There are certain foods within the typical Western diet that have been shown to trigger more inflammation and pain for women with endometriosis.
Gluten—found in products made with wheat, rye, and barley—is one such example. My recommendation would be to avoid gluten completely to allow your gut lining to heal, thereby enhancing nutrient absorption and reducing inflammation. You can replace many gluten-derived products with substitutes like quinoa, buckwheat, and millet. I recommend picking organic alternatives to avoid dioxin, a pesticide that has been linked to endometriosis.
The other key food to avoid: sugar. Sugar triggers hormone-like substances called prostaglandins, which can contribute to elevated estrogen and uterine cramps and have been associated with the pain experienced with endometriosis. If we avoid sugar, we help avoid prostaglandin release and reduce pain and inflammation. Stick with freshly made foods and choose fewer packaged foods. A wonderful way to curb sugar cravings is to drink a warm chai tea or use sweet fruits or dates as a replacement.
Other foods that have been shown to be inflammatory with endometriosis include dairy, saturated fat, salt, and caffeine.
To reduce inflammation with endometriosis, it's also recommended to include foods rich in magnesium, omega-3 fatty acids, glutathione, and vitamin C. Reach for fresh wild fish, fruit, loads of vegetables, and treats that contain real cocoa.