How to Treat Endometriosis Naturally without Drugs

How to Treat Endometriosis Naturally Without Drugs or Surgery

Here’s the bottom line:

Endometriosis is a treatable condition and you don’t have to use drugs or surgery to fix it

(If you want my 10 steps to help you right away jump to the bottom of this article)

Here’s how to treat endometriosis naturally without drugs…

But first let’s start with some general information.

Understanding Estrogen Dominance

Endometriosis is considered part of the spectrum of ‘estrogen dominance’ which is a condition of too much estrogen relative to progesterone.

Remember that estrogen and progesterone are like yin and yang to one another. To simplify, think of estrogen as a hormone that causes growth (growth of fat cells, breast tissue and uterine lining) and think of progesterone as a hormone that causes thinning (decreases weight, diuretic, helps burn fat, etc.)

As you might suspect, the symptoms of estrogen dominance include all of the symptoms you would see when a woman has too much estrogen: PMS/PMDD, painful and prolonged menses with heavy flow, breast tenderness, fibrocystic breast disease, uterine fibroids, weight accumulation on the hips/butt/thighs and of course endometriosis.

Estrogen Dominance Dr. John Lee

When the ying and yang of progesterone and estrogen are not in balance that’s when your body begins to have symptoms of ‘estrogen dominance’. This state of too much estrogen leads to all of the problems listed above and can even increase your risk of breast and uterine cancer.

This image will help you understand why it’s important to have the right balance of estrogen to progesterone and how they directly oppose one another.

Estrogen dominance with progesterone's effects

If you have one or more of these symptoms or conditions listed above there is a good chance you are suffering from estrogen dominance.

Estrogen dominance is extremely (and unfortunately) very common in many women due to lifestyle, diet, stress and toxins.

Why do you have too much estrogen?

When evaluating anyone with estrogen dominant symptoms I always evaluate these areas…

Hormone balance and estrogens

There are several different types of estrogens in your body and most of them are at least partially active. Meaning they sit on the estrogen receptor and cause the effects listed above (recall that estrogen is a ‘growth’ hormone).

The most potent of the estrogens is estradiol, but just because it’s the most potent doesn’t necessarily mean that you have too much of it or that it is responsible for your symptoms.

Estradiol is metabolized into less active estrogen molecules that still sit on and active estrogen receptors.

Estrogen metabolism and estrogen dominance

As you can see from the image above estrogen has many metabolites that need to be excreted and eliminated by the liver.

If you have any problems eliminating the estrogen metabolites they can built up over time and cause activation of estrogen receptors and the symptoms of estrogen dominance.

Your diet, lifestyle and genetics help determine how your body is going to eliminate estrogen. Also, If you have any issues with your liver, certain genetic polymorphisms or problems with methylation then you will also likely have problems detoxifying estrogen.

The “good” estrogen metabolites (meaning they protect you from developing cancer) is how you want your body to get rid of your excess estrogens. That means you want your body to turn estradiol and estrone into 2-OH estrone and 2-OH estradiol.

The catch is that after you have created those metabolites you have to go one step further by methylating them for complete elimination. This can be troublesome for the 50% of people who have genetic MTHFR defects.

As you might expect most women tend to go down the “bad” pathways and increase their risk of developing estrogen dominant symptoms as well as breast and uterine cancer.

The good news?

Detoxify to eliminate extra estrogen

There are ways to push your estrogen down the healthy pathways. By eating brassica vegetables (cauliflower, broccoli, kale, brussel sprouts) or by taking the supplement diindolylmethane/indole-3-carbinol.

If you decide to go this route make sure to also take a supplement like milk thistle to boost your livers ability to detoxify. And don’t forget below we will go over my top treatment recommendations.

So how do you see what your estrogens are metabolized into to target treatment?

The best (and only) way to test for estrogen metabolites is with the 24 hour urine test or with DUTCH urine testing. Traditional blood and serum are not accurate enough because they don’t test for estrogen metabolites and the only serum test you can get is estradiol which can vary from hour to hour.

The bottom line: don’t let your doctor tell you your labs are normal if they only test for estrogen.

