5 Proven Steps To Improve Your Fertility Naturally With Endometriosis
It’s estimated that as many as 1 in 10 women have endometriosis in the UK and that 10% of women worldwide suffer from the condition.
Today, we’re going to explore why endometriosis occurs, the impact on fertility and what you can do to manage endometriosis and boost your fertility.
By understanding the link between endometriosis and fertility, you can take proactive steps to manage endometriosis symptoms and increase your chances of getting pregnant with endometriosis naturally.
What endometriosis is and why it’s so hard to diagnose
The symptoms of endometriosis can be similar to conditions such as adenomyosis (where endometrial tissue grows into the womb and causes similar symptoms), fibroids and Pelvic Inflammatory Disease (PID). These types of conditions need to be ruled out first.
Endometriosis is, unfortunately, a condition that is often dismissed as being ‘normal’ or treated the same as other menstrual issues. It’s very common to be prescribed hormonal medications (such as the Pill) to ‘regulate’ the menstrual cycle before further investigations are considered.
There’s no specific test that can diagnose endometriosis, which can delay diagnosis for many years even when symptoms are investigated. In the UK, it can take an average of 8-9 years to be diagnosed with endometriosis, and many of my clients have waited even longer than this (up to 10 years!).
Magnetic Resonance Imaging (MRI) scans can potentially pick up endometriosis that’s deeper in the pelvis or affecting the bladder or bowel. Blood tests, ultrasounds and internal investigations may be used too.
But the only way to definitely confirm endometriosis is via laparoscopic surgery, which involves a camera being inserted into the pelvis to look for signs of endometriosis. If endometriosis is found during the procedure, it may be destroyed or removed at the time or during another procedure.
Symptoms & Causes of Endometriosis
Endometriosis develops when endometrial cells, similar to those found in the lining of the womb, start to grow elsewhere in the body. This can occur in the ovaries, fallopian tubes, bladder, bowel and other parts of the body.
Symptoms of endometriosis occur when these endometriosis growths break down but have no easy way to leave the body.
Endometrial growths respond to hormone changes in your menstrual cycle, just as the womb lining thickens to prepare for potential pregnancy.
Pelvic pain is one of the most common symptoms of endometriosis – but it’s not just period pain. It can occur at any point in your menstrual cycle.
You may also experience:
- Heavy periods (sometimes with clots)
- Irregular periods
- Spotting between periods
- Abdominal, leg and/or back pain (which may get worse around ovulation and/or your period)
- Pain during urination or bowel movements
- Pain during or after sex
- Fatigue
- Infertility
But not everyone with endometriosis will have obvious symptoms. It’s not uncommon to discover that you have endometriosis when fertility problems are investigated, for example.
Conventional medicine sees endometriosis as a condition linked to hormone imbalances and offers hormone-based treatments to ‘resolve’ this (typically the Pill or progesterone).
But the root causes of endometriosis can be much more complex than this.
Endometriosis doesn’t just happen randomly. From a functional medicine perspective, there are root causes for why it develops, including chronic inflammation, high oestrogen levels, a sluggish liver and detoxification pathways, poor gut health, and immune imbalances.
As a Nutritional Therapist specialising in fertility and hormonal health, I focus on this whole body approach to endometriosis and how we can use nutrition, lifestyle and supplements to resolve the root causes of your endometriosis. I use a range of functional tests to explore a client’s unique root causes.
The root causes can be very unique to you but getting to the bottom of them can help to manage symptoms rather than simply masking them.
Once diagnosed with endometriosis, I highly recommend using the DUTCH (Dried Urine Test For Comprehensive Hormones) to understand how your body is using and metabolising oestrogen and highlighting markers and deficiencies that could be contributing to endometriosis.
I also recommend doing a comprehensive stool test to get a full picture of the gut microbiome. Research has shown a strong link between endometriosis and poor gut health. Up to 90% of endometriosis sufferers experience gut-related symptoms and this test can give insights as to why these symptoms are present.
I like to combine this with DUTCH testing as the DUTCH test looks at phases 1 and 2 of oestrogen detoxification and we can get insights into phase 3 through a specific marker on the comprehensive stool test.
So, How Does Endometriosis Impact Fertility?
One of the biggest questions you may ask is whether you can still get pregnant with endometriosis?
Problems are more likely if endometriosis has resulted in adhesions (scar tissue) building up on reproductive organs, particularly the fallopian tubes or the ovaries.
