Optimizing the Microbiome to Support Endometriosis Care
Learn how antibiotics, probiotics, prebiotics, diet and immunomodulation affect the endometriosis–gut axis, with practical, research-backed microbiome tips.
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Read moreAnti-Inflammatory Diet
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Evidence-based nutrition to calm inflammation, support the gut-immune axis, and ease pelvic pain, with practical food swaps, key nutrients, and supplement guidance to aid recovery and long-term endometriosis health.
Overview
Anti-inflammatory eating focuses on calming immune signaling, stabilizing blood sugar, and supporting estrogen metabolism through the gut-liver axis. For endometriosis and adenomyosis, patterns rich in plants, fiber, and omega‑3 fats are linked to fewer flares, less pelvic pain, and better energy, while highly processed foods, excess alcohol, and trans fats can amplify prostaglandins and cytokines that drive symptoms.
Guidance centers on practical, sustainable swaps: colorful vegetables and berries daily; legumes and intact whole grains for fiber; extra‑virgin olive oil and nuts; fatty fish or plant omega‑3 sources; lean proteins; and fermented foods as tolerated. Spices like turmeric and ginger can round out a food‑first approach without unnecessary blanket eliminations. Learn how to tailor choices to IBS‑type symptoms, iron needs, and training demands, and when short, supervised trials of exclusions make sense. Dive deeper into the microbiome in Gut Health, find recipes and menus in Meal Guides, and review targeted add‑ons in Supplements.
Which foods are most helpful for calming inflammation with endometriosis or adenomyosis?
Prioritize vegetables and berries, legumes, intact whole grains, and lean proteins, with extra‑virgin olive oil, nuts, and seeds for healthy fats. Include omega‑3 sources such as salmon, sardines, trout, or plant options like flax, chia, walnuts, and rapeseed oil. Limit refined carbs, added sugars, processed meats, and trans fats, which can amplify inflammatory pathways.
Do I need to eliminate gluten or dairy?
There is no universal requirement; benefits vary by symptoms and tolerance. If bloating or IBS‑type complaints are prominent, a structured 2–4 week trial with guided reintroduction can clarify triggers while protecting nutrition. For broader gut considerations and when to involve GI care, see Gut Health and IBS / IBD.
How do I get enough omega‑3s if I do not eat fish?
Use daily plant sources like ground flax or chia and walnuts, and choose oils lower in omega‑6 such as olive or canola to improve the omega‑3 to omega‑6 balance. Some people add algae‑derived EPA/DHA; review safety and dosing in Supplements.
Can diet replace medication or surgery for pain relief?
Food patterns can meaningfully reduce inflammatory tone and improve pain and fatigue for many, but they complement rather than replace medical or surgical care. Pair nutrition with individualized therapies outlined in Medical Management and consider operative options when indicated in Surgery.
Are low‑FODMAP or low‑histamine diets useful?
They can help selected patients with prominent IBS‑type symptoms or suspected histamine intolerance, but are not first‑line for everyone. Use them short‑term, with supervision and planned reintroduction to protect the microbiome and nutrient status; learn more context in Gut Health.
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