Also, it’s worth pointing out that the best time to accurately test for estrogen and progesterone to get an idea about estrogen dominance is mid luteal phase (around day 19-22 on the standard 28 day cycle).

Get your thyroid levels checked accurately

I can’t stress this enough.

You don’t have an estrogen problem if you have a thyroid problem!

In fact, an older doctor taught me that giving 30-60mg of armour thyroid to women with PMS/PMDD would drastically improve their symptoms.

Back then I didn’t know why it was working only that it helped so many women.

I can now say that hypothyroidism is commonly missed by traditional labs, so unless your doctor understands the complexity of the thyroid don’t let them tell you it is “normal”.

You need to have your thyroid evaluated properly with more than just TSH testing

Hypothyroidism will commonly cause menstrual abnormalities because estrogen and thyroid play together in the body.

If you want to correctly look at your thyroid you need the following tests:

TSH, free t3, free t4, reverse t3 and thyroid antibodies.

It’s possible (and common) to have undiagnosed hashimoto’s thyroiditis or thyroid resistance that is missed by doctors that don’t know how to interpret thyroid tests.

As a quick primer you can evaluate your own labs (you can find more information here):

  • If your TSH is > 2 you are hypothyroid, a TSH < 2 doesn’t mean you aren’t hypothyroid
  • Your free t3 level should be in the upper 1/3 of the normal range
  • Your free t4 level should be in the upper 1/3 of the normal range
  • Your reverse t3 should be < 15
  • Your antibodies should be < 30

It’s also worth pointing out that if you have fibrocystic breast disease (or painful breasts) you likely have too little iodine in your body.

Replacing iodine may boost your thyroid and in most cases will resolve your breast tenderness. The iodine in salt is not enough for many people and I commonly find up to 80% of my patients being iodine deficient.

If you have fatigue, constipation, weight gain, dry skin, brittle hair, depression or menstrual issues it’s worth looking into your thyroid and even a trial treatment based on symptoms alone.

Find out if you are ovulating

Are you ovulating?

You may be having your cycle (probably at irregular times) but that still doesn’t mean you are ovulating.

The majority of progesterone in a woman’s body is there because of ovulation, so if you don’t ovulate you have constant unopposed estrogen and that sets you up for estrogen dominance and potentially breast/uterine cancer.

You can evaluate if you’re ovulating by checking LH levels mid cycle with urine sticks or by checking your basal temperature daily.

Your body temperature increases by around 1 degree after you ovulate and stays there for about 10 days before returning to normal.

By checking your basal temperature you can also assess your thyroid function.

If your body temperature doesn’t raise or fluxuates wildly then you may not be ovulating and you may have either a thyroid or adrenal problem or both.

Your body temp should be no less than 97.8 degrees.

Basal body temperature when hypothyroid

The image above is from one of my patients, you can clearly see the fluctuation of body temperature in the beginning and what happens after getting thyroid medication.

Diet influences estrogen levels

Diet certainly plays a huge role because of the metabolic implications that occur with a poor diet!

The major goal of diet should be to help eliminate estrogens so your body can metabolize them efficiently.

To start cut out refined grains (cereals, breads, pastas, anything containing white flour, etc.), dairy products, sugar and artificial sweeteners, all processed foods, caffeine and alcohol.

Focus on eating real whole foods, lots of plants (vegetables and fruits), nuts and healthy fats (coconut oil, olive oil, wild caught fish, etc.). Eat at least 2 cups of brassica vegetables (broccoli, cauliflower, cabbage, brussel sprouts, kale, etc.) because they contain DIM (diindolylmethane) which helps drive estrogen metabolism down the protective anti cancer pathway.

The following foods will help correct any gut issues (constipation, gas, bloating, etc.): lots of vegetables (any kind), fruit, nuts, seeds, beans, ground flax.

Foods high in omega 3 fatty acids will help cool inflammation: sardines, herrings, wild salmon, omega 3 eggs and walnuts.

Cut back on any foods with synthetic or added hormones/antibiotics (especially non organic dairy products or non grass fed animal protein).

