By Dr Emily Wiggins

Endometriosis affects an estimated one in ten women of reproductive age and is one of the most common causes of chronic pelvic pain and infertility. Yet, despite how widespread it is, many people struggle for years before receiving a diagnosis or finding meaningful relief.

At Terrain Natural Medicine, we view endometriosis not simply as a hormonal disorder but as a whole-body imbalance involving inflammation, immune dysregulation, and impaired detoxification. True healing begins by addressing the root causes and supporting the body’s natural capacity to restore balance, reduce inflammation, and encourage proper tissue repair.

Understanding Endometriosis Holistically

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, most often on the ovaries, fallopian tubes, and pelvic lining. These tissues respond to hormonal signals, leading to inflammation and scarring over time.

While surgery can remove lesions and relieve pain, recurrence is common if the underlying imbalances are not addressed. Naturopathic medicine focuses on restoring the internal environment that supports healthy hormone metabolism, immune balance, and tissue healing.

Core Principles of a Naturopathic Approach to Endometriosis

1. Balancing Estrogen and Progesterone

Many with endometriosis experience estrogen dominance, where estrogen levels are high relative to progesterone. Naturopathic support focuses on:

Encouraging healthy liver detoxification with nutrients like B vitamins, magnesium, and sulfur-rich vegetables such as broccoli, kale, and cauliflower.

Supporting daily elimination through fiber, hydration, and gentle movement to aid estrogen clearance.
Using herbal and nutrient supports to encourage balanced progesterone levels.

2. Reducing Inflammation

Chronic inflammation drives both pain and tissue overgrowth in endometriosis. To calm inflammation:

Follow an individualized diet, removing your unique food intolerance and emphasizing colorful vegetables, wild fish, olive oil, flaxseed, turmeric, and ginger.
Consider targeted anti-inflammatory nutrients.

3. Supporting Detoxification and Gut Health

The gut and liver play central roles in hormone metabolism and immune balance.

Assess and support gut integrity to reduce systemic inflammation.
Balance the microbiome and estrobolome (the bacteria that impact estrogen clearance)
Support liver and lymphatic function through herbs, nutrients and homeopathic remedies

4. Modulating the Immune Response

Endometriosis involves an immune imbalance where the body’s natural systems do not adequately clear misplaced endometrial cells.

Address chronic infections, food intolerance, and nutrient imbalances that burden the immune system.
Ensure adequate levels of vitamin D and zinc
Support nervous system regulation through restorative practices such as meditation, time in nature, and consistent, restful sleep.

5. Enhancing Pelvic Circulation

Good pelvic circulation supports healing, reduces congestion, and improves detoxification.

Therapies such as castor oil packs, pelvic massage, and acupuncture can be highly beneficial.
Gentle, regular movement helps maintain healthy blood and lymph flow.

The Healing Path Forward

Reversing endometriosis is not about suppressing symptoms but transforming the internal environment that allows inflammation and imbalance to persist. With consistent attention to nutrition, detoxification, hormone balance, and emotional well-being, many women experience profound improvements in pain, energy, and fertility.

Every person’s healing journey is unique. Working with a naturopathic doctor can help identify the specific underlying imbalances contributing to your symptoms and create an individualized plan to restore balance and vitality.

If you are ready to explore a holistic, naturopathic approach to endometriosis, you are welcome to schedule a consultation with one of our providers. Together, we can help your body return to a state of harmony and ease.

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