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An education piece by Naturalist

Hidden signs and symptoms of endometriosis you might be missing

When most people think of endometriosis, they imagine severe period pain. While painful periods are a hallmark symptom, the reality is far more complex and many people with endometriosis experience symptoms that aren’t always linked to their menstrual cycle.

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Could your symptoms be endometriosis?

Endometriosis is often associated with pelvic pain and heavy periods, but its manifestations can be diverse and sometimes unexpected. Recognising these lesser-known signs is crucial for timely diagnosis and effective management.


Chronic fatigue

Persistent fatigue that doesn't improve with rest can be a symptom of endometriosis. The chronic inflammation and hormonal imbalances associated with the condition may contribute to this overwhelming tiredness.


Gastrointestinal issues

Symptoms like bloating, diarrhea, constipation, and nausea especially when cyclical can be mistaken for IBS. However, they may indicate endometriosis affecting the gastrointestinal tract.


Urinary problems

Painful urination, frequent urges, or blood in the urine during menstruation can suggest endometriosis involving the bladder or urinary tract.


Nerve pain

Endometriosis can affect nerves, leading to pain in areas like the lower back, legs, or even the sciatic nerve, causing symptoms similar to sciatica.


Pain during or after sex

Deep pain during or after intercourse is a common but often overlooked symptom of endometriosis, potentially affecting relationships and emotional well-being.


Chest or shoulder pain

In rare cases, endometrial tissue can implant in the diaphragm or lungs, leading to chest or shoulder pain especially during menstruation.


Heavy or irregular bleeding

Experiencing unusually heavy periods or bleeding between periods can be a sign of endometriosis, particularly when accompanied by other symptoms.


Infertility

Difficulty conceiving may be the first noticeable symptom for some individuals, as endometriosis can affect fertility by causing inflammation and scarring.


Take the next step

If you're experiencing any of these symptoms, it’s important to consult with a healthcare professional for proper evaluation and diagnosis. Early detection and a comprehensive treatment plan can significantly improve quality of life.


To receive instant support download my free guide to managing endometriosis natrually: Download here


Read 'how gut health affects endometriosis and what you can do about it' - and how your estrobolome could be part of the puzzle.

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If you are ready to make change, I want to work with you.

Reading blogs is a great start, but real change happens when you have a plan that’s tailored to you. If you’re ready to move from research into action, I’d love to support you. Book a free discovery call and let’s explore how we can work together on your health journey.

Read more

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PCOS and Anxiety: 7 powerful facts every woman must know

PCOS and anxiety are deeply connected through hormones, stress, and lifestyle factors. Discover causes, symptoms, treatments, and coping strategies backed by science.

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Seed Cycling for Hormone Balance & Fertility

Seed cycling uses flax, pumpkin, sunflower, and sesame seeds to gently support hormone balance, fertility, and cycle health.

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Can your thoughts really trigger histamine?

Your thoughts don’t just live in your mind they can influence your immune system too. Discover how looping, anxious, or high-alert thinking can trigger histamine release, fuel inflammation, and worsen symptoms, plus natural ways to calm both body and mind.

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Why histamine spikes during your period and what to do about it

Ever notice allergy-like symptoms during your period like a runny nose, phlegmy throat, or headaches? Hormonal changes during menstruation can trigger histamine flares, read about how to use herbs, nutrition, and lifestyle shifts to ease the load.

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From hormonal acne to histamine skin flares: My journey with skin and cycles

After years of hormonal acne, I finally found relief only to discover a new trigger: histamine. This is my personal story of how food, hormones, and skin are deeply connected, and how I’ve learned to listen and support my body in a new way.

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The surprising link between histamine, acne, and hormones

Uncover the hidden connection between histamine, hormonal shifts, and acne. Learn how gut health, oestrogen, and inflammation may be silently influencing your skin.

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Attracting health: A winter invitation to soften, listen, and align with our cycles

A gentle reflection on the shift from chasing health to attracting it, honouring the slower pace of winter, aligning with your cycle, and reconnecting with your body’s wisdom. A reminder that true healing begins when we soften, listen, and trust.

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What to eat (and avoid) with endometriosis: A practical nutrition guide

Discover the best foods to eat (and which to avoid) for endometriosis. This practical guide explains how nutrition can reduce pain, support hormones, and ease inflammation, naturally.

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Hidden signs and symptoms of endometriosis you might be missing

When most people think of endometriosis, they imagine severe period pain. While painful periods are a hallmark symptom, the reality is far more complex and many people with endometriosis experience symptoms that aren’t always linked to their menstrual cycle.

0V2A1679 2.jpg

How gut health affects endometriosis and what you can do about it

When we think about endometriosis, we often focus on hormones, pain, and the reproductive system but the gut plays a surprisingly powerful role in this condition.

