Nutrition/The “Endometriosis Diet”

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Remember, the information on my website, podcast, Instagram, and any other ways I communicate and/or produce content is educational information only and not medical advice. Always check with your qualified medical professional before making any changes to your treatment plan for endometriosis or any other health problems. See my full disclaimer here.


This page is specific to tips for eating with endometriosis. It’s not meant to feed into diet/wellness culture. I talk here about the toxic beliefs imposed on us by diet/wellness culture, as well as feeling shame and guilt, social determinants of health, and “healthism” in society.

I’ve been following what’s typically considered a restrictive diet for 18 years, since I was 19 years old. I no longer consider it restrictive, but rather my preferred way of eating because it helps me to feel my best. I talk about how I’ve embraced my way of eating and improved my relationship with food in my podcast episodes (listed at the end of this page).

There is no such thing as an Endometriosis Diet

While there is no such thing as an official “endometriosis diet,” for many people eating an anti-inflammatory diet individually tailored to their needs improves their symptoms and quality of life. This doesn’t always mean they become symptom free, but rather that by eating a certain way, they may have less diarrhea, or less fatigue compared to when they eat a different way. For me, food is one of the biggest contributors to my symptoms, so I personally eat the way I do because there is a marked improvement in how I feel: I have more energy and less pain, and I’m less incapacitated by my flares.

Focus on adding foods in vs cutting them out

While we may decide to cut out foods that contribute to our individual symptoms and pain, it’s also important to add in a variety of nutrient dense foods such as a variety of vegetables, adequate protein, and healthy fats so that we are satiated and have energy.

This can help you crowd our your trigger foods or eat less ultra-processed foods since you are eating more of other foods. You may find that by improving the nutritional quality of your diet, you are naturally limiting certain foods and don’t need to cut them out.

Learn to cook

This can help you control the ingredients in your meals (helpful if you have a lot of food intolerances), bring up the nutritional quality of your diet, and save money. You can try out a new recipe each week, or commit to cooking a few nights a week and work your way up in frequency. There’s so many ways to cook different foods. A vegetable roasted doesn’t taste the same as steamed, in a soup, or raw. Tomato sauce, cheese, garlic, herbs, or spices can drastically change the flavor of a meal. You can also try different types of cuisine. It turns out that I love Indian food and it’s now the majority of what I cook, even though I didn’t grow up eating it!

Get to know your cooking style. For example, for some people, batch cooking their weekly meals works great for them. For me, I loathed being in the kitchen for 3 hours, and cooking multiple recipes was overwhelming. Plus there was so much clean up after. I realized I’d rather just cook for each meal.

I was too focused on cutting out foods.

How do I figure out my trigger foods?

It’s true that for some of us, there may be foods that trigger our symptoms or that we feel much better cutting out. I personally have several foods I don’t eat because that helps me feel my best. But I put this section last to reiterate that eating with chronic illness isn’t only about cutting out certain foods, but rather upping the nutritional quality of our diet and having a healthy relationship with food. You may not even have trigger foods and find that food doesn’t have a huge impact on your symptoms!

-Working with a registered dietitian, especially one that is familiar with food intolerances or digestive problems, can be a great start.

-Some people do an elimination diet, but these can be hard to follow or triggering for people with disordered eating. This is where you typically cut out a food or food group for a month or so and see how you feel with and without it in your diet. Don’t base your decisions off of the first time a food makes you flare – look for a pattern: does it consistently flare you, even under different circumstances?

A focus prior to doing an elimination diet could be to improve the overall nutritional quality of your diet, or learn to cook more. This may help you feel less deprived if you choose to eliminate certain foods.

-Some people keep a food journal. For a month or so, you write down what you ate and your symptoms throughout the day, and see if you can spot patterns. For example, you may notice that every time you eat dairy, you have diarrhea, or that dark chocolate consistently gives you a headache.

I found a food journal to be helpful to figure out my best times to eat foods. I noticed that meat keeps me my fullest and give me no gas, so I eat lamb or chicken before meeting friends. Broccoli gives me horrible gas but also gives me energy, so I eat it when at home alone. Dessert foods like cookies or cake give me brainfog, so I like to eat those as a treat on the weekend before relaxing and watching a movie, but not when I’m out at celebrations because I don’t like feeling foggy when I interact with people. 

Some tips around cutting out foods

Of course, the best case scenario is that we don’t have to cut out any foods, but for some of us, it is a reality that certain foods trigger symptoms for us. However, in cutting our certain foods, it’s not about chasing being symptom free because that may not be possible. If we chase that, we could lead to our diet being more and more restricted, which ultimately hurts us both physically and emotionally in the long run.

I think it’s good to revisit foods you’ve cut out once in a while and see if you can tolerate them again. Our bodies change depending on various factors, and something that made you flare a few years ago could be fine for you now!

I only focused on my food.

It’s not just about the food

A lot of different foods cause me triggers, but over the years I’ve learned it’s not just about the food itself. It’s also about my relationship with food, and little things that are often overlooked:

  • Chewing my food thoroughly to help with digestion.
  • Eating in a state of relaxation: not rushing when eating, not being on the go, sitting down to eat slowly.
  • The way the food is cooked: For example, I can only eat boiled potatoes but not roasted ones. Boiled eggs are fine for me but not fried ones. I can’t have raw vegetables but roasted is fine. Etc.
  • The time you eat and frequency can affect how you feel. Some people feel their best eating 6 small meals a day, others eat 2 big meals. Some find eating a huge early breakfast gives them the most energy, others find that waiting to eat until mid-morning is better for them. By paying attention to our bodies and hunger cues, we can find what works best for us.

Resources

For more info