Questions? Call us: 1 (800) 851-7957   |   Shop Products   

Call us: 1 (800) 851-7957

5 Steps to Reversing Endometriosis Infertility

5 Steps to Reversing Endometriosis Infertility

Endometriosis is a condition that causes tissues of the endometrium (uterine lining) to grow outside of the uterus. The endometrium is the inner mucosal lining of the uterus. It has two layers. The stratum functionale contains the excretory glands and is shed as menses during menstruation and is then built-up again by stimulation of the ovaries releasing hormones during the next cycle. The deeper layer that resides next to the myometrium is vascular (vessels that carry fluids) and serves to regenerate the stratum functionale after each menstruation ends. In this article, we’ll be discussing the causes and symptoms of endometriosis, how it effects fertility, medical options, and some natural therapies for endometriosis, including fertility cleansing, the natural fertility diet, systemic enzyme therapy, and supplementation with progesterone, dim, and maca root.

In women with endometriosis the displaced endometrial tissue (also known as implants) function and are influenced by hormones just as a normal endometrium is. This means that the implants function exactly like the endometrium; the tissues swell with blood as ovulation approaches, then begin to break down if pregnancy does not occur in order to prepare for menstruation. When the uterine lining is shed during menstruation the implants bleed, except the blood becomes trapped inside of the body. The accumulated blood causes localized inflammation and in many cases is painful. Over time the growth of the implants, the repeated internal bleeding and inflammation may cause the development of adhesions (scar tissue).

Endometriosis may attach to the ovaries, fallopian tubes, bowel, bladder, ligaments or other areas in the abdominal cavity. Rarely the endometrial cells will attach to other areas in the body including the lungs and nasal cavity. If adhesions develop, this may cause internal organs to become stuck to other internal parts of the body and may even cause displacement of organs and other tissues.

Endometriosis can have a huge impact on fertility, being blamed for 35-50% of fertility issues in women.

Some of the symptoms are:

  • Heavy menstruation with pain, large clots, long or abnormal length of cycles
  • Lower abdominal pain, back pain, burning pain over the site of an implant
  • Frequent or constant pain all month long
  • Painful sexual intercourse
  • Pain during bowel movement or urination
  • Dysmenorrhea
  • Ovarian swelling
  • Swollen abdomen
  • Infertility
  • In rare cases, some women may experience bleeding after intercourse, bowel movements, or urination

Endometriosis can have a huge impact on fertility, being blamed for 35-50% of fertility issues in women. This is two to three times the rate of infertility in the general population. According to, a global platform for news and information on endometriosis, endometriosis affects an estimated 10% of women worldwide, roughly 176 million women, and 24 to 50% of women who experience infertility have endometriosis.

Risk Factors

There are a variety of risk factors for the development of endometriosis. Here are the main risk factors:

  • Too much estrogen/too little progesterone
  • Genetic predisposition
  • Too much conventional meat
  • Radiation and EMF’s
  • An abnormality in the immune system
  • Exposure to environmental toxins
  • Benign uterine fibroids

What Causes Endometriosis?

Doctors and scientists don’t really know for sure what causes endometriosis. Research shows that there are many different factors in the development of this condition, which makes it complex, with possibly many different origins. Because researchers cannot find one direct link to the cause, it also makes it very difficult to treat.

Genetic Predisposition

Genetic predisposition in women with a family history of mothers or sisters that have endometriosis are at a higher risk for developing endometriosis. Women who also have low progesterone often have a family history of low progesterone.

Genotyping studies have associated a link between endometriosis and individual genomic changes in certain chromosomes. Researchers from Australia and the United Kingdom joined to conduct a “linkage study of 1,176 families (931 from an Australian group and 245 from a U.K. group), each with at least two members—mainly affected sister pairs—with surgically diagnosed disease [endometriosis].” The results of which, published in the American Journal of Human Genetics, were that there is a genetic link to the susceptibility of having endometriosis. This may have been passed down genetically from a parent. Changes in the chromosomes and gene expressions may also be caused by exposure to environmental factors or altered metabolism.

Lymphatic Flow Theory

This theory suggests that the endometrial tissue is spread throughout the body via the lymphatic system. This theory comes from a review in the journal Biology of Reproduction of scientific literature on the “lymphatic system, lymphangiogenesis [formation of lymphatic vessels from pre-existing lymphatic vessels], and immunological changes associated with endometriosis, concluding that lymphangiogenic potential is disturbed and lymphatic vessel density increased in the eutopic endometrium of women with endometriosis, likely promoting the entry of endometrial tissues into the lymphatic circulation…” resulting in the potential for tissue resembling endometrial tissue to be distributed outside the uterus.

Retrograde Menstrual Flow Theory

Researchers and doctors suggest that endometrial tissue flows backward through the fallopian tubes and into the abdominal cavity causing the displacement of endometrial cells. These cells then attach to other areas of the abdominal cavity. This is the most widely accepted theory. It is recognized that other environmental, immunological, and hereditary factors may contribute to the development of endometriosis.

Low Progesterone and Estrogen Dominance

Low progesterone disrupts hormonal imbalance overall. When progesterone becomes low, estrogen usually becomes too high. Estrogen dominance and progesterone deficiency have been linked to the development of endometriosis.

Estrogen dominance may develop from exposure to and ingestion of xenoestrogens which are man-made toxins that mimic the body’s naturally produced estrogen. Xenoestrogens are found in and on many of the foods we eat, and may be a part of other chemicals we may be exposed to unknowingly or knowingly, on a daily basis. Some examples of xenoestrogens are pesticides, herbicides, fertilizers, dioxin (found in bleach), and plastics, all of which have been found to disrupt how the endocrine system functions. The endocrine system is responsible for hormonal balance. When the body has too much estrogen, the balance between estrogen and progesterone levels becomes tipped and low progesterone levels are often a result of the imbalance.

Multiple studies from 1990-2000 as shared in Volume 70, Issue 2 of the journal Toxicological Sciences, have shown a correlation between dioxin exposure and the development of endometriosis, leading researchers to conclude, “It has therefore been postulated that increased concentrations of TCDD 2,3,7,8-tetrachlorodibenzo-p-dioxin] and dioxin-like chemicals in blood and tissues may participate in disease pathogenesis via disruption of endocrine and immune responses in susceptible humans and animals (Clark et al., 1992; DeVito et al., 1995). One such candidate disease is endometriosis.”

Dioxin is a group of highly toxic chemicals that are a by-product of industrial processing using chlorine to manufacture herbicides and pesticides, process pulp and bleached paper products (including the raw materials for feminine care products) as well as incinerate waste.

Dioxin is considered a Persistent Organic Pollutant, POP for short, that slowly over time accumulates in our bodies. This pollutant is carried in the air and in our water systems as well, which affects the entire food chain and planet. Dioxin is not only present in feminine care products, but in most paper products we use including napkins, paper towels, tissues, make-up removal pads, toilet paper, diapers, etc.

Immunological Factors

Immunological factors have been linked to the development of endometriosis and endometriosis-related infertility. In early endometriosis (stage 1 & 2) there are elevated levels of inflammatory mediators. The American Society of Reproductive Medicine’s journal Fertility and Sterility shares of studies that have shown there are elevated levels of cytokines, lymphocytes, and macrophages in the peritoneal fluid of women with early stage endometriosis.

Over time the immune system’s function appears to change and may increase the number of peritoneal macrophages, decrease T-cell activity and natural killer cells (NK), increase antibodies and alter cytokine network function. Overall this creates depressed immune function and a poor inflammatory response which may allow endometriotic tissues to implant elsewhere in the body more easily. This may also be why women with endometriosis have more pain and inflammation and are more susceptible to recurrent infections, especially yeast infections.

Oxidative Stress

Cell damage from free radicals has been suggested as the leading contributing factor for development of endometriosis. This may be due to dietary factors, exposure to chemical toxins, aging, and to immunological and inflammatory responses.

