementing Dietary Strategies for Alleviating Endometriosis Pain

Q: Can diet cure endometriosis?

No, diet can't cure it, but it may ease symptoms combined with medical treatment.

Q: Is there a specific diet for endometriosis?

No, but dietary choices can help manage symptoms. A balanced diet with anti-inflammatory foods like fruits, vegetables, and omega-3-rich fish can be beneficial.

Q: Is caffeine harmful for endometriosis?

Excessive caffeine may worsen symptoms. Limit intake to manage pain and discomfort.

Q: Should I avoid dairy and gluten with endometriosis?

Some find relief by reducing dairy and gluten, but it varies. Consult a dietitian for personalised guidance.

Endometriosis is a medical condition affecting one in ten women. It is a painful and chronic condition where the tissue that usually lines the uterus grows outside. It usually develops in the pelvic area, on the ovaries, fallopian tubes, bladder, bowel, vagina, cervix and other surrounding areas. This tissue breaks and sheds like the lining of the uterus. Since it is misplaced, it has no way of exiting the body, leading to many complications.

Symptoms of Endometriosis include

Pain
Painful Periods
Painful Intercourse
Heavy Menstrual Bleeding
Digestive Issues
Infertility

There is no identified cause for endometriosis, and there is no cure for it either.

Diet has been known to play a major role in managing endometriosis. However, depending on the individual's symptoms, a diet can be customised accordingly.

This blog will look at foods that can be consumed for pain relief and inflammation reduction.

Jump to section

A Nutrient-Rich Endometriosis Diet Plan for Pain Relief
Foods to Embrace for Endometriosis Pain Management
Foods to Limit and Avoid
A Sample Endometriosis Diet Plan
Wrapping Up

A Nutrient-Rich Endometriosis Diet Plan for Pain Relief

Many nutrients have shown the potential to reduce inflammation and pain.

Let's look at some of them and how they can contribute.

Omega 3 Fatty Acids - Have anti-inflammatory properties.
Fibre in foods - Aid in regular bowel movements, relieving gastrointestinal discomfort.
Antioxidants, Vitamins C and E - Reduce oxidative stress and inflammation
Turmeric and Ginger - They are natural anti-inflammatory spices.
Vitamin D - Regulates the immune system and has anti-inflammatory properties.
Magnesium - Essential for nerve and muscle function and can help reduce muscle cramps and discomfort associated with endometriosis.
Bromelain and Quercetin are found in some fruits and have anti-inflammatory properties.

Foods to Embrace for Endometriosis Pain Management

Managing pain and inflammation through dietary choices is essential for individuals with endometriosis. Though no particular diet can cure endometriosis, some foods can help with endometriosis pain. Let's see what's on this list.

Vegetables

Rich in flavonoids and carotenoids, vegetables have antioxidant and anti-inflammatory properties. You can get various vitamins, including A, E, and C, from a colourful plate. Studies have shown these vitamins to be lower in endometriosis patients.

Vegetables

Dark leafy greens (spinach, collard greens, kale)

Cruciferous vegetables (broccoli, cabbage, Brussels sprouts, bok choy, cauliflower),

Carrots, beets, onion, peas, squashes, washed raw salad greens.

Fruits

Fruits also have antioxidant and anti-inflammatory properties. Choose a variety of colourful fruits to get a wide range of nutrients, including A, E, and C.

Fruits

Raspberries, blueberries, strawberries, peaches, oranges, pink grapefruit, red grapes, plums, pomegranates, blackberries, cherries, apples, and pears

Pro Tip: Choose organic fruits and vegetables for reduced pesticide residue associated with hormone imbalances.

Fish

Full of Omega-3 fatty acids, fish is an anti-inflammatory food. Choose higher-fat, deep-sea fish as they have more significant amounts of Omega-3 fatty acids.

Fish	Wild Alaskan salmon, mackerel, herring, sardines, and black cod

Lean Meat, Poultry and Eggs

They are lower in saturated fat and can better control cholesterol levels.

Lean Meat, Poultry

High-quality skinless poultry, turkey, grass-fed lean meats, free-range eggs

Beans and Legumes

Beans are rich in folic acid, magnesium, potassium and soluble fibre. They have a low glycemic index and help stabilize blood sugars.

Beans and Legumes

Black beans, chickpeas, black-eyed peas, and lentils

Cold-Pressed Vegetable Oils

Oils are high in Omega-3s and antioxidants, which are anti-inflammatory. They are also rich in monounsaturated fats that raise good cholesterol (HDLs) and lower bad cholesterol (LDLs). Expelled cold-pressed oil is best since it is not chemically treated and heated at lower temperatures to extract the oil. When cooking with oil, use lower temperatures as higher temperatures increase the production of trans fat.

