Search

Can my diet affect my endometriosis?

Category:
2 fertility expert(s) answered this question

Answer from: Ahmed Elgheriany, MRCOG, MD, MSc

Gynaecologist, Fertility Specialist
GENNET City Fertility
play-video-icon-yt

Endometriosis has many causes some of them, we can’t control and some we can control so endometriosis and diet is the second now and proper way to tackle endometriosis: endometriosis, diet, microbiomes – diet can affect the microbiome and diet can affect endometriosis itself. What kind of diet? There have been many epidemiological studies since 2009 on diet and endometriosis. Unfortunately, it’s not equivocal evidence about that, it’s not properly controlled studies and we can’t just reach to the solid evidence and prove that. Until now high saturated fat is not recommended with endometriosis, high processed red meat is not recommended for endometriosis, any diet that will form a gases in your tummy and on your colon – it’s not recommended with endometriosis and what prevent endometriosis and proven to prevent endometriosis do your research about anti-inflammatory diet, do you research about non-gaseous formation diet.
From the vitamins you can take, you can take vitamin D supplements to check the vitamin D, especially in Northern Europe where we have problems with vitamin D all the time. They found that when they were injecting women with severe dysmenorrhea, severe Dyspareunia with just one injection of 300 000 vitamin D, the symptoms improved. If we manage to adjust our vitamin D level above 30 ml unit – this will be also helpful. Vitamin D it’s very helpful in decreasing the inflammatory storm from the endometriosis gland, it’s helpful in modulating your immune response, it’s very helpful in just steer your hormone secretion of hormones itself and your body so it helping your body to exclude it properly and just decreasing this inflammatory response in your body and affecting the quality of oocytes, affecting the quality of pregnancy itself later on. So, vitamin D level is very important and it’s a helpful endometriosis. This is one point. In Germany,  recently, they tried omega-3 or fish oil capsules plus vitamin B12 on women with severe endometriosis and the symptoms decreased and on the other hand, they proved that alcohol consumption is very deleterious for endometriosis. So, they recommend that you stop alcohol because they noticed the dramatic response with endometriosis because it increases the inflammatory response and oxidative stress in your body. So, anything that will increase the oxidative stress in your body, I mean by the oxidative stress: your body needs balance between oxidative and antioxidant drug, if we are taken down that increase the oxidative materials on your body, this oxidation will just harm the cells, it will harm the oocytes, will harm your eggs, will harm your body in general and will cause more pain and also it will increase the inflammatory markers. This inflammatory causing scarring, causing adhesions in your tummy so, this is harmful to your body. This is about fish oil and vitamin B12 – it can help. Omega-3  was proven to help the “Italian group” in 2019. They gave women something called pelvinox treatment capsule containing lipoic acid – it’s some sort of fatty acid and it’s mono-saturated fatty acid plus lipoic acid and vitamin B12 and they find that the symptoms are decreasing by time with these supplements. Also Mediterranean food. Mediterranean foods contain many foods and many protein sources from legumes so, this can be very helpful and citrus fruits in general also veggies, green leaves veggies. It was reported in a study in a study on 70 000 women from the States, it’s a huge study, called Nurses’ Health Study, that if you are taking more than three servings of citrus fruits every day, you are at low risk of having endometriosis and on the other hand cruciferous vegetables, can increase endometriosis. I think maybe it increases the gas formation inside the tummy hence, the pain threshold with it will be much more. Soybean or soy sauce is very debatable -some say it’s increasing, some say it’s decreasing but according to the response of the body. Some may follow many diets on the internet – it’s the easiest thing but it’s a promising in endometriosis because this is a huge development in this diet and something called “low Fodmap diet” is just a changing single element of your diet, don’t change it all and see exactly what’s happening with your body: is your body responding to this change or no, if not so, change another one so, one by one – so you know exactly what to change and what not to change. One more thing: whole grain food is a good, gluten free diet recommended now but not solid evidence. So research about what to eat, what not to eat but I will advise about non-gas forming diet in general. I recommend doing more research and an anti-inflammatory diet, also doing research about it because this will help you a lot.
The third thing: antioxidants – try to increase antioxidants like by omega-3, you may have vitamin E decreasing the antioxidant stress in your body and vitamin C which will be fined in citrus fruits also rich in vitamin C so, it’s also helping in decreasing these oxygen stress in your body.
The question is: is diet help or not helping? It’s very helpful and it’s very promising because it eases many many symptoms and if you tried it for a longer time and if you try to change this kind of food you will benefit.
One more point is dairy products. Dairy products are very important. A huge study, by more than a hundred thousand lady from the States, showed that (it’s epidemiological study, it’s not randomised control) young adolescents who took three servings of dairy products every week, they found that they are on the top quartiles that we not have endometriosis. On the other hand the opposite will be the case and if I mention dairy products – not high butter but cheese, milk, yogurt, even ice cream is reported to increase. I don’t have solid evidence about which diet you can follow but it’s very promising and it’s worth trying because it’s something you can control and it will help to regress the disease and can improve the symptoms, improve fertility and prove everything.

Answer from: Anu Chawla, MRCOG, MBBS, M.S., DNB

Gynaecologist, Specialist in Reproductive Medicine
play-video-icon-yt

There have been some studies which have proven, the studies are not massive or not very powerful, there are weak studies but the conclusion of the studies was that probably the mediterranean diet is good for women. At least to try it as an experimental therapy for those months when they’re doing the IVF treatment or other fertility treatment options. Logic sometimes doesn’t need data so, I feel especially when we are talking about endometriosis when the inflammatory nature of the problem is clearly present, a diet which is going to settle down that inflammation might help. To what degree, it’s very difficult to measure an individual woman but if possible and it adjusts easily into the lifestyle of a woman, it makes sense to be doing those things.

About this question:

Does an anti-inflammatory diet help endometriosis?

Can diet influence endometriosis? What foods flare up endometriosis?Can diet reverse endometriosis?

Find similar questions:

Related questions