Free radicals are unstable molecules that can damage cell structures; this is known as oxidative stress. In normal everyday life, free radicals are produced from the activity in our bodies (for example free radicals are made during energy production) but chemicals in our surrounding environment can also create free radicals. It is said that each cell in our body is attacked about 10,000 times a day by free radicals, accelerating the aging process and allowing for tissue damage and the spread of disease. While we have mechanisms in place to rid the body of free radicals, this is not a perfect process and excess free radicals can accumulate.

How Does Endometriosis Affect Fertility?

Endometriosis is an estrogen dominant condition. When there is too much estrogen in the system, it causes hormonal imbalance. Proper hormonal balance is essential for healthy fertility.

Endometriosis also creates a situation of “congestion” where there are excess tissues growing in the uterus (as well as other areas of the body) which may make it harder for an embryo to attach properly for implantation (Case-control study from Yale University IVF-ET program).

Every month, the excess tissues bleed, which cause inflammation to occur and scar tissue to begin adhering to the uterus, fallopian tubes, the ovaries, and other organs. Amongst holistic healthcare practitioners, internal damage from endometriosis is known and referred to as chronic pelvic “congestion”. If endometrial cells attach to the ovaries or fallopian tubes this may alter normal ovulatory function or cause the fallopian tubes to become blocked.

As if that was not enough, some researchers suggest that the woman’s body may form antibodies against the misplaced endometrial tissue. The same antibodies may attack the uterine lining and cause miscarriages (up to three times the normal rate).

There are four stages of progression with endometriosis. As the disease progresses, fertility is negatively impacted in different ways. Stage I is considered the mildest, while Stage IV is considered the most severe and the most devastating to not only reproductive health, but the entire surrounding organs and tissues of the uterus.

Excerpt from Understanding the Different Stages of Endometriosis
By Elizabeth Willett, M.A., C.H.

The Four Sages of Endometriosis

    Stage I or minimal – is characterized by a few isolated endometrial implants outside of the uterus and a minimal number of mild adhesions, if any.

    Stage II or mild – is characterized by more and slightly deeper implants less than 5 cm in total and a minimal number of mild adhesions.

    Stage III or moderate – is characterized by many deep implants, small endometriomas or cysts on one or both ovaries, and some filmy adhesions or scars.

    Stage IV or severe – is characterized by multiple deep implants, large endometriomas or cysts (chocolate cysts) on either or both ovaries, and multiple dense (thick) adhesions often involving other organs.

Stage III and IV may require you to work with your healthcare provider to create the best plan for addressing your symptoms, which may include surgical procedures such as laparoscopy or excision surgery.

Medical Options for Endometriosis

If endometriosis is left untreated this condition has a serious negative impact on reproductive health. There are both medical options and natural therapies to help heal the body from endometriosis. Endometriosis is usually diagnosed by laparoscopic surgery.

Doctors will often suggest laparoscopic or abdominal surgery to remove the endometrial lesions and scar tissue-damaged areas and to clip away adhesions if possible. The best surgical option today for endometriosis is the advanced surgical technique known as excision surgery. Excision surgery aims at removing the roots of the disease. In the case of severe endometriosis, a doctor may suggest a full hysterectomy (removal of uterus, cervix, ovaries and fallopian tubes) for women who do not want to get pregnant.

Hormonal and Pain Medications
Doctors may prescribe hormonal medications. The purpose is to stop the menstrual cycle and to prevent further growth of the endometrial tissues. This may also help to reduce pain. If pain is still present, they may prescribe pain medications. Hormonal medications alter the natural menstrual cycle and may prevent pregnancy. They all come with a variety of side effects. Medications are not always effective and once medications are stopped the endometriosis may come back or spread further. Your doctor can help you to determine which options may be best for your particular situation. Most times surgical options may be combined with natural therapies.

Natural Therapies for Endometriosis Infertility

Lifestyle changes are some of the most effective ways to help with endometriosis. These would be changing your diet, clearing out old tissues and congestion, balancing your hormones, and avoiding certain pollutants. The overall goal is to support proper function and health of the endometrium, endocrine and immune systems.

Step 1: Prepare your body with a cleanse

Cleansing specifically for fertility is an important first step if you are experiencing endometriosis. Cleansing using specific herbs helps the body to clear out old tissue, increase circulation to the reproductive system, support hormonal balance, and reduce inflammation and pain caused by endometriosis. There is a correlation between the body’s inability to remove excess toxins and waste products in women with endometriosis.

A fertility cleanse also aids the liver in removing excess estrogen from your system. Again, supporting proper hormonal balance is vital to reducing the spread of endometriosis. We find doing a Fertility Cleanse 2 times a year is important for supporting a healthy endometrium and hormonal balance.

Step 2: Eat a nutrient dense fertility diet

To begin, you will want to build a healthy foundation for your fertility by creating a baby-friendly body. Dietary changes specific to endometriosis are important. There are several types of food you may want to avoid because they have been linked to making endometriosis worse. Certain foods may trigger flare-ups, promote inflammation, or are “congesting” to the body, feeding the congestive nature of endometriosis, while other foods may increase hormonal imbalance.

Foods to Limit or Avoid
The following foods have been linked to the development of endometriosis or to making its symptoms worse:

    Gluten, specifically wheat
    Wheat has a direct link to making pain worse in women with endometriosis. Researchers are not sure why, but Nutritionist Dian Mills says, “Wheat has been genetically modified…There is also problems with gluten sensitivity, and more people are becoming gluten sensitive and I find that when I’ve taken wheat out of the diet, in 80% of the women with endometriosis, their pain subsides.”

    A pilot study performed in 2009 on 120 women with endometriosis found 9 women who tested positive for markers that signal the possibility of celiac disease. Of those 9 women, 4 agreed to intestinal biopsy to confirm celiac disease and all 4 tested positive. Researchers concluded in their report in Clinical and Experimental Obstetrics & Gynecology that celiac disease appears to be common in women with endometriosis, which may warrant further studies on the topic.

    When you have Celiac disease, every time you eat something with gluten in it, your immune system goes into overdrive, which results in the production of toxins throughout the body. These toxins ultimately damage the villi found in the stomach. This destruction restricts the body’s ability to absorb the right nutrients which can actually starve the body of the vitamins and minerals it needs to work properly, eventually affecting every system in the body – including the reproductive system.

    It is suggested to remove gluten or at least wheat from the diet for a minimum of 2 months to see if pain is reduced or eliminated.

    Dairy products
    Dairy products are “congesting” to the body. Consumption of dairy products should be limited to about 2 times a week at most. Choose organic raw dairy products when possible. Homogenized and pasteurized cows’ milk is the most congesting and hard to digest of all dairy products. Choose dairy milk alternatives, such as hemp, almond or brown rice milk instead. Organic raw unsweetened yogurt or kefir are the best choices for dairy products. Be sure that all dairy you do consume is organic or says it does not contain any added hormones.

    Red meat, especially commercially raised beef
    A study published in 2004 (Human Reproduction) compared 504 women under the age of 65 who had endometriosis to 504 women under the age of 65 who had no known fertility problems to see if there was a dietary link to the development of this disease. They found that women who ate beef or other red meat seven times a week or more were 100 percent more likely to have endometriosis than women who ate red meat three times a week or less. The study did not mention what the connection between red meat consumption and endometriosis is, but that it does exist. It may very well be that most red meat contains a variety of xenohormones and antibiotics which are known to be toxic to the the human body. See Non-organic foods below for more information on how non-organic meats affect fertility.

    The same study from above showed that women who ate ham three or more times per week were 80 percent more likely to have endometriosis than those who ate it less than once a week. Pork is one of the fattiest meats a person could consume, which means pigs store more toxins than other animals.

    Soy foods are highly processed and contain concentrated amounts of isoflavones. The isoflavones are known to be phytoestrogenic. In fact, soy contains more concentrations of isoflavones than any other phytoestrogen, which may contribute to estrogen dominance. Most soy is genetically modified and not organic, both of which have been linked to numerous infertility cases.

    Non-organic foods
    We have learned that exposure and consumption of pesticides, herbicides, synthetic fertilizers, and GMO foods can create hormonal imbalance through endocrine disruption and suppressed immune function. Conventional fruits and vegetables are regularly sprayed with these chemicals and then, not only do we eat them daily, but so do animals that are raised for meat.