Oils	Extra virgin olive oil, vegetable oil, flaxseed oils, nut-based oils, canola oils

Nuts and Seeds

Nuts and seeds are full of Omega-3s, which are anti-inflammatory. They are excellent sources of B vitamins in addition to phosphorous.

Nuts and Seeds

Almonds, walnuts, ground flaxseed, pecans, hemp seeds, avocado, natural peanut butter, chia seeds

Whole Grains

Whole grains contain added B vitamins and added fibre, which promote a healthy digestive tract and reduce spikes in blood sugar that promote inflammation.

Whole Grains

Brown rice, basmati rice, wild rice, buckwheat, quinoa, steel-cut oats, gluten-free noodles or pasta

Low-fat Dairy or Dairy Alternatives

Vitamin D has been shown to reduce pro-inflammatory cytokines that contribute to possible inflammation associated with endometriosis. Choose organic dairy products to reduce the amount of hormones added to your foods.

Dairy

Low-fat cheeses (Swiss, mozzarella, parmesan), fat-free yoghurt, cottage cheese, skim or 1% milk.

Water

Water is vital for the overall proper functioning of the body and removes metabolic waste products.

Water Sources

Pure water, fruit-infused water, herbal teas, sparkling water with lemon

Foods to Limit and Avoid

Dairy Products, especially those derived from non-organic sources, may contain added hormones and antibiotics.
High-fat red meats can be a source of arachidonic acid, which promotes inflammation in the body. They can also contain added hormones and antibiotics.
Processed foods, sugary snacks, and beverages can lead to spikes in blood sugar levels, causing inflammation and potentially intensifying pain. Sugar can also contribute to hormonal imbalances.
Gluten-Containing Grains: Gluten can be pro-inflammatory and may irritate the gut.
Caffeine can exacerbate anxiety and stress, which can worsen pain and discomfort. It may also lead to increased estrogen levels, affecting endometriosis symptoms.
Alcohol can cause inflammation, disrupt hormones, and impair liver function, potentially making managing endometriosis symptoms more challenging.
Certain foods containing high-FODMAP (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) can cause gastrointestinal discomfort and bloating. These include foods like onions, garlic, beans, and some fruits.
Soy Products contain phytoestrogens, which can mimic estrogen in the body. This can lead to hormonal imbalances and worsen endometriosis symptoms for some individuals.
Trans fats, often found in processed and fried foods, can promote inflammation and should be avoided.
Spicy foods can irritate the gastrointestinal system and lead to digestive discomfort, which can worsen endometriosis-related gastrointestinal symptoms.

Learn more about Balancing Hormones Through Nutrition here.

A Sample Endometriosis Diet Plan

Vegetables	4-5 servings per day minimum (one serving = 2 cups salad greens, ½ cup vegetables cooked)
Fruits	1-2 servings per day (one serving = 1 medium-sized piece of fruit, ½ cup chopped fruit, ¼ cup dried fruit)
Fish and Seafood	3-5 servings per week (one serving = 4 oz. of fish or seafood)
Poultry	3-5 servings per week (one serving = 3 oz. of poultry or skinless meat)
Beans and Legumes	2-4 servings per week (one serving = ½ cup cooked beans or legumes)
Cold-Pressed Vegetable Oils	2-4 servings a day (one serving one teaspoon of oil)
Nuts and Seeds	1-2 servings a day (one serving = 2 walnuts, one tablespoon of flaxseed, one oz. of avocado, 1 tbsp. of peanut butter)
Whole Grains	3-5 servings a day (one serving = ½ cup cooked grains)
Low-fat Dairy or Dairy Alternatives	Three servings a day (1 ounce of cheese, 8 ounces serving of milk/dairy-free milk, 1 cup of yoghurt)
Water	8-8 oz. Glasses of water, half a gallon (64 oz.)

Wrapping Up

While there is no cure, a combination of medical treatment and dietary choices can help manage symptoms and improve quality of life. A careful selection of foods and close monitoring of how your body reacts to each food can help customise your diet plan to relieve endometriosis pain.

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Dr Sooraj Sukumaran

Dr. Sooraj Sukumaran, BAMS is an Ayurvedist and Ayurvedic Enthusiasts who strongly believe Ayurvedic principles incorporated with the latest technological advancements is the key to physical, social and mental well-being. He considers educating the public about Ayurveda and its possibilities are cardinal in this advancement. He has professional experience in Ayurvedic Healthcare, Pharmaceuticals, and Wellness sectors.