How can a Dietitian help with Endometriosis?

Endometriosis is a common inflammatory disease affecting approximately 1 in 10 females and approximately 1 in 120,000 New Zealanders.

Endometriosis, commonly referred to as Endo, results in tissue, which is similar to the lining of the uterus, to grow in other parts of the body - most commonly within the pelvis. The stimulus for this tissue growth is the female hormone oestrogen, which can affect a woman's egg health, block fallopian tubes and prevent embryos from implanting in the uterus lining.

Symptoms:

· Abdominal, back or pelvic pain that worsens around your period

· Heavy or irregular bleeding

· Change in bowel and urination habits

· Bloating and/or nausea

· Fatigue

· Depression and/or anxiety

· Difficulty becoming pregnant

Nutrition and Endo:

Whilst there is no cure for Endo, most existing treatment options include surgical procedures and medication management; however research shows that our diets can impact the progression and severity of Endo.

1. Antioxidants

Antioxidants are important for reducing markers of oxidative stress and inflammation. Antioxidants such as vitamin C, vitamin E and beta-carotene can be found in brightly coloured fruits and vegetables, green tea and chocolate.

2. Fibre

Fibre is found in a number of plant foods such as wholegrains, nuts, seeds, fruits, veg and legumes. Fibre is important in the management of Endo as it helps with the excretion of excess oestrogen from the body and it can also be manipulated to assist with bowel habits.

3. Fats

The types of fat we eat is super important when we have Endo to help reduce inflammation. Aim for plenty of omega-3 fatty acids, found in oily fish, nuts, seeds and EVOO, while limiting trans and saturated fatty acids found in ultra processed and deep-fried foods. Think of a Mediterranean styled dietary pattern!

4. Protein

The types of protein we choose are also important! The goal is to reduce red meat consumption, which can contribute to inflammation, and increase intake of fish, seafood and vegetarian sources of protein. Again – think of a Mediterranean styled dietary pattern!

5. FODMAPs

Women with Endo are 2.5x more likely to have IBS and for those with both – 72% experienced pain relief by utilising the low FODMAP diet. Additionally, research shows that the FODMAP approach can actually slow down the progression of endometriosis for women; HOWEVER the FODMAP approach is complicated and can be extremely restrictive so only undergo this process with the help of a Dietitian.

Want some help with your own journey with Endo? Reach out to us here. 😊