    If you eat non-organic meats, you are being doubly exposed to these toxins. This is because xenohormones become more concentrated as they move up the food chain. Xenohormones are often stored in the fat cells of animals. The fattier the meats you are consuming the more xenohormones you are consuming. For example, if you are eating 80% lean/20% fat beef, you may be consuming 20% toxins that cow has stored in its fat. What was that non-organic cow eating? Well, conventional beef is raised in feedlots. They are fed corn and soy feed. This is GMO corn and soy, sprayed with pesticides, fertilizers and possibly herbicides. The cows eat this everyday. Then, on top of that, the animals live in horrible living conditions and are given antibiotics to stave off the spread of disease.

Foods to Focus On

Fresh Vegetables and Fruits
These foods should make up most of your diet. The study from 2004 that linked red meat consumption to endometriosis also suggested that women who eat green vegetables 13 times or more per week (roughly twice a day) were 70 percent less likely to have endometriosis than those who consume green vegetables less than six times per week.

Women who ate fresh fruit 14 times or more per week (at least twice a day) were 40 percent less likely to have endometriosis than those who ate fruit and vegetables less than six times per week.

This study suggests that there may be a link between eating a healthy diet low in red meat and high in fruit and vegetables and a reduced risk of developing endometriosis.

The current advice is to eat at least five 80g portions of fruit and vegetables every day.

The Importance of Fiber
Your main focus and one of the first things you should do right now is eat more fiber. Fiber helps the body to get rid of excess estrogens.

Some good sources of fiber are:

  • Dark leafy greens
  • Broccoli
  • Swiss chard
  • Quinoa
  • Chia seeds
  • Beans

Essential Fatty Acids
Make sure to eat a diet high in essential fatty acids, specifically omega 3, 6 and 9 which have been shown to help reduce inflammation in the body. Reducing inflammation will help to lessen the pain that endometriosis can cause. Especially focus on Omega 3s, as they support hormonal balance. A diet high in Omega 3 EFAs and lower in trans fatty acids improves cellular integrity, which helps to protect cells in the body from oxidative stress.

Good sources of omegas are:

  • Omega 3: Flax seeds (ground), cage free organic eggs, wild Alaskan salmon and Cod Liver Oil
  • Omega 6: Borage Oil, Evening Primrose Oil
  • Omega 9: fresh seeds and nuts, avocado and sunflower oil

If you are not getting enough essential fatty acids from the foods you eat, you may want to consider taking a complete omega supplement or at least one high in omega 3.

Endometriosis Smoothie

  • The pineapple and papaya in this smoothie are anti-inflammatory and the naturally occurring protein-digesting enzymes may help the body to dissolve abnormal tissues. You can usually find pineapple, papaya, and mango frozen if you can’t get it fresh.
  • The flax and chia seeds with the coconut flakes serve as extra fiber to help remove excess estrogens from the body as well as providing essential fatty acids.
  • Bee Propolis – A recent study showed that women with endometriosis who take bee propolis have a 60% greater chance of getting pregnant than the women who do not. Suggested usage is 500 mg of bee propolis, twice a day.

1/4 C. Pineapple
1/4 C. Papaya
1/4 C. Mango
1 T. flax seeds
1 T. chia seeds
1/4 tsp. Bee Propolis (equivalent to 500mg)
1 T. Coconut flakes (dried)
1.4 C. -3/4 C. water or juice of choice (I love the pineapple coconut juice from Knudsen’s) – fresh squeezed orange juice goes great!

Blend and enjoy!

Step 3: Avoid Exposure to Environmental Toxins

We have learned that exposure to certain environmental toxins may contribute to the development of endometriosis or make it worse. Some toxins are known to be endocrine disruptors. Endocrine disruptors, also known as xenohormones, are human-made chemicals. These chemicals have the ability to interfere with the natural functions and development of our bodies. The main function of the endocrine system is to serve as our body’s message center. Hormones deliver messages and the endocrine system coordinates hormones.

Ways to support healthy endocrine function and avoid xenohormones:

  • Eat organic foods
  • Avoid exposure to pesticides, herbicides and synthetic fertilizers
  • Use natural feminine care products
  • Use organic, natural body care products, including makeup
  • Avoid food preservatives and dyes
  • Use low VOC paints
  • Use recycled unbleached paper products
  • Use non-chlorinated oxygen-based bleach in the laundry
  • Avoid plastics

Step 4: Systemic Enzyme Therapy

Systemic Enzyme Therapy is one of the most effective natural therapies for helping the body to deal with endometriosis. Specific systemic enzymes can help to reduce “pelvic stagnation” caused by endometriosis. How do they do this? Systemic enzymes help with endometriosis by supporting the body’s natural ability to:

  • reduce inflammation and pain
  • break down fibrin, the substance that makes up scar tissue and adhesion
  • increase circulation to the reproductive organs
  • mediate immune system response

Systemic Enzyme Therapy may help to reduce the inflammation caused from the scar tissue irritating the surrounding organs and may reduce the pain that sometimes comes from having endometriosis.

The blood cleansing actions of this therapy help to bring proper circulation to the reproductive system and get the “stagnant blood” cleared out, bringing fresh oxygenated blood to your uterus and ovaries.

It is best to start the Systemic Enzyme Therapy in conjunction with fertility cleansing. For endometriosis, you will want to stay on a systemic enzyme blend for many months so that the “pelvic stagnation” can be cleared. It can take many months to be effective, we find that focusing on this type of therapy for a minimum of 3-6 months is best, though it may take longer depending on the severity of the case.

Step 5: Supportive Herbs and Supplements for Hormonal Balance and Creating a Healthy Endometrium

Herbs and supplements can be very helpful for women with endometriosis. Many of these natural therapies support the body in eliminating excess hormones, endometrial tissues and inflammation, while promoting the reduction in endometrial growth.

If you have endometriosis, Dr. John Lee recommends using progesterone cream from days 8 to 26 of your cycle, to reduce the effects of estrogen on the body (estrogen stimulates endometrial growth). Take a short week off to refresh your receptor sites. He has had success with controlling symptoms within six months. Once the outbreaks of endometriosis are tolerable reduce the usage to days 12 until the end of the menstrual cycle.

DIM helps to balance the hormones helps to balance the hormones by breaking down excess estrogen and removing it from the body. Endometriosis is an estrogen dominant condition. Cleansing the body of excess estrogen should help the body to reduce the growth of excess endometrial tissues.

Women’s Best Friend
Women’s Best Friend helps the body to reduce pelvic discomfort so you start feeling better right away. Women’s Best Friend goes to the source of the problem, helping to reduce excess estrogen that fuels abnormal growths, and stimulates liver activity for improved estrogen metabolism. It works with your body’s natural detoxification processes to clear congested endometrial tissues while reducing symptoms like abnormal bleeding.

Key herbs in Women’s Best Friend that make this product so effective:

    Goldenseal Root (Hydrastis canadensis)– This herb is extremely antibiotic, antimicrobial and anti-inflammatory. It works to heal any infection in the reproductive system, while also reducing pain and inflammation from foreign tissue growth. Reduction in inflammation may help to prevent scar tissue and adhesion.

    Jamaican Dogwood (Piscidia erythrina)– This herb is extremely antispasmodic and analgesic. It reduces muscular cramps and spasm. This is an herb that is often relied on by herbalists for women who have unrelenting pain disturbing daily life activities and debilitating pain.

    Wild Yam (Dioscorea villosa)– Helps to promote normal hormone levels and overall balance within the reproductive system. Wild Yam may also help the uterus to work more efficiently during menses.

    Cramp Bark (Viburnum opulus)– This is one of the most effective herbs for reducing uterine spasm and cramping. Cramp Bark has been shown to relax the smooth muscles of the body, especially those of the uterus.

    Peony Root (Paeonia officinalis)– Peony has been found to aid in increasing progesterone levels, lowering testosterone and balancing estrogen. Overall, this herb has excellent hormone-balancing support.