Endometriosis is an inflammatory condition, which can make the uterine environment less hospitable for an embryo and impact implantation.
Hormone imbalances are another factor, particularly if progesterone is low. This can make it harder to get pregnant and stay pregnant.
But while endometriosis can cause fertility problems, lots of women are able to get pregnant with endometriosis naturally.
This involves getting to the root causes of your endometriosis and resolving the imbalances that are driving symptoms and impacting fertility.
This may include reducing inflammation, balancing hormones and improving egg quality.
If IVF (or another form of Assisted Reproductive Technology) is recommended for you, optimising nutrition and lifestyle can give you the best chance of success.
5 Natural Treatments For Endometriosis
While conventional treatment options such as birth control and pain medications aim to ‘balance’ your menstrual cycle and manage pain, the functional medicine approach to endometriosis offers many proactive options to manage symptoms, support your overall health, and increase fertility with endometriosis.
As a Nutritional Therapist, I support my clients to use nutrition, lifestyle and supplements to reduce pain (and other symptoms), live a better quality of life with endometriosis and improve their chances of getting pregnant naturally or through IVF.
Some of the natural treatments to help you manage symptoms and get pregnant with endometriosis include:
A nutrient dense diet
Focus particularly on foods that are anti inflammatory, high in fibre and able to support detoxification.
Leafy green vegetables, cruciferous vegetables (such as broccoli, kale, Brussel sprouts, cabbage and cauliflower), beetroot, watercress, oily fish, nuts, seeds, herbs and spices are just a few of the foods that can help with this.
Protein is crucial too, especially for hormone balance and blood sugar balance. Get my Protein-Packed Breakfasts Guide to make sure you’re starting the day with enough protein to support health and fertility.
Sulfopharane foods
Cruciferous vegetables are a powerhouse for detoxification due to their sulfopharane content.
Cruciferous vegetables also contain a compound called indole-3-carbinole, which helps to bind excess oestrogen to excrete it from the body and prevent recirculation.
Omega-3 fatty acids & SPMs
Omega-3 fatty acids are famed for their anti-inflammatory effects and some research has shown that they have potential to inhibit endometriosis growths.
When omega-3 fatty acids are consumed, they’re metabolised into specialised pro-resolving mediators (SPMs) that can help to stop the immune system from overreacting and causing chronic inflammation.
Most of us don’t consume enough omega-3 fatty acids to produce an optimal level of SPMs. This is one reason why the body can be ‘stuck’ in a state of chronic inflammation, especially if you’re also consuming a lot of omega-6 fatty acids.
An optimal ratio of omega 3-omega 6 is needed for health and fertility, which is why I recommend that anyone who is trying to get pregnant or struggling with hormonal health looks at their ratio via a Fatty Acid Profile Test.
Fatty fish and cod liver oil are good sources of omega-3s. You can also get omega-3 from nuts and seeds but in much smaller amounts. You’d need to eat a lot of them to get enough omega-3s and the body can find it hard to convert them.
Supplementing may be useful to make sure you’re consuming omega-3s in optimal amounts.
DIM (Diindolylmethane)
DIM is one of the popular supplements for endometriosis to manage symptoms. It’s a naturally occurring compound in cruciferous vegetables and can support detoxification and oestrogen elimination and reduce inflammation. Be sure to check oestrogen status before supplementing with DIM as it can lower overall oestrogen levels.
Systemic enzymes
Systemic enzymes can target inflammation, encourage healthy circulation and support immune function. They are enzymes that are naturally produced in the body (but not necessarily in optimal amounts) and can be found in certain foods such as pineapple, papaya, and fermented foods. If you can’t consume them in high enough amounts through diet alone, supplementing can bring them up to optimal levels and support health and wellbeing.
There’s a lot we can do to treat endometriosis naturally and improve your fertility
But your treatment plan should be unique to you!
As a Women’s Health and Fertility Nutritionist, I support my clients to use nutrition, lifestyle and supplements to manage endometriosis (and other health conditions that can affect fertility).
What that looks like can be very different from client to client. Using functional testing to understand your root causes and taking proactive steps to resolve them can bring a lot of relief from symptoms and get the body back into balance for fertility.
If you’re ready to take a deep dive into what’s at the heart of your endometriosis and work with me to create a personalised plan to manage symptoms and boost your fertility, you can join my 4-month Nurturing Fertility programme.