Is It Endometriosis – or Just Something You’re Meant to ‘Put Up With’?

Endometriosis is a whole-body condition influenced by inflammation, immune dysregulation, oestrogen metabolism, gut health and even your microbiome.

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 Symptoms Can Include:

• Debilitating period pain or cramps that disrupt work or life

• Pain during ovulation, sex, or going to the toilet

• Severe bloating (‘endo belly’) that comes and goes

• Chronic pelvic pain or lower back aches

• Extreme fatigue that isn’t improved by rest

• Nausea, IBS-type symptoms, or constipation

• Fertility struggles or irregular bleeding
   

You don’t need all of these to have endometriosis. And you don’t need a diagnosis to start supporting your body.

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You may have been told that your only options are painkillers or surgery – but nutrition and lifestyle changes can make a real difference to how you feel day to day.

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Evidence shows that a targeted nutrition approach can help:

• Reduce systemic inflammation

• Support oestrogen clearance and hormone balance

• Improve gut health and ease bloating

• Support immune function and reduce flare-ups

• Increase energy levels and improve mood​​

Are Your Symptoms Really Due to Endometriosis?​

Not all endometriosis lesions are equal when it comes to explaining pelvic pain, infertility or other symptoms. There are three broad categories: superficial lesions, deep infiltrating lesions, and endometriomas (sometimes called ‘chocolate cysts’).
 

In fact, some research suggests that superficial lesions could be relatively common, even in women without symptoms, and may not represent a disease state at all. This challenges the long-standing assumption that visible lesions automatically explain pain or fertility issues.
 

Instead, it’s increasingly important to consider other potential contributors, such as pelvic congestion syndrome, fibromyalgia, pelvic floor tension, nervous system dysregulation, or gut health issues like small intestinal bacterial overgrowth (SIBO).

 

If you’ve been diagnosed with endometriosis, especially if the diagnosis is based solely on superficial lesions, it’s worth taking a step back to consider the type of lesions involved and to explore whether immune, microbial, or nervous system imbalances might be driving your symptoms.

 

Could your gut symptoms be linked to endometriosis?​

Emerging research suggests a strong connection between endometriosis and Small Intestinal Bacterial Overgrowth (SIBO). A 2025 study found that over 90% of women with endometriosis tested positive for SIBO or methane overgrowth (IMO), with many experiencing symptoms like bloating, constipation, diarrhoea or acid reflux.
 

This highlights how gut imbalances may be contributing to both digestive discomfort and hormonal inflammation. If you’re living with endometriosis and also struggling with ongoing gut issues, it may be time to explore what’s going on beneath the surface.

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This root cause approach can help avoid unnecessary surgeries and guide more targeted, multidimensional care. I take a personalised, functional approach to help you understand what's driving your endometriosis symptoms and create a practical plan tailored to your unique needs, goals and lifestyle.​