To purchase a kit with these ingredients including Systemic Enzyme Therapy click here…

Additional Supplements that are helpful for endometriosis…

Whole Food Prenatal Multivitamin
A major part of increasing egg health and preparing the uterine lining is to take a whole food multivitamin that contains all of the key nutrients for optimal fertility health. Making sure your body has all of the nutrients necessary is a lot easier when you are taking a multivitamin. My favorite is the 100% whole food Fertile Woman One Daily from Fertilica™. Synthetic multivitamins don’t have the same effect. If you decide to change your diet to reduce endometriosis, you will need to make sure your body is supported nutritionally as your body adjusts to the dietary changes. For women that have gluten or wheat intolerance, the digestive system may be damaged, which makes absorption of nutrients from the diet difficult; it is vital you supplement with a multivitamin to ensure you make up for lost nutrients in foods.

Pycnogenol: Pycnogenol is a powerful antioxidant that comes from the bark of the pine tree, Pinus maritima. It has been shown to help women with endometriosis, improve egg health, and increase sperm health. Antioxidants are important in restoring and protecting cellular health and DNA.

Pycnogenol is a therapeutic alternative to Gn-RHa in the treatment of endometriosis. In one study in The Journal of Reproductive Medicine, 58 women diagnosed with endometriosis were followed for 4, 12, 24 and 48 weeks after treatment with either Pyconogenol or gonadotropin-releasing hormone agonist (Gn-RHa). Pycnogenol took a bit longer to reduce symptoms for the women taking it, but did so. For those taking Gn-RHa, endometriosis symptoms decreased quicker, but began to recur 24 weeks after the end of treatment.

Bee propolis
Bee Propolis is a resinous mixture of tree sap, tree buds, tree leaves and other botanical sources that the bees make to seal small openings in their hives. A study published in Fertility and Sterility (2003;80:S32) showed that 60% of women with endometriosis-related infertility who took 500mg of bee propolis twice a day for 9 months became pregnant as opposed to 20% in the placebo group. Endometriosis pain, scar tissue and adhesion formation is thought to be triggered by inflammation responses in the body. Bee propolis has been shown to be extremely anti-inflammatory which may help to reduce the inflammation associated with endometriosis. Bee propolis may also contain immunomodulating properties which may prove beneficial for autoimmune-related fertility issues. Some doctors theorize that endometriosis may be an autoimmune disorder.

Maca is an incredible fertility super food. It helps to balance the hormones, but does not contain any hormones itself. Maca is able to do this through nourishing and balancing the endocrine system. Maca may be a useful tool for preparing women with endometriosis for pregnancy because healthy hormonal balance contributes to healthy fertility.

New York-based anthropologist Viana Muller, Ph.D., known for her searches of “effective herbal remedies unknown to North Americans, says, ‘”Maca has been used successfully by native people of Peru for hormonal imbalances, menstrual irregularities, fertility, and menopausal symptoms, including hot flashes, vaginal dryness, loss of energy, libido and depression.”‘


Endometriosis is a complex fertility issue that has been shown to potentially have multiple causes. There are a variety of steps that need to be taken to heal and reduce the effects it can have on fertility and quality of life. The following 5 steps can help you to support a healthy endometrium!

1. Diet is your foundation. There are many foods that contribute to the spread and pain of endometriosis; limit those. Choose foods that support estrogen metabolism and reduce inflammation.

2. Avoid exposure to environmental toxins. Exposure to certain toxins may make endometriosis worse.

3. Fertility Cleansing is vital to supporting hormonal balance and uterine health.

4. Systemic Enzyme Therapy supports both proper inflammatory response and immune function. It also aids in the breakdown of scar tissue and adhesion.

5. Use supportive herbs and supplements for hormonal balance and to create a healthy endometrium.



Let your voice be heard... Leave a brief comment or question related to this article.

 characters available

  1. Avatar

    I was diagnosed in 2010 with Stage 4 Endo. In 2011 I had a Lap to remove adhesions. My husband and I then spent several years TTC. Many rounds of IUI and a couple IVF cycles. No pregnancy. In 2015 we decided to move on from TTC and pursue adoption. I used to have a couple very painful days during my period and no pain outside of my period. The last couple years I have started to get pain outside of my period. The last few months my periods seem somewhat better (rest and pressure seem to help the discomfort), but the discomfort outside of my period is very uncomfortable. I saw a GYN this week and he recommended Lupron..which I don’t want to do. What are my options for decreasing pain?

  2. Avatar

    I suffered from pcos & i believe i am also suffering from Endometriosis. After researching for many years to handle these issues naturally, i started seeing benefits to my body once i changed my diet to gluten/dairy free, having ginger/turmeric, fresh produce, less plastics, and more natural products. I still had some issues with low energy, feeling tired, etc. So i started taking maca powder for last 2 months but i realized i started getting acne, menstruation cramps, & uterus pain with bleeding. I really got scared and now have stopped maca. I feel i have gone back to days where i had issues with acne, menstruation cramps, etc. i didn’t go to doctor yet to check my uterus and other part

    • Dear Noori,

      It certainly sounds like the amount or kind of Maca being used wasn’t right for you. It’s good that you stopped taking it. I hope you see that things go back to how you were feeling before you started it very soon.

  3. Avatar

    Great article and thank you for sharing! I pass your articles on to my patients who get so much from your expertise and advice. Please keep doing what you do!

  4. Avatar

    Hello!! I have just learned that I have endometriosis. I’ve been trying to get pregnant, and was taking MACA, vitex berry, he shot wu, and cordyceps (which I will stop immediately since I learned that I must have excess estrogen and cordyceps promotes the production of estrogen). I was wondering if I should keep taking the other supplements, or stop all of them, and also, I was wondering if I did the cleanse and the enzymes treatments recommended above, and bought the progesterone cream as well, if I could take the Eveneing Primrose Oil, the Fermented Cod Liver Oil, the BeePropolis, and the Prenatal Vitamins,which I read are also good, at the same time as treatment? or wait to be done?THANKS

    • Dear Angelina,

      Can you please clarify what you mean by “treatment”; the supplements you listed or are you having a medical treatment?

  5. Avatar

    My name is Kumar My wife recently undergone endometriosis surgery (stage -4) at Watford hospital by Mr. Padwick.
    we’re planing for 2nd child, what are the changes if we go for homeopathy treatment?
    Actually we are interested for homeopathy treatment, could you please provide us some details and info, if required we shall take appointment in London

    Kindly advise us, how to proceed?


  6. Avatar

    I was having debilitating pain and major bloating that started happening 4-5 days before my period. The first episode my doctor thought gull bladder, further testing ruled that out. After a few more episodes I realized it was happening at the same time during my monthly cycle every month. My GP doctor thinks I could have endometriosis but is referring me to go see my OBGYN for further testing and confirmation. I’m wondering if it would benefit me better to start fertility cleanse and systemic enzyme therapy now, or should I wait for confirmation from my OBGYN and have clarification of which stage I’m in? Thank You

    • Dear Elizabeth,

      It is great that you are having further investigation. It truly is up to you whether you get started on an natural program or not. Do ensure you tell your healthcare provider all that you are taking if you do start natural therapies prior and are using any when you see him/her.

      My best and I hope you find answers!

  7. Avatar

    so happy I found your website.
    question: is the massage DVD suitable for endometriosis pain?
    So no fertility probem (yet). My daughter is 26 and has a lot of pain, but doesn’t want to have children yet. Could she use this DVD just for the pain?
    thank you,
    kind regards,Marleen

    • Dear Marleen,

      Thank you for reaching out to us as we feel “fertility” isn’t just about wanting to have children really. I’m sorry to hear of what your daughter is dealing with!

      I am glad you have seen this guide! Do share it with your daughter. There are many many helpful tips here. Self Fertility Massage can be used by women with endometriosis, I would simply suggest very light pressure and using it only every other day or three times a week to start while she pays attention to her body and it’s limits. It may also help to work to help the body lessen the pain before starting massage. Only she knows the extent of what she feels.

      I hope she finds helpful natural therapies!

  8. Avatar

    Hello, I have been TTC for two years now and am desperate. The doctor says we should do IVF due to my endometriosis, but that is out of our budget. I found your website and have been reading your articles.
    I am thinking about purchasing the fertility cleanse, the fertility smoothie kit, and the endo wise kit.
    Can I take all three of these at the same time or would you recommend a different?
    Also, should I continue my prenatal vitamins while doing this or is that a vitamin overload?

