The Simple Things You Can Do With Endometriosis When Preparing for Pregnancy

Nutrition by Bec

If you have endometriosis, you are probably being fed a lot of information by your algorithm. Foods to cut, supplements to take, and things to avoid. It can be incredibly overwhelming.

Preparing your body for pregnancy does not need to be extreme or restrictive. In fact, the most effective strategies are often the simplest, especially when they are personalised to you and your lifestyle.

Here are three simple things I focus on with my clients who have endometriosis and are preparing for pregnancy.

1. Support your gut to help regulate estrogen

Endometriosis is an estrogen-driven condition, and one of the most overlooked parts of estrogen balance is the gut. Poor gut health can contribute to worsened endometriosis symptoms and disrupt hormones involved in fertility.

Supporting gut health through adequate fibre intake, along with pre- and probiotics where appropriate, is essential.

2. Reduce inflammation without under-fueling your body

Inflammation plays a role in endometriosis and can impact egg quality, implantation, and overall fertility outcomes.

To support fertility, I work with my clients to ensure:

They are consuming adequate calories to support ovulation
Their diet includes omega-3 fats and antioxidant-rich foods

Long-term restriction and calorie deficits should be avoided.

3. Identify and correct key nutrient deficiencies

Heavy periods, chronic inflammation, and gut symptoms place women with endometriosis at a higher risk of nutrient deficiencies.

Common nutrients I assess include:

Iron (especially with heavy bleeding)
Omega-3 fats (for inflammation and egg quality)
Zinc, iodine, and vitamin D

Correcting these deficiencies is crucial to ensure you are in the most optimal position for fertility.

Thinking about trying?

Preparing for pregnancy with endometriosis is not about a perfect diet. It is about supporting your gut, nourishing your body adequately, and addressing nutrient gaps early.

If you are trying to conceive and feel stuck, overwhelmed, or unsure where to start, I’m here to help.