By Dr. Jawaher Kadhem, ND
Board certified naturopathic doctor
Understanding Endometriosis: A Silent Struggle
March is Endometriosis Awareness Month, making it the perfect time to shed light on one of the most common yet often overlooked health conditions affecting women. Endometriosis is frequently misdiagnosed or dismissed, leading to years of suffering before proper treatment begins.
This chronic condition occurs when tissue similar to the uterine lining grows outside the uterus, causing inflammation, pelvic pain, and fertility challenges. It affects 10% of women worldwide and is even more prevalent in the Middle East, where 13% of women are impacted.
What Causes Endometriosis? The Role of Estrogen Dominance
Several theories exist about the causes and pathophysiology of endometriosis, but one common factor among patients is estrogen dominance. This hormone-dependent condition thrives on estrogen, driving the proliferation and development of endometrial-like tissue outside the uterus.
Recognizing the Symptoms of Endometriosis
Symptoms of endometriosis can vary widely, making diagnosis difficult. Common symptoms include:
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Pelvic pain (during menstruation, ovulation, intercourse, or bowel movements)
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Infertility
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Digestive issues, including bloating and symptoms similar to irritable bowel syndrome (IBS)
Emerging research has revealed a strong gut microbiome-endometriosis connection, further highlighting the importance of gut health in managing the condition.
The Gut Microbiome and Estrogen Metabolism
A group of gut microbes called the estrobolome play a crucial role in metabolizing and excreting estrogen. A balanced estrobolome supports efficient estrogen detoxification, while an imbalance can lead to elevated levels of beta-glucuronidase—an enzyme that hinders proper estrogen excretion. When estrogen isn’t effectively cleared from the body, it can contribute to hormonal imbalances and worsen endometriosis symptoms.
Naturopathic Approaches to Managing Endometriosis
Naturopathic medicine focuses on reducing inflammation, balancing hormones, and detoxifying the body. Here’s how:
1. Anti-Inflammatory Nutrition for Endometriosis
Diet plays a vital role in managing endometriosis naturally. A nutrient-dense, anti-inflammatory diet can help regulate hormones and reduce pain.
Best foods for endometriosis:
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A variety of fruits and vegetables (especially cruciferous vegetables; broccoli, cauliflower, Brussels sprouts) to support estrogen detoxification in the liver
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Omega-3-rich foods (fatty fish, walnuts, flaxseeds) to reduce inflammation
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Fermented foods (sauerkraut, pickled vegetables, kefir, greek yogurt) to promote a healthier gut microbiome
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High-fiber foods (chia seeds, flaxseeds, legumes, leafy greens) to help eliminate excess estrogen
2. Herbal Remedies for Hormonal Balance
Certain herbs and nutritional compounds are commonly used to balance hormones and reduce symptoms:
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Sulforaphane (found in broccoli sprouts) helps estrogen metabolism in the liver
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Calcium D-glucarate inhibits the production of beta-glucuronidase in the gut, promoting estrogen clearance
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Vitex Agnus-Castus (Chaste Tree Berry) supports progesterone production and healthier menstrual cycles
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Curcumin (from turmeric) has powerful anti-inflammatory properties
3. Natural Pain Management Strategies
Instead of focusing solely on conventional pain medications, consider incorporating these natural remedies for endometriosis pain relief:
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Castor oil packs applied to the abdomen to enhance lymphatic drainage and reduce inflammation
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Pelvic floor therapy to alleviate pelvic congestion and support lymphatic flow
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Pycnogenol (Pine Bark Extract) and Melatonin to help reduce pelvic pain
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Cramp Bark (Viburnum Opulus) and Black Cohosh (Cimicifuga Racemosa) to relieve menstrual cramps
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Acupuncture to ease pelvic tension
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Regular physical activity to improve circulation and pain perception
Avoiding Endocrine Disruptors: A Crucial Step in Healing
One major cause of hormonal imbalance is exposure to endocrine disruptors and xenoestrogens—chemicals that mimic estrogen in the body. These are found in:
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Plastics (BPA, phthalates)
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Skincare products (parabens, synthetic fragrances)
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Processed foods (preservatives, food dyes)
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Conventional feminine care products (phenols, phthalates, parabens)
Many menstrual care products contain harmful chemicals that can be absorbed through vaginal tissue. Switching to organic, chemical-free feminine products like Adaye can help reduce exposure and support healthy hormone levels.
A Holistic Approach to Endometriosis Relief
Managing endometriosis requires a multi-faceted approach. While there is no cure, combining gut health support, hormone balancing, pain management, and toxin reduction can significantly improve quality of life.
At Adaye, we believe that women deserve better when it comes to their health. By embracing natural, safe, and sustainable menstrual care, we empower individuals to take control of their well-being—one period at a time.
About Dr. Jawaher Kadhem
Dr. Jawaher is a Naturopathic Doctor specializing in integrative health care with a focus on hormones and gut health. Combining a passion for natural medicine with an evidence-based approach, Dr. Jawaher helps individuals better understand their bodies and achieve optimal health through personalized care.
Currently practicing at Hospitalia By Yara in Bahrain, she is dedicated to empowering individuals with the knowledge and tools they need to take charge of their well-being—one informed choice at a time.