    Thank you for your time

    • Hello Kimberly!

      We are glad you found us!

      What you have listed is great, while also paying attention to what you eat daily and exercise or movement daily. The Fertility Cleanse Kit and Smoothie Kit can be used together with your prenatal multivitamin. This is fine. It is best and often easiest to wait to begin the EndoWise until cleansing is complete (Smoothie Kit, multivitamin, dietary changes and exercise continued).

  9. Avatar

    Hello, dose “5 steps reversing endometriosis ” work for adenomyosis? Is adenomyosis a hormone imbalanced inflammatory disease too? Thank you.

  10. Avatar

    Hi everyone. Im 28 and was diagnosed with stage IV endometriosis 2 yrs ago. Ive had debilitating pain that affected my marriage, my job, and my life. Yall know the drill! I was told I should have a hysterectomy and plan for adoption.

    BUT then I did research and read about the “endometriosis diet” and inflammatory foods. I have cut out gluten, dairy, processed foods, sugar, soy and almost all red meat. I eat organic when I can and have a diet that is heavily plant based with all protein sources coming from wild/farm raised meats. It has been 7 months and I have NOT HAD A DAY OF PAIN since! Its given me my life back. PLEASE give it a try. If I can, you can too! Hopefully a baby is next 🙂

  11. Avatar

    My husband and I have been trying to conceive for 5 years now, multiple rounds of iui and recently had a failed IVF cycle. I just started doing research on natural fertility boosting options. I am 33 and have low amh, endometriosis, with polyps removed in February and a uterine fibroid. I am working on making diet changes and am wondering with the endometriosis how gluten free I need to be. I bought whole grain bread to make sandwiches for my lunch and am eating steel cut oats, all natural, for breakfast and will be doing some fertility shakes. Should I cut out the bread and oats?

    • Hello Allison!

      I am sorry to her of the challenges you’ve faced. Good for you for beginning to make diet changes!

      Gluten may be something to at least try limiting. I am on the fence to be completely honest. If you don’t have a gluten intolerance, there’s no need to omit it really. There are many who will disagree with me. That said, the fertility health issues you are battling are accompanied by inflammation and gluten can exacerbate inflammation. So… it will be best to do your research and what you feel is best for you. Oats that are non-contaminated and pure are gluten-free. No need to stop eating them! It is best to cut out or stop eating dairy and red meat for sure.

      For more Fertility Smoothies, consider the 21 Day Fertility Diet Challenge or 10 Day Fertility Smoothie Challenge.

  12. Avatar

    i have just been diagnosed with endometriosis, I am 47 and have 2 children and do not wish anymore. I bleed monthly from my bowel along with my regular period (always been heavy), and also sometime have nosebleeds when its my period – never any other time. Infertility isnt an issue, so if the endo is controlled by stopping my periods with the coil, do i still have any health problems? I was vegetarian but started eating meat a few years ago as always felt run down, and in last year found out my stored iron level were low – i see a lot of advice saying not to eat meat, but is this just to prevent bloating which i wont have if i dont have periods?

    • Dear Julie,

      I’m sorry for all you are going through!

      Yes, there still is an underlying hormonal imbalance, etc. when you stop menstruation with the coil (or any birth control). These methods essentially add hormones to the body to coax it into action, they do not correct the underlying cause of the health issue present.

      There have been studies linking red meat consumption to endometriosis due to the way red meat can affect the amount of oestrogen circulating in the body, more so when it’s conventionally raised red meat. Here is one, Study: Endometriosis Linked To Red Meat. The reason limiting red meat consumption is suggested is due to the above, the amount of xenohormones (excess estrogen and toxins) and antibiotics we get from consuming it.

      The tips can most certainly be considered if one no longer wishes to conceive! I hope you find something helpful!

  13. Avatar

    In regards to bee propolis and fertility, please note that the study referenced in regards to 60% of women who conceived within 9 months of using propolis only had minimal/mild endometriosis. They also mentioned that women with other pelvic disorders such as adhesions or tubal obstruction were excluded from this study. The study was done on 40 women, that means only 12 women conceived since 20 women were part of the placebo group. Link to article below for further reading.

    • Thanks Sara!

      The entire reference list it at the bottom of this guide as well. A 60% conception rate for those taking 500mg Bee Propolis 2 times a day versus those in the placebo group is promising and motivating we think.

      Take care!

  14. Avatar

    Hi Elizabeth,
    I would like to thank you for all your help, so far. I was wondering if you could advise me again.
    It’s been a month now since I had my endometriosis ‘treated’. Overall, I feel excellent!
    This week I started applying castor oil packs.The day after, I had a very mild discomfort; this happened every time but lasted just for a day.
    The symptoms I am experiencing (very mild) might be something that is telling me that the treatment is working or that I should stop. I was wondering if the castor oil packs are safe for me. Is it normal to have these kind of symptoms?

    Kind regards,

    • Hi Lianah!

      As circulation is increased to the reproductive organs, particularly after surgery, mild discomfort can be experienced. It should stay mild, short lived and begin to subside with continued use of natural therapies. That said, if it’s bothersome, consider only using Castor Oils every other day, or decreasing the amount of time you leave the pack on the abdomen.

      My best!

  15. Avatar

    I have endometriosis and on oct 2016, had a lap to remove the chocolate cyst on my right ovary and the adhesions. We are trying to conceive for more than 2 years.I came across your website last month and i wondered how I could make a difference in the situation i have with diet.I am so loving your website.I appreciate and thank you guys.Last month I started using vitex,Maca,royal jelly and organic diet.There is no much difference i can say now except my periods came 4 days late.So, I thought to cleanse me properly and try for a baby.I recently purchased fertility cleanse kit.Can you suggest anything else I should be doing?Like massage?Also Can I continue the herbs I have been taking?

    • Dear Jonah,

      I am so thankful the information has been helpful! You’ve done all the hard work though. Way to go! I hope you are healing well after the procedure. Because you have been taking the list of herbs/supplements for at least two weeks, they can be continued with the Fertility Cleanse. Fertility Massage would be great to learn more about. In fact all the tips here are key and will hopefully help prevent recurrence.

      My best!

  16. Avatar

    I really appreciate the details and attention given in every article I read on your website.
    A week ago I had laparoscopy where endometriosis was ‘treated’.
    I was wondering if I should take the additional supplements that are helpful for endometriosis, suggested in the article ‘5 Steps to Reversing Endometriosis Infertility’): Whole Food Prenatal Multivitamin, Pycnogenol, etc
    What about EndoWise Fertility Kit?
    Now that endometriosis was ‘treated’ I don’t want to take any supplements that will unbalance me in any way…
    I really appreciate the diet change you’ve suggested. I’ve already implemented it 🙂


    • Dear Lianah,

      I hope you are healing well. “Treatment” of endometriosis as they call it is not known to address root cause of it’s growth. Without dietary and lifestyle changes, and perhaps some support for hormonal balance and work to reduce excess estrogen, there is a chance the endometriosis could regrow. The 5 stops we offer here could be considered. We feel they are important to consider to prevent regrowth.

      It is great that you’ve made dietary changes already. These are key!

  17. Avatar

    I am married since 2013, after my marriage i had pain in periods and also not conceiving, day to day my pain is increasing and not bear it. i went to doc he start investigation all investigation was clear tube test hormones all are but when doc suggested lap after that we are know i had deep endometriosis 2 are remove still 1 are in rectum still remain. i passed 6 month but after this pain again start, i also take 3 months medication for trying pregnancy but result is not good. i am very much depressed what should i did for it. kindly guide me.

    • Dear Sapna,

      I am sorry to hear of all you are going through! Do consider the steps considered in this very guide.

      Endometriosis is estrogen-sensitive, meaning that it responds to estrogen — growing in response to circulating estrogen. Excess estrogen in one of the main culprits in causing not only it’s growth, but also hormonal imbalance which then causes disordered ovulation and it’s growth outside of the uterus. Consider also learning about Fertility Massage with Radiant Womb Massage Oil as a supportive natural therapy.