Stress and lifestyle increase estrogen levels

Excess stress leads to dysregulation of cortisol, insulin, estrogen and thyroid. Remember that all hormones  in your body play together, if one is low or not regulating properly it will take down others.

Make sure you take time out of your day to meditate, do yoga, relax in a detox bath or whatever it takes to reduce the stress of everyday life.

You should exercise at least 1-2x per week using high intensity interval training. Work up to a good sweat and at maximal capacity. Exercising changes your epigenome, improves mood, and helps get rid of toxins.

Look for nutritional deficiencies

You can try the following vitamins/supplements to help regulate hormonal metabolism: magnesium, vitamin D (get your labs checked), all co-factors of methylation (activated folate, b6, b12), omega 3 fatty acids like fish oil, indole-3-carbinol/diindolylmethane, and extra antioxidants.

Are you detoxifying at 100%?

No matter what you do you come into contact with xeno-estrogens on a daily basis. These activate the estrogen receptors on your cells and they make your body think you have more estrogen than you really do.

They include things like: bisphenol A (in hard plastics like water bottles), hormones added to milk and dairy products, pesticides and herbicides on non organic foods and antibiotics/xenobiotics found in non organic/grass fed animal protein.

In order to detoxify at 100% make sure your body has the right vitamins (methylation co-factors), nutrients (from food) and that your liver is functioning optimally.

If you consume the right foods, take the vitamins above and make sure to sweat frequently (infrared saunas or intense workouts) you should be covered.

10 Actionable Tips You Can Start with Today:

  1. Consider getting a 24 hour urine test to evaluate your: estradiol, estrone, estriol, DHEA, testosterone, and cortisol metabolites.
  2. Get your thyroid tested – Ask your doctor to check your TSH, free t3, free t4, reverse t3 and thyroid antibodies. Get treated if you are low.
  3. Check your basal body temperature – Right when you wake up check your temperature either under your arm or in your mouth and record it. Anything less than 97.8 is an issue that should be evaluated.
  4. Eat clean – Cut out sugar, refined grains, white flours, caffeine, alcohol, breads, pastas, artificial sugars and hormone filled foods like non organic dairy and non grass fed animal protein. Eat foods to help you detox your body (broccoli, cauliflower, kale, brussel sprouts). Eat healthy fats like flax and wild caught fish.
  5. Exercise often – Focus on high intensity interval training to boost fat metabolism. 15-20 minutes 1-2 times per week should do the trick. On days you don’t exercise stay active by walking or taking frequent breaks at work.
  6. Avoid environmental toxins and xenoestrogens – Eat organic foods, drink filtered water out of glass containers, avoid plastic drinking bottles and storing food in plastic containers, and stop touching receipts (have the cashier put it in the bag). Check out the clean fifteen and the dirty dozen to find out which foods you should buy as organic.
  7. Detoxify your body by sweating – Take a hot bath, go into an infrared sauna or sweat during exercise. It doesn’t matter how you do it, just make sure you sweat frequently.
  8. Reduce stress and increase sleep – Make sure to get at least 7-8 hours of sleep every night to reduce inflammation and cortisol levels. Reduce stress by practicing daily yoga, meditation or prayer for at least 20 minutes.
  9. Supplement wisely – Try taking diindolylmethane or indole-3-carbinol which help your body eliminate estrogen down the anti cancer pathway. Cool off inflammation with fish oil and omega 3 fatty acids. Take probiotics to help heal your gut (I recommend soil based organisms). Help your liver detoxify estrogen with calcium D-glucarate and milk thistle.
  10. Consider bioidentical progesterone therapy – Adding in bioidentical progesterone can help restore the balance of estrogen to progesterone. Use progesterone (start with 20mg daily and increase as needed slowly) on days 14-27 of your cycle (stop if you start menstruating). If you decide to use progesterone make sure you also follow the other recommendations above to get the maximum benefit!

Links to my preferred products below (I have no affiliation with these products or receive any money by promoting them):

Bioidentical progesterone from amazon here.

Diindolylmethane complex from amazon here.

Supplements to help detoxify your liver here.

Soil based organism probiotics here.

For diet recommendations you can find more here.