Book an online naturopathic consult for women’s hormonal health with Naturalist NZ

Two ways to work with me

Everyone’s health journey is different. Some people need focused guidance on a specific issue, while others need deeper, ongoing support to address complex or long-standing symptoms.

Here are the two ways you can work with me.

Learn more here

  • Best for: Targeted concerns, short-term guidance, or those who want support around a specific issue.

    Standard naturopathic consultations are designed to provide individualised advice, education, and recommendations based on your symptoms, history, and goals.

     

    This option may include:

    • One-off or occasional consultations

    • Nutrition, lifestyle, herbal, and supplement guidance

    • Review of existing blood work or test results

    • Practical strategies you can implement independently

     

    This approach works well if:

    • Your symptoms are mild to moderate

    • You’re looking for direction rather than ongoing support

    • You prefer to manage implementation on your own between sessions

     

    Standard support offers flexibility and professional guidance, but progress depends largely on how consistently recommendations are applied and followed up.

  • Best for: Women with endometriosis, PCOS or complex hormonal symptoms who want clarity, structure, and ongoing guidance rather than trial-and-error.

    The Thrive programs are comprehensive, multi-phase support pathways designed to address the root drivers of symptoms using functional testing, personalised treatment plans, and consistent 1:1 care.

    Rather than isolated appointments, Thrive provides an integrated framework where testing, interpretation, treatment, and support are connected and adjusted as your body responds.

     

    Inside Thrive, you receive:

    • Advanced functional testing and interpretation

    • A personalised, phased treatment plan

    • Ongoing 1:1 practitioner support

    • Access to the Thrive hub, resources, and protocols

    • Structured guidance so you know what to focus on at each stage

     

    The program begins with an initial 1–2 month stabilisation and clarity phase, where we identify what’s driving your symptoms and support the systems under the most strain. From there, you can choose to continue into the full program for deeper treatment and long-term support.

    This approach is ideal if:

    • You’ve tried many things and still feel stuck

    • Your symptoms are complex, cyclical, or worsening

    • You want to stop guessing and be guided step-by-step

    • You value ongoing support, accountability, and adjustment

     

    Thrive is designed to take the pressure off you to figure everything out alone. It’s structured, personalised care that adapts to your body not a one-size-fits-all protocol.

    Learn more about Thrive

  • If you’re unsure which level of support best suits your needs, the first step is a Discovery Call.

    This is a supportive conversation where we explore what’s been going on, what you’ve tried, and whether standard support or a Thrive program is the most appropriate next step.

    Book a Discovery call

  • Best for: Targeted concerns, short-term guidance, or those who want support around a specific issue.

    Standard naturopathic consultations are designed to provide individualised advice, education, and recommendations based on your symptoms, history, and goals.

     

    This option may include:

    • One-off or occasional consultations

    • Nutrition, lifestyle, herbal, and supplement guidance

    • Review of existing blood work or test results

    • Practical strategies you can implement independently

     

    This approach works well if:

    • Your symptoms are mild to moderate

    • You’re looking for direction rather than ongoing support

    • You prefer to manage implementation on your own between sessions

     

    Standard support offers flexibility and professional guidance, but progress depends largely on how consistently recommendations are applied and followed up.

  • Best for: Women with endometriosis, PCOS or complex hormonal symptoms who want clarity, structure, and ongoing guidance rather than trial-and-error.

    The Thrive programs are comprehensive, multi-phase support pathways designed to address the root drivers of symptoms using functional testing, personalised treatment plans, and consistent 1:1 care.

    Rather than isolated appointments, Thrive provides an integrated framework where testing, interpretation, treatment, and support are connected and adjusted as your body responds.

     

    Inside Thrive, you receive:

    • Advanced functional testing and interpretation

    • A personalised, phased treatment plan

    • Ongoing 1:1 practitioner support

    • Access to the Thrive hub, resources, and protocols

    • Structured guidance so you know what to focus on at each stage

     

    The program begins with an initial 1–2 month stabilisation and clarity phase, where we identify what’s driving your symptoms and support the systems under the most strain. From there, you can choose to continue into the full program for deeper treatment and long-term support.

    This approach is ideal if:

    • You’ve tried many things and still feel stuck

    • Your symptoms are complex, cyclical, or worsening

    • You want to stop guessing and be guided step-by-step

    • You value ongoing support, accountability, and adjustment

     

    Thrive is designed to take the pressure off you to figure everything out alone. It’s structured, personalised care that adapts to your body not a one-size-fits-all protocol.

    Learn more about Thrive

  • If you’re unsure which level of support best suits your needs, the first step is a Discovery Call.

    This is a supportive conversation where we explore what’s been going on, what you’ve tried, and whether standard support or a Thrive program is the most appropriate next step.

    Book a Discovery call

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