      There is scientific evidence that Black Cohosh may be supportive of women with endometriosis who experience pelvic discomfort with menstruation, during non-menstrual part of the cycle, with intercourse and bowel movements, infertility, and any change in the menstrual cycle as a result of the hormonal imbalance. Learn more about Black Cohosh here…

      I hope you quickly feel relief from the changes you start to make.

  18. Avatar


    I have endometriosis (diagnosed by a lap last year) and have just had a uterine polyp removed. I would like to conceive again but my tubes are blocked with endometrial scarring. What would be the best sequence of events for me going forward, using your products, massage etc? I am not expecting a miracle but am interested in trying different things to give my body the best chance. I am 37 and in good health. Thanks in advance.

  19. Avatar

    I am 43 yrs and I was diagnosed with complex atypical hyperplasia this year, but I still want to have baby please can Chinese herbal cure the problem .

    • Dear Bimmmy,

      I am sorry to here of the challenge you have been faced with. It will be best to seek the one on one support of a Traditional Chinese Medicine practitioner if interested in using Chinese herbs. Herbs, nutritional supplements and natural therapies work to help the body relearn balance and to function as it was designed to while boosting nutritional levels and possibly easing symptoms. We can not claim that they “cure”.

      If interested in working with our Fertility Herbalists, who approach helping the body relearn balance from a holistic perspective, suggesting Western herbs, nutritional supplements and complementary and alternative natural therapies, learn more about a Fertility Consultation.

  20. Avatar

    I am turning 36 tomorrow. I had back to back miscarriages in the Spring. One was 5 weeks and one just over 4 weeks. I have been diagnosed with endometriosis for 22 years. I have one 10 year old. My doctor believes that I am estrogen dominant and recommends progesterone therapy. However, he also thinks that low progesterone lead to both of my early losses in Spring. I have Emerita Pro-gest on order. My question is…should I begin using the cream on cycle day 8 suggested for women with endometriosis..or right after ovulation as suggested for women with progesterone deficiency? Thank you! The videos are are extremely helpful!

    • Dear Terra,

      I am very sorry for your losses!

      It is ultimately up to you how you use progesterone cream. Using is prior to ovulation is very likely to delay ovulation, but this method of use is known to reduce the effects of estrogen on the body. This is a suggested use based on the work and counselor of clients by Dr. John Lee. If you wish to actively try to conceive each cycle while on your natural fertility program, then starting the use of progesterone cream after ovulation would be best.

      Do also consider the other natural therapies suggested in this guide.

      All my best!

  21. Avatar

    I am 23 years old and have been with the same partner for 8 years. We have been having unprotected sex since and he always lets off in me. I’ve never been pregnant. I’ve always had an irregular period and use to think that was the cause in which does play a factor. I took birth control for about a year but that had my hormones all crazy so I stopped. I recently had cyst on both of my ovaries and had to go to the er, I didn’t have surgery but I endured a lot of pain and complications with my period. I bled for just about the whole month of May. I went to my doctor this week and she supposed I may have endometriosis. I’m scheduled for some test soon but it just worries me.

    • Dear Nina,

      I am sorry for what you have been and are going through!

      It will help if wishing to address the issues you are faced with to determine the underlying cause. When you do, it may be most helpful however to consider working one on one with a fertility herbalist who can guide you in the right direction, on the right program, for your specific fertility health needs. This if offered through a Fertility Consultation. Learn more and book a Fertility Consultation here…

      As you await further testing, here are our Top 10 Natural Fertility Boosters that we feel most anyone can benefit from. I hope you find these helpful as a place to start!

  22. Avatar

    I was diagnosed with stage II-III Endo after an exploratory surgery last December. In January, I was told the only way to treat the pain was to take the Depovera shot. It’s been about 5 months and it has still not worn off, and recently read it could take years. My husband and I want to start trying as soon as my body goes back to normal, but would the cleanse help to speed up the process at all? I am scared to go back to the doctor when I am just told to receive more meds, and I was told I have 3-5 years to have children before I have to have a hysterectomy.

    • Dear Amy,

      The Fertility Cleanse is considered a foundational step in any natural fertility program especially for anyone who is experiencing fertility challenges. It helps to create a foundation for hormonal balance and a healthy uterus for implantation. It alone is not all that needs to be considered when working to naturally support the body in dealing with a fertility issue. It is a great first step!

      Then, consider all of the tips here including dietary and lifestyle changes. Consider also learning about Fertility Massage with Radiant Womb Massage Oil as a supportive natural therapy.

      There is scientific evidence that Black Cohosh may be supportive of women with endometriosis who experience pelvic discomfort with menstruation, during non-menstrual part of the cycle, with intercourse and bowel movements, infertility, and any change in the menstrual cycle as a result of the hormonal imbalance. Learn more about Black Cohosh here…

      I hope this is all helpful information!

  23. Avatar

    Hello. I have endometriosis for about 10 years and two operations. Since classical treatment didn’t seem to work, I’ve been taking for a while evening primrose oil, blackcurrant and raspberry tincture and horsetail tea. What do you think about this alternative treatment? Thank you!

    • Dear Mihaela,

      I am not able to speak well to this exact program. If you have been guided in using these products by a natural healthcare provider, please heed his/her advice. If you would like guidance in using them, consider a Fertility Consultation.

      What I can share is a bit of information about each supplement you listed.

      Evening Primrose Oil, or EPO, is anti-inflammatory and rich of the omega 6 essential fatty acids (EFAs) linoleic acid (LA) and gamma-linolenic acid (GLA) which are intra-cellular messengers that act on many hormones and may promote cell growth, contract and relax smooth muscle tissue (think uterus) and support a healthy inflammation response in the body.

      Black Currant Seed oil is a source of GLA and anti-inflammatory and Horsetail is a known as a diuretic. It is Red Raspberry Leaf that we support using for the nutrients is offers and its ability to support uterine tone.

      The program shared in detail in this article is designed to educate about how to consider supporting the body’s natural ability to remove excess estrogen from the body, in maintaining the body’s natural inflammatory response, providing it relief from occasional discomfort in the reproductive system and encouraging normal circulation, helping to bring fresh blood and oxygen to the reproductive system. Consider the suggestions made and incorporating them into a natural fertility program.

      I hope this is helpful!

  24. Avatar

    I was diagnosed with endometriosis and suspected policystic ovaries last year, and decided to go down the holistic route with diet and acupuncture. I am getting married in September and we are hoping to start trying very soon after. Could you please recommend whether i should do a fertility cleanse, or go straight to the endowise kit or take fertility supplements or both, not sure where to start?
    My periods are still very irregular and extremely painful with all the other horrible symptoms that comes with it.
    many thanks

    • Dear Immacolata.

      We feel that for anyone who is experiencing fertility challenges, the Fertility Cleanse is a foundational and first step in a natural fertility program. The Fertility Cleanse helps to create a foundation for hormonal balance and a healthy uterus for implantation.

      Steps 1, 2, & 4 outlined in this article could be considered along side a Fertility Cleanse and Step 5 after cleansing in complete.

      If you are still unsure of how to proceed post cleansing, or wish for a holistic natural fertility program to be created for you, please consider working one on one with our fertility herbalist through a Fertility Consultation.

      Congratulations on your upcoming marriage!

  25. Avatar

    Hi! My husband and I have been TTC for almost 2 years. I’ve recently been diagnosed with endometriosis and have undergone excision surgery. Once I’ve recovered from surgery, I’d like to start taking a bee propolis supplement. I found one that includes propolis, pollen, and royal jelly, which seems like a good option, but I’m a little concerned about the royal jelly because I think that it can have some impact on hormones. Is royal jelly something that a person with an estrogen-dependent condition like endometriosis should avoid? Would a plain bee propolis supplement be a better bet? Thanks!

    • Dear Annika,

      First, I hope you are well after surgery and that it went smoothly! Consider learning about Natural Treatments to Continue After Endometriosis Excision Surgery as you heal.

