What’s the Go on Endo? Simple Myth Busting

Written By Kerri Carmichael

Although one in ten people who currently have, or previously had a uterus have endometriosis, there is still a large majority of the population that are not endo-aware. Endometriosis can severely reduce a person’s quality of life, often causing chronic pelvic pain, inflammation, and other physical and mental health difficulties.

What are the key symptoms to look out for? (variable between individuals)

  • Bloating,

  • Pain during sex,

  • Changes in bowel and urination habits,

  • Bleeding longer than normal,

  • Heavy or irregular bleeding,

  • Tiredness or low energy, especially around menstruation,

  • Abdominal, back or pelvic pain, especially around the menstrual cycle,

Endo (commonly termed) is a chronic inflammation of the reproductive organs, wherein tissue similar to that which lines the uterus grows in other places of the body. This tissue is not limited to growing within the pelvic cavity, which is a commonly confused conception. With the onset of each period, this tissue sheds and bleeds. This causes inflammation and consequently forms scar tissue, cysts and adhesions. There is, unfortunately, no cure for this condition, however, there are some therapies that may assist its progression.

As there is a lot of misinformation about Endo let’s jump into some myth-busting!

It is normal to experience heavy, painful periods.

False.

If you need to change your tampon or pad after less than 2 hours, or if you pass clots larger than a 50c piece, you should seek a Doctor’s advice. Experiencing disabling, ongoing pain in the pelvis and lower back before, during or after menstruation, as well as during or after sex, may be a sign of Endometriosis.

Those who develop endometriosis become infertile.

False.

Women diagnosed with Endo can still fall pregnant. Studies have shown that 30-50% will experience impacts on their infertility.

Diet does not play a role in Endometriosis progression.

False.

The building body of evidence supports the role that nutrition plays in the development and progression of Endo through reduced inflammation and affected oestrogen levels.

To support your immune system, aim to include nutrient-dense diet that is:

  • High in fibre such as whole grains, fruit, vegetables, beans & legumes

  • Low in saturated/ trans fats commonly found in ultra-processed foods

  • Low in added sugars and alcohol which disrupt gut bacteria

Some individuals may find benefit in symptom management by eliminating gluten and high FODMAP foods in the diet. It is recommended that the guidance of a dietitian is utilised if you are considering trying these diet changes.

What about PCOS (Polycystic Ovarian Syndrome)?

PCOS is different to Endo, in that women diagnosed with this condition typically have many partially formed follicles, containing an egg that rarely reaches maturation or can be fertilised. While the exact mechanism of onset has not been determined yet, it is speculated that insulin resistance may drive this condition.

What are the key symptoms to look out for?

  • Irregular menstrual cycles,

  • Excessive facial or body hair,

  • Hair loss,

  • Issues with fertility, as well as,

  • Depression and anxiety.

For more information on PCOS - Check out my other blog!

Need more individualised help with an Accredited Practising Dietitian?

Get in touch with Kerri, a FODMAP-trained Dietitian, to create a personalised plan that helps to relieve your symptoms and align with your lifestyle and goals.

For more information, check out these websites:

https://www.qendo.org.au/

https://www.endometriosisaustralia.org/

Kerri Carmichael
Previous

Veggie-loaded muffins