Home » Endometriosis » Best Diet for Endometriosis: From an Endometriosis Superspecialist’s Perspective

Endometriosis Diet

All About Endometriosis | Shree IVF Clinic - Dr. Jay Mehta

Hi friends,  This is going to be a very interesting article because I am writing this article as an endometriosis super specialist who has seen and interacted with a lot of women who are undergoing a variety of endometriosis-related diet therapies.

Let me be very clear at this moment that I am not a certified nutritionist. What I’m about to share is based on years of experience treating endometriosis patients.

If you’re considering starting an endometriosis diet, it has to be done always in conjunction with your endometriosis specialist and a certified nutritionist.

Why One-Size-Fits-All Doesn’t Work in Endometriosis Diets

Before starting any specific diet for endometriosis, several factors must be considered:

  • Your current body weight
  • Body Mass Index (BMI)
  • Ultrasound evaluation of your endometriosis
  • Fertility goals and treatment
  • Endometriosis-related pain levels
  • Presence of deep endometriosis and nodules involving the bowel and/or the Ureter
  • Any pre-existing medical conditions

All these aspects must be carefully reviewed with your care team before any dietary changes.

Important Truth: Diet Is Not a Cure for Endometriosis

I want to make this clear: diet does not cure endometriosis. Nor does it replace the need for medical management. This point has to be made absolutely clear in the mind of the patient before subjecting them to any form of a promise.

However, what diet can do is support symptom management and help reduce inflammation, which is the key driver behind many of the symptoms of endometriosis.

The Anti-Inflammatory Approach

Endometriosis is a chronic inflammatory condition. This means that your body is in a constant state of inflammation, and that can make everything from pain to digestion worse. So, an anti-inflammatory diet can be a helpful tool in your overall management plan.

Common Symptoms Where Diet May Help:

  • Chronic pelvic pain
  • Abdominal bloating
  • Gassy, uncomfortable distension 

If you are a patient who is experiencing symptoms like severe pain while passing stools (a symptom known as dyschezia) or severe pain while having intercourse, which is called dyspareunia, then please note that diet may or may not reduce this type of symptomatology.

Diet alone may not offer significant relief. These symptoms often suggest deeper involvement of the bowel or pelvic nerves, which usually needs medical or surgical attention.

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The Role of the Gut-Pelvic Axis

Many patients with endometriosis also suffer from digestive issues. This is because of something called the gut-pelvic axis. It’s the connection between your digestive tract and your pelvic organs, and when inflammation is high, this communication gets disrupted.

That’s why certified nutritionists often focus on an approach that involves anti-inflammatory, antioxidant-rich, and low-FODMAP foods.

Here comes the importance of understanding, what is a high FODMAP?

What Are FODMAPs?

Let me simplify this. FODMAPs are a group of foods that are poorly absorbed by the gut and tend to cause bloating and gas.

FODMAP stands for

  • F- Fermentable foods 
  • O- Oligosaacharides
  • D- Disaccharides 
  • M- Monosaccharides 
  • And
  • P- Polyols

Foods Usually Avoided in an Endometriosis Diet (Especially Indian Ingredients)

Based on experience and common dietary triggers, most certified nutritionists will recommend avoiding these foods or items made from these food products for the next approximately 6 to 10 weeks :

  • Wheat (roti, bread, maida)
  • Apples and mangoes
  • Lentils and legumes (chana, rajma, etc.)
  • Onion and garlic (common in Indian cooking)
  • Milk and milk-based products
  • Artificial sweeteners
  • Caffeine (tea, coffee)
FODMAP Diet for Endometriosis

What to Expect from an Endometriosis Diet Plan?

Most patients ask, “How long does it take to work?” My answer is always, “Give it at least 4 to 6 weeks before judging whether it’s helping or not.” This is not a quick fix. It takes time for your body to respond to anti-inflammatory changes.

And yes, your certified nutritionist will tailor your plan based on your symptoms, lab results, and clinical findings.

Here are some of the products that your nutritionist will ask you to include in your diet. 

  1. Chia seeds.
  2. Carrots.
  3. Spinach.
  4. Broccoli.
  5. Oats and quinoa.
  6. Berries like strawberries and bananas.

Basically, this is an anti-inflammatory, antioxidant food along with cruciferous vegetable extracts.

Your certified nutritionist is going to be the best person to decide how to make sure that this diet matches up to your calorie requirements based on your work activity as well as on your profession as well and your nutritional status.

Many excellent nutritional planners are available across our country.

Please remember that if you were to continue this diet for approximately 3 months, and this is from my personal experience of interacting with a lot of young girls, you may experience approximately 50 to 70% benefit in the following symptoms:

  1. Abdominal bloating.
  2. Constipation.
  3. Gaseous distension.
  4. Vague abdominal pain.
  5. Irritability.

Along with all the necessary diet requirements that have been mentioned above, one has to make sure that the patient stays very well hydrated during this therapy.

Please, one more time, be very certain that none of this diet is an alternative to medical or surgical management. Whatever is indicated as far as your case of endometriosis is concerned. 

We have seen the benefits of this diet extend to the majority of situations for patients who are already operated on and are in a post-surgical situation.

The average cost of consulting a good certified nutritionist in India would come to approximately ₹6,000-₹10,000. 

The average cost of following this diet for an Indian household will come to approximately ₹9000 per month.

Final Thoughts from an Endometriosis Expert

If you’re struggling with endometriosis, know this: you’re not alone, and you don’t have to do this blindly. Diet, when planned with proper medical and nutritional support, can play a very important role in symptom management and improving quality of life.

Always remember: your plan should be personalized. Just because something worked for someone else doesn’t mean it will work for you.

So, please don’t follow random diets from the internet. Instead, speak to an endometriosis specialist, Dr. Jay Mehta; ask for a referral to a certified nutritionist; and take a balanced, evidence-based approach.

If you’re looking for expert, ethical care for endometriosis in India, our team at Shree IVF and Endometriosis Clinic, Mumbai, is here to help.

Let’s see if you’re eligible! Just fill out this quick form, and we’ll let you know your eligibility for the same. 

https://docs.google.com/forms/d/1QPVsCETKVt4A02hE8Wh8Y5fXt5ZLRnHwrTW1AQAxx-4/viewform

Dr. Jay Mehta Fertility and IVF Specialist In Mumbai

Dr. Jay Mehta

MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)

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Dr Jay Mehta, Director of Shree IVF and Endometriosis Clinic, as well as the Director of Uterine Transplant in Global Hospitals, Mumbai. He is a leading laparoscopic gynecologist in India for endometriosis and adenomyosis.

He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology. He operates India’s major cities including Mumbai, Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, Delhi etc.

To book an appointment, call: 1800-268-4000

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Symptoms of endometriosis include period pain, pelvic and back pain, painful sex, leg pain, and bowel discomfort. Pain can be chronic or intense

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