      Regarding Royal Jelly and estrogen-dominant fertility health conditions, Royal Jelly has been found to have the propensity to mimic estrogen in the body, but it also has superior nutritional benefits (29 amino acids, lipids, vitamins, sugars, proteins, fatty acids, iron, calcium and Acetylcholine). We feel the superior health/nurtional benefits far outweigh any concern for increasing estrogen in the body. Royal Jelly may actually protect the body from xenoestrogens which are bad estrogens/toxins. To actually increase estrogen levels, Royal Jelly would need to be consumed in very large, concentrated amounts over a long period of time, which is not recommended. Herbalists and most natural health care practitioners would not use phytoestrogens in concentrated forms, especially if their patient has an estrogen-dominant fertility health condition.

      I hope this is helpful!

  26. Avatar

    Hi there,
    I notice you have whey protein as an ingredient in your Endometriosis Smoothie. I have read in a few places that whey is as inflammatory as regular milk for endometriosis, fibroids, etc. Can you please help provide some clarity for me on this? Thanks!

    • Hello!

      We know dairy to be congesting and feel that for those with endometriosis, consumption of dairy is best limited to one or twice a week. Different natural healthcare practitioners have differing views and preferences. Our fertility herbalist avoids it with her endometriosis clients because of the potential of the estrogen of the cosw being carried over to the whey produced from their milk. We do not know if this in fact happens from cow to whey protein powder however.

      This all being said, FertiliWhey is a close to raw milk as any whey protein powder can get and provides immunoglobulins, lactoferrin and serum albumin, plus the co-factors and essential amino acids that are immune and energy enhancing. FertiliWhey is also a quality source of protein for woman (and men) and we find often that diets lack protein.

      If concerned about consuming dairy, even in the form of whey protein, it can be omitted from a Fertility Smoothie, or a plant source of protein could be substituted.

  27. Avatar

    Hi I currently had a laparotomy in February to remove cysts and scarred tissue from endometriosis. I was wondering if it is okay to take the fertility blend supplement from GNC? your website has been very helpful I am now eating oatmeal with Chia Seeds for breakfast, the smoothie you have listed for lunch and a salad or beans for dinner. I am currently trying to conceive and was just wondering if fertility blend was okay to take or will it affect my endometriosis?

    • Hi Ashley,

      I am glad our website has helped you. I am not familiar with that GNC product. It would be best to contact the GNC directly or the company that makes the product.


  28. Avatar

    I would like to know more and engage with your 5 step treatment for endometriosis. I am 42 years old with no child and trying to conceive!

  29. Avatar

    Hi and thank you for this website. I’ve been researching an enzyme- Nattokinasse- that’s found in some supplements advertised for endometriosis. I wonder if you recommend it or not? Thanks!

    • Dear Cara,

      We support Systemic Enzyme Therapy using Wobenzym N because of the extent that it has been studied for use specifically with fertility health issues. Many enzymes have not been studied in relation to fertility health issues, although they have been found to provide many health benefits.

      I hope this is helpful!

  30. Avatar

    I was diagnosed with a large pedunculated uterine fibroid. Because of the size, my husband &I decided surgery was the best option (they ended up removing 4 smaller fibroids as well). During surgery Dr. also discovered that I have endometriosis. I don’t want to take hormones to go on a 6-month menopause as Dr. suggests, so I was looking at both this article and The Best Nat. Remedies For U. Fibroids, for alternatives. It looks like naturally treatments share some of the same items (DIM and Sys. Enzyme Therapy), but some of the same herbs are in both Women’s Best Friend and Fibro Defense so, should both be taken or is one more important than the other in this situation?

    • Dear Shannon,

      It is correct that many supplements and natural therapies can be effective for a variety of fertility health issues, there is some overlap.

      Women’s Best Friend and Fibro Defense do differ and are not to be combined. Women’s Best Friend is as strong-balancing blend more indicated for aiding the body by reducing occasional menstrual cycle discomfort and excess menses. It contains uterine supportive herbs that aid the body in dealing with excess heat and congested tissues, and that are known as blood-building herbs.

      The Natural Therapies for Endometriosis Infertility may be most helpful to consider moving forward, but also supportive of overall fertility health.

      All my best!

    • Avatar

      I am planning to do the Fertility Cleanse and start taking Wobenzym N as part of a natural treatment for stage III endometriosis. I also plan to include DIM, but should that be started at the same time that I start the cleanse & Wobenzym N or after the cleanse is complete?

      I had my laparotomy to remove fibroids on March 12th. When would it be okay to start Castor Oil Packs & Self Fertility Massage?

    • Hello Shannon!

      I hope this finds you well!

      DIM can be taken with Wobenzym N and the Fertility Cleanse. If it is not too much to take one more supplement while cleansing, it can be taken. If it feels like your taking too many things, it is also fine to wait to start DIM until the Fertility Cleanse is complete.

      It is best to wait 3 weeks or so to begin Castor Oil Therapy and Self Fertility Massage after fibroid removal. Allow for time to heal and be gentle in massaging when you begin this wonderful natural therapy.

      Take care!

  31. Avatar

    Thank you for this information, which you will never get from your doctor. If i only had this information years ago. I am 37 years old and have stage 4 endometriosis. Presently unidentified masses and multiple gallstones have been seen on ct scan. Twice I had surgery to remove scar tissue and cysts. I was wondering if these supplements and natural therapies you describe will be effective in stage 4 endometriosis.

    Best Regards


    • Hello Eudia!

      I am thankful the information we have offered has been helpful!

      Stage IV is classified as severe endometriosis and is characterized by multiple deep implants, large endometriomas or cysts (chocolate cysts) on either or both ovaries, and multiple dense (thick) adhesions often involving other organs, which I am sure you understand.

      Stage IV endometriosis may require you work with your healthcare provider to create the best plan for addressing your symptoms which may include surgical procedures such as Laparoscopy or Excision surgery. No matter the stage you suffer from, also consider a natural endometriosis support plan discussed in this article knowing that dietary and lifestyle changes are as equally as important as taking herbs and nutritional supplements and using natural therapies.

      All my best!

  32. Avatar

    I am 31 and have endometriosis. I had done laparoscopy in July 2014. Post surgery, I had 1 IUI failed and 2 IVFs failed. We had transferred 3 embryos in last cycle of IVF, 1 8 cell and 2 4 cell. Would you suggest fertility cleanse for me?

    • Dear Sheetal,

      The Fertility Cleanse is designed to support hormone balance through cleansing and detoxifying the liver of excess hormones, as well as to support uterine health in preparation for pregnancy. It is a foundational step when naturally supporting fertility health when fertility issues are present. Consider then the ways to support the body in maintaining a healthy inflammation response and normal circulation to the uterus and the body’s natural ability to remove excess estrogen from itself that are discussed in this article.

      All my best!

  33. Avatar

    Wondering if you might be able to help me find some answers? We are TTC after missed m/c in Nov14 causing infection- 2XD&C’s and 2 more infections. I had surgery in Oct14 to treat Asherman’s where the surgeon also found moderate endometriosis scarring. I am also celiac. Blood tests (CD1) show FSH 4.8 IU/L; E2 282 pmol/L; Prog 1.3nmol/L. So I’m wondering if your natural progesterone cream may help? If so I’m wondering about the best way to use the cream as the use patterns are different for TTC and endometriosis? Thanks in advance for your help 🙂

    • Dear Kylie,

      I am sorry for your loss and all that you have had to deal with.

      Did your healthcare provider indicate your progesterone levels are low given this test result? Progesterone levels are naturally low on cycle day 1. From my experience progesterone levels are best tested after ovulation, mid luteal phase. I ask because although endometriosis signifies estrogen dominance, we typically do not suggest using natural progesterone cream without confirmed low progesterone levels.

      Consider learning about 5 Steps to Reversing Endometriosis Infertility which will offer important dietary and lifestyle changes to make, as well as herbs, nutritional supplements and natural therapies you might try. Also learn more about Asherman’s Syndrome. This article outlines how many of the suggested natural healing methods are similar for each condition.

      I hope this is helpful!

