
From Gut to Gamete: What the Microbiome May Mean for Fertility in Endometriosis and Adenomyosis
How the gut microbiome may influence fertility in endometriosis and adenomyosis: the evidence, its limits, and practical steps on diet and preconception.
Evidence-based guidance on eating for endometriosis—optimize gut health, reduce inflammation, and plan nourishing meals. Find practical tips, meal guides, and science-backed strategies to help manage symptoms and support energy.
Nutrition plays an important role in managing inflammation, gut function, hormonal balance, and energy regulation—all key systems affected by endometriosis. Dietary patterns that emphasize whole foods, anti-inflammatory nutrients, and balanced blood sugar can help reduce flare intensity and improve overall resilience. The Anti-Inflammatory Diet offers a structured way to lower inflammatory cytokines that contribute to pelvic pain, while strategies from Gut Health support the microbiome and estrogen metabolism, two pathways closely linked to symptoms.
Many people also benefit from personalized adjustments such as identifying food triggers, increasing fiber for bowel regularity, prioritizing omega-3 fats, and moderating ultra-processed foods. Practical tools like Meal Guides help translate these principles into everyday habits, whether managing flare days, preparing for surgery, or supporting long-term wellbeing.
Nutrition cannot cure endometriosis, but it can meaningfully influence inflammation, digestive comfort, pain levels, and day-to-day energy—making it a foundational part of a comprehensive approach to symptom control.
Diet cannot cure the disease, but it can reduce inflammation, ease pain, stabilize energy, and improve digestive symptoms.
Some people benefit from reducing them, especially if they trigger bloating or pain, but dietary changes should be individualized.
They can support microbiome balance and reduce GI symptoms, particularly if constipation, bloating, or IBS-like patterns are present.
Fruits, vegetables, omega-3 fats, legumes, nuts, seeds, and minimally processed whole grains often support lower inflammatory signaling.
Gentle, easy-to-digest meals—soups, cooked vegetables, lean proteins—combined with hydration and reduced irritants can minimize discomfort.

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