Endometriosis is a chronic condition that affects millions of women worldwide. It occurs when the tissue lining the uterus, known as the endometrium, grows outside the uterus, leading to pain, inflammation, painful bowel movements during periods, diarrhea, constipation, nausea, and other symptoms. While there is no specific diet to cure endometriosis, making mindful food choices can help manage symptoms and promote overall well-being.
Let’s discuss foods to avoid if you have endometriosis, as they may worsen symptoms and exacerbate inflammation. By understanding these dietary triggers, you can make informed decisions to support your health and improve your quality of life.
Consuming a diet high in processed sugars can negatively impact endometriosis symptoms. High-sugar foods, such as sodas, candies, pastries, and sugary cereals, can cause blood sugar imbalances and lead to inflammation in the body. Inflammation is a key factor in the development and progression of endometriosis. Additionally, sugary foods can contribute to weight gain, further exacerbating symptoms by increasing estrogen production and disrupting hormonal balance.
Instead, focus on natural sources of sweetness, such as fresh fruits, which provide essential vitamins, minerals, and fiber while satisfying your sweet tooth. Opt for low-glycemic index fruits like berries, apples, and pears, which have a minimal impact on blood sugar levels.
Transfats are artificially created fats found in many processed and fried foods. They are commonly present in margarine, shortening, commercially baked goods, and fast foods. Transfats can promote inflammation, disrupt hormonal balance, and impair the body’s ability to process essential fatty acids. In endometriosis, increased inflammation can worsen pain and contribute to the growth of endometrial tissue outside the uterus.
Replace foods containing transfats with healthier alternatives. Include foods rich in omega-3 fatty acids, such as fatty fish (salmon, mackerel), chia seeds, flaxseeds, and walnuts. These foods possess anti-inflammatory properties and may help reduce pain and inflammation associated with endometriosis.
While not all women with endometriosis have issues with dairy, some studies suggest that reducing or eliminating dairy consumption may alleviate symptoms for sensitive people. Dairy products, particularly those made from cow’s milk, contain a protein called casein, which can trigger inflammation and hormonal imbalances in some individuals. Additionally, dairy products may contain hormones and growth factors affecting estrogen levels.
If you suspect dairy worsens your symptoms, try eliminating or reducing dairy intake for a few weeks to see if there is any improvement. If you still want to enjoy dairy-like products, consider plant-based alternatives like almond milk, coconut milk, soy milk, or lactose-free milk/yogurt. Ensure they are fortified with calcium and vitamin D to support bone health.
Gluten is a protein found in grains and wheat products such as noodles, pasta, cereals, and oats, and hidden gluten in foods like energy bars, potato chips, and others which has been shown to cause diarrhea, abdominal pain, and bloating in women with gluten sensitivity. Gluten can cause malabsorption of vitamins and minerals that regulate hormones and cause inflammation and induce auto-immune reactions that attack hormones and hormone receptors, resulting in hormone imbalances. Instead, opt for gluten-free foods like bread, pasta, cereals, oats, and foods made with nut flour.
These have no nutritional value and contain anti-nutrients that can prevent other vital nutrients from being absorbed. Some studies suggest that caffeine and alcohol can impair ovarian function, aggravate PMS symptoms and negatively affect fertility.
While diet alone cannot cure endometriosis, mindful food choices can help manage symptoms and improve overall well-being. By avoiding foods high in processed sugars, trans fats, and potentially dairy products, you may reduce inflammation and hormonal imbalances and alleviate pain associated with endometriosis. It is essential to listen to your body and work closely with a registered dietitian to personalize your diet and include foods shown to improve symptoms. Remember, small changes in your diet can have a significant impact on your health and quality of life.
References:
1 Ley, S. H., Hamdy, O., Mohan, V., & Hu, F. B. (2014). Prevention and management of type 2 diabetes: Dietary components and nutritional strategies. The Lancet, 383(9933), 1999-2007.
2 Greene, R. A., Fitzmaurice, G., & Watson, C. J. (2010). Dietary sugar intake in the aetiology of endometriosis and its relevance in clinical practice. BJOG: An International Journal of Obstetrics & Gynaecology, 117(3), 287-293.
3 Missmer, S. A., Chavarro, J. E., Malspeis, S., Bertone-Johnson, E. R., Hornstein, M. D., & Spiegelman, D. (2010). A prospective study of dietary fat consumption and endometriosis risk. Human Reproduction, 25(6), 1528-1535.
4 Marsh, K., Brand-Miller, J., & Gibson, R. (2005). The complete book of low GI eating. Hachette Australia.
5 Cho, S., Dietrich, M., Brown, C. J., Clark, C. A., & Block, G. (2003). The effect of breakfast type on total daily energy intake and body mass index: Results from the Third National Health and Nutrition Examination Survey (NHANES III). Journal of the American College of Nutrition, 22(4), 296-302.
6 Missmer, S. A., & Cramer, D. W. (2003). The epidemiology of endometriosis. Obstetrics and Gynecology Clinics of North America, 30(1), 1-19.
7 Farland, L. V., Eliassen, A. H., & Tamimi, R. M. (2016). Spontaneous fertility and elective egg freezing: Insights from the Nurses’ Health Study II. Reproductive Biomedicine Online, 33(1), 96-101.
8 Agarwal, A., & Allamaneni, S. S. (2004). Oxidative stress and infertility in endometriosis: A systematic review of the literature. Oxidative Medicine and Cellular Longevity, 6(2), 273-277.
9 Parazzini, F., Chiaffarino, F., Surace, M., Chatenoud, L., & Cipriani, S. (2004). Selected food intake and risk of endometriosis. Human Reproduction, 19(8), 1755-1759.