  34. Avatar

    Currently trying to conceive. Recently misdiagnosed with an ectopic pregnancy due to a small mass noted on ultrasound. Received unnecessary methotrexate injection and laparoscopy, which indicated no sign of an ectopic pregnancy. Doctor diagnosed a ‘bilobed ovary’ although did not suggest this was endometriosis. I have had endometriosis and surgery two years ago prior to conceiving first child. I have since noted that I am experiencing pain around ovulation – 1 day of multiple bowel motions followed by two days of abdominal cramps and inflammation. I am concerned this is a sign of endometriosis and will affect my chances of falling pregnant again. Your advice is appreciated.

    • Dear Alyssa,

      I am sorry you have been through all of this!

      Some women experience ovulation pain and to varying degrees. The only real way to know if endometriosis is the culprit for you is to confirm it through testing with your healthcare provider.

      Surgery is often necessary for those who experience the fertility health issue and often provides great relief. Sadly, surgery does not address the underlying hormonal imbalance leading to it’s growth and regrowth. Excess estrogen in one of the main culprits in causing not only it’s growth, but also hormonal imbalance which then causes its growth outside of the uterus.

      The information in this article is worth considering if you learn you need to support the body’s natural ability to remove excess estrogen from the body, in maintaining its natural inflammatory response, providing it relief from occasional discomfort in the reproductive system and encouraging normal circulation, helping to bring fresh blood and oxygen to the reproductive system.

      I wish you well!

  35. Avatar

    Can someone with uterine fibroid use progesterone cream and additional food supplement that are helpful for Endometriosis?

  36. Avatar


    Which herbal is more helpful when you have endometriosis? Maca or Vitex? Is it safe to be taken together?

    • Dear Julie,

      They may both be helpful because of the need for hormonal balance with this fertility issue.

      It is important for women with endometriosis to work to nourish the endocrine system which is the system that coordinates the communication or our hormones. Fertilica Maca is one nourishing food for the endocrine system.

      Fertilica Vitex supports hormone balance and has been found to normalize and improve progesterone levels which are often low with estrogen-dominant fertility conditions.

      Fertilica Maca and Vitex can be taken together.

  37. Avatar

    I just turned 27 and was diagnosed with stage 4 endo a little over a year ago. My obgyn had me go on the 3 month lupron shot due to the pain I was experiencing from a chocolate cyst. Since then, the pain has subsided and the cyst shrank down. My husband and I have been trying to get pregnant for the last 9 months with no luck. They checked my tubes which were clear and the ultrasound showed that I was producing mature eggs, but nothing is happening. I’m very appreciative of all the info on your website and any advice or suggestions would be greatly appreciated! Also, I just ordered the fertility cleanse and massage dvd.

    • Elizabeth Willett, MA, CH

      Dear Anna,

      How wonderful that you are seeing results!

      Are you tracking ovulation to learn your fertile window so you can be trying to conceive during this time each cycle? Our Guide to Fertility Charting may offer guidance.

      You might also consider the dietary and lifestyle change suggestions made in this article as medications aren’t known to address the underlying hormone imbalance that contributes to endometriosis. Speak with your healthcare provider about taking any herbs or nutritional supplements if you are still on Lupron. We don’t suggest combining herbs that have an action on the hormones with medications that do the same.

      The following article Top 10 Natural Fertility Boosters makes additional suggestions as well.

      Best wishes!

    • Avatar

      Hi Anna!
      Any luck conceiving yet? I am 28 and also had/have stage 4 endometriosis. A few years ago, I had a break through with Suma and got pregnant 2 months after taking Suma capsules. It really is awesome stuff. My daughter is now two. I’m back on Suma and looking into progesterone cream, DIM, Vitex, Chaste Tree berry and Maca.

    • Hi Denise!

      Congratulations on having your daughter! How great that you found a program to support your individual fertility health needs.

      I just wanted to take a moment to let you know Anna may not see your comment. She will not receive an email from you via this article. Also, I have to share that Vitex is Chaste Tree berry, they are the same herb. You may have already learned this as you have been researching which herbs, nutritional supplements and natural therapies to best support your body in finding balance, but if not, now you know. 😉

      All my best!

  38. Avatar

    I had a history of endometriosis for which I underwent laparoscopy but then the surgeon sais he was not able to remove very small tissue. Now my right ovary measures 4.6×4.0 cm enlarged and shows cystic changes. And my left ovary measures 3.2×1.8 cm with normal echo texture and no focal lesion. From the past 10 months the bleeding during my periods are large clots and mostly clots that come out while urinating. I find only spotting on the pad. From the past two months I have been experiencing pain while urinating in abdomen particularly lower abdomen.Does all this indicate endometriosis recurrence. What treatment options do I have and do u think the cysts are in a safe size.

    • Hi Swapna,

      I am sorry to hear you are experiencing pain! Please see your doctor right away to discuss the pain and blood clots you are experiencing while urinating. This is not normal and may indicate a problem with other areas of your health outside of your reproductive organs.

      I am not a medical doctor, so cannot say if your ovarian cyst size is safe for the health of your ovary or not.

      If your doctor was unable to remove all of the displaced endometrial tissues, it can grow back and even spread.

      To learn about the best options for women with endometriosis, please click here to see complete guide to all the articles we have on endometriosis. Of particular interest to you would be Destroying the Root: Excision Surgery for Endometriosis.

      I hope you feel better!

  39. Avatar

    Hello, Thank you for sharing all of this great information. I am 32 and was diagnosed with severe endometriosis 6 years ago, have been trying to conceive for nearly two years now. I have been accepted for IVF treatment to start next summer. I have turned to this website frequently over the last couple of months in a bid to get my body as healthy as possible before starting treatment, and have stocked up on many of your recommended herbal supplements: Supergreens, maca, royal jelly, bee propolis and red raspberry leaf. The hardest part is changing the diet… meat is soooooo expensive!
    Anyways, just wanted to say thank you – the website has been a great help 🙂

  40. Avatar

    Hi ,
    I was having endometrosis and had laproscopy done . I have regular periods. After that we tried for 2 cycles . and although was able to see the formation of egg during follicullar study but after giving the injections as well the eggs were not rupturing . I want to get pragnet ; could you please suggest how to move on it ?

    • Elizabeth Willett, MA, CH

      Hello Sumantha!

      Consider learning more about supporting your ovaries and their ability to produce mature follicles, estrogen and progesterone by learning about FSH Levels and Your Fertility. Here you will also read about supporting egg health through diet, lifestyle, herbs, nutritional supplements and natural therapies which may prove helpful as well.

      I hope this is helpful!

  41. Avatar

    Thank you for this wonderful source of information!
    I am 39 years old and had 2 unsuccessful IVF, after wich I was diagnosed with endometriosis in my ovaries. Now I am on a 3 month treatment, but would like to start preparing my body for pregnancy. I have changed my diet (no gluten, no dairy, no processed food, lots of fiber etc.), but I don’t know how to begin a fertility diet together with the anti endo diet. I need some advice, please! Thank you so much for anything you can tell me.

    • Elizabeth Willett, MA, CH

      Hello Alicia!

      The dietary suggestions made here are already largely incorporated into the Fertility Diet. It is however important for women with estrogen dominant fertility conditions to try to avoid foods that may contribute, as well as avoid foods that have been found to contribute to inflammation (gluten, white refined flour and sugar, etc.) Focus on foods you can eat because you have already made the changes you have!

      We unfortunately do not have the capacity to help with meal plans, but you could ask specifically for diet help through a Fertility Consultation and also learn tips, recipes and learn more through the Natural Fertility Diet Community.

      I hope this is helpful!

  42. Avatar

    Thank you for the information. I suffer with endometriosis and was diagnosed since 1999. Since then i had multiple surgeries,hormone treatments, and an Unsuccessful IVF. There is no change in my situation and i am at the end of exploring my options. I got your website from my obgny and i find it very interesting. My question is can you use the enzymes in combination with DIM and Macca?

    • Elizabeth Willett, MA, CH

      Hello Eudia!

      Yes, you can combine enzymes, Wobenzym N, with DIM and Maca.

      I wish you well!

  43. Avatar

    Because Endometriosis has destoyed the production of making eggs, is there any means that can reverse this situation and eggs can begin to produce?

    • Elizabeth Willett, MA, CH

      Dear Maxine,
      I am left with many questions…
      There are ways to support your body in dealing with endometriosis and the