An Integrative Approach to Fibroids, Endometriosis, and Breast Cancer Prevention

Nutritional Influences on Estrogen Metabolism

The life cycles of women: Restoring balance

Dr. Westin Childs

About Dr. Westin Childs

Hey! I'm Westin Childs D.O. (former Osteopathic Physician). I don't practice medicine anymore and instead specialize in helping people like YOU who have thyroid problems, hormone imbalances, and weight loss resistance. I love to write and share what I've learned over the years. I also happen to formulate the best supplements on the market (well, at least in my opinion!) and I'm proud to say that over 45,000+ people have used them over the last 4.5 years. You can read more about my own personal health journey and why I am so passionate about what I do here.

11 thoughts on “How to Treat Endometriosis Naturally Without Drugs or Surgery”

  1. Thank you for sharing, Dr.Stanton.Glad that you mtenion that the first place the body stores fat is around the organs on our abdomen and initially remains not readily visible. Unfortunately lots of women don’t realize that even if they look skinny, they still need to watch what they eat and exercise at least two-three times a week, because they might be obese inside.Breathe, smile and be happy.

  2. What do you think about what Dr. David Brownstein says about heavy metals and hormonal system, specifically mercury:

    “Dental amalgams (fillings) are the leading source of mercury toxicity….Mercury is a cell toxin that can disrupt the functioning of the entire hormonal system. The thyroid, hypothalamus, and pituitary glands are very sensitive to mercury.” (p. 187 of The Miracle of Natural Hormones by David Brownstein, MD)

  3. I was resently diagnosed with MTHFR A1298C homozygous gene defect. On top of that I hand and endometrium cyst on my ovary that was removed, however it turned out the stadium is so high that it spread over my other organs. Now I have a puzzle because I need to start the treatment for the gene defect meaning taking methylated vitamins and other supplements and make sure that my blood doesn’t clod. But also, I was told by the gynecologist that normally in this case he would prescribe his patient progesterone for half a year to remove all other endometriosis spots but in my case with the gene defect where the risk of clod is high he doesn’t recommend it. I was wondering if anyone has the same experience and actually decided to take progesterone with methylated vitamins, and if any what side effects occured?

    • Hey Ewelina,

      You can look into supplements to help estrogen metabolism like DIM or indole-3-carbinol in addition to other lifestyle changes.

  4. Your comment about TSH <2.0 doesn't mean you aren't hypothyroid…I think that's me! My TSH is always around 0.5. FT4 is around bottom 1/3 of the normal range. FT3 is at the bottom or below the normal range. TPO antibodies around 100. I self-diagnosed my Hashi's about 4 years ago…but the endocrinologist is just coming around now that I "might" have an autoimmune issue!! Otherwise, he says I have a form of untreatable hypothyroidism and says it is unlikely thyroid hormone replacement will help me feel any better. I think he won't treat me because my TSH is always low and doesn't follow the typical hypo pattern of high TSH, low free thyroid hormone levels. I asked him to check my pituitary as well to see if something upstream might be causing the low TSH, but hypo pattern, and he dismissed it. Any thoughts on why my TSH stays so low? Thx!

  5. Hello, I am wondering if could clarify what you mean when you say, “You don’t have a estrogen problem if you have a thyroid problem!”

    • Hi Crystal,

      What I mean is that low thyroid function can lead to the symptoms of excess estrogen, so if you have estrogen dominance or excessive estrogen then you first must rule out hypothyroidism as the cause. If hypothyroidism is the cause then treating this problem should result in improvement in estrogen levels.

  6. Hello there. I have endometriosis and can really tell that every time my estrogen levels rise the inflammation in my gut/ovaries etc escalate. I get strong pains and very bloated. I started DiM/3IC recently and although it seems to help with some of my mood/estrogen dominance issues it seems to have caused a real flare in endo pan lasting two weeks now this has got me thinking – if the DIM ad a phytoestrogen will compete for the estrogen receptors What happens to the estrogen already there? Will the DiM cause an increase in estrogen ’floating around’ the before it Hopefully settles down? That could explain my flare maybe? I am not sure wether to continue or stop the DIM and am very frustrated. Really hope to hear from you.


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