# An Overview of Essential Nutritional Strategies and Products in the Treatment of Endometriosis

## TL;DR

This paper reviews how specific diets and nutritional strategies can help manage endometriosis, emphasizing personalized approaches.

## Contribution

The study provides a systematic review of dietary interventions tailored for endometriosis treatment, highlighting anti-inflammatory and elimination diets.

## Key findings

- An anti-inflammatory diet low in animal products and refined sugars may help treat endometriosis.
- Personalized nutritional counseling is necessary due to the phenotypic diversity of endometriosis patients.
- Elimination diets like low-FODMAP or gluten-free may be beneficial after initial anti-inflammatory dietary changes.

## Abstract

Background/Objectives: Recent reports on the co-occurrence of allergies and endometriosis have provided grounds for expanding research in this area, suggesting that diagnostics should be extended to women with endometriosis. However, numerous studies on nutrients and antioxidants do not specify the type of diet that supports the treatment process. In our review, we focus on the types of food elimination and dietary approaches that have been used. Methods: This systematic review was conducted according to the PRISMA guidelines. We searched the EMBASE, PUBMED and SCOPUS databases, as well as the bibliographies of research papers and reviews, including the latest reports from June 2025. The search keywords were “endometriosis” and “type of diet”, “nutrition”, “food products”, “nutrients”, “elimination diet”, and “allergies”. Results: Excluding coexisting allergies and introducing an anti-inflammatory diet low in animal products, limiting butter and margarine, and eliminating fried foods and refined simple sugars may be the best solution to help treat endometriosis. Conclusions: Personalised nutritional counselling for patients with endometriosis is particularly helpful and necessary, as there is no single elimination diet that can be recommended for all patients with endometriosis. The first step should be an anti-inflammatory diet, such as the Mediterranean diet or the MIND diet (Mediterranean-DASH diet intervention for neurological delay), followed by more in-depth allergy screening. The phenotypic diversity of this group of patients may require the use of a low-FODMAP (fermentable oligo-, di-, monosaccharides and polyols), low-nickel, gluten-free or other elimination diet.