An education piece by Naturalist
What are the root causes of endometriosis
Exploring the drivers behind endometriosis so we can support healing from the inside out.
Endometriosis is often misunderstood as just a reproductive issue, but it's a complex condition influenced by various factors. Understanding these root causes can empower you to take a holistic approach to healing.
Estrogen dominance and hormonal imbalances
Hormonal imbalance is one of the most well-recognised contributors to endometriosis. Estrogen, in particular, stimulates the growth of endometrial tissue. When there's too much estrogen relative to progesterone, what we call estrogen dominance - it can worsen symptoms like:
Heavy or clotty periods
Sore breasts
Mood swings
Bloating around your cycl
Contributors to estrogen dominance can include poor detoxification, chronic stress, certain medications, and even exposure to xenoestrogens (synthetic estrogens found in plastics and skincare).
Chronic inflammation
Endometriosis is increasingly recognised as an inflammatory condition. The immune system may react to endometrial-like tissue as foreign, triggering ongoing inflammation that leads to pain and adhesions. Addressing inflammation through anti-inflammatory foods, herbal medicine, and stress management is essential for relief.
Immune system dysregulation
A healthy immune system helps clear misplaced endometrial cells, but in endometriosis, this process may be impaired. This dysfunction can lead to the persistence and spread of endometrial tissue. Strengthening the immune system through gut health, herbal support, and adequate nutrition can aid in rebalancing.
Poor detoxification and liver load
The liver plays a crucial role in processing and eliminating excess hormones, including estrogen. If liver function is compromised due to factors like stress, alcohol, or toxin exposure, estrogen may recirculate, exacerbating symptoms. Supporting liver health with bitter herbs, cruciferous vegetables, and nutrients like B vitamins and magnesium can enhance detoxification.
Gut imbalances and the microbiome
There’s a growing link between endometriosis and gut health. Many individuals with endometriosis experience gastrointestinal issues such as bloating, constipation, or food sensitivities. Gut health is integral to hormone metabolism, immune function, and inflammation regulation. Conditions like leaky gut or dysbiosis (imbalanced gut bacteria) can worsen endometriosis symptoms. Focusing on gut repair and microbial balance is often transformative.
Stress and nervous system dysregulation
Chronic stress affects hormones, digestion, and the immune system. When the body is in a constant state of fight-or-flight, healing processes are deprioritised. This can disrupt ovulation, increase cortisol levels, and heighten pain sensitivity. Incorporating stress-reduction techniques like mindfulness, gentle movement, and breathwork can support nervous system regulation.
Final thoughts:
Understanding the multifaceted nature of endometriosis is the first step toward effective management. By addressing these root causes, you can create a personalized plan to support your healing journey
At Naturalist, I see you as a whole person. Your pain is real, and your story matters. Whether you’ve just been diagnosed or have been managing symptoms for years, I am here to help guide your healing journey with natural, evidence-informed care.
Download our free endometriosis guide for natural strategies to support your healing journey.
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How to work with me
Three pathways depending on the support you need.
However you start, you're getting the same standard of care. Every pathway is grounded in naturopathic medicine, shaped by evidence-based practice, and dedicated entirely to women's health. Whether you need clarity, structure, or full transformation, the depth of care doesn't change, only the level of support you need right now.
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Structured, focused support to start addressing what's actually driving your symptoms. Includes functional testing, full interpretation of your results, and a strategy session to build a plan shaped entirely around what we find, not a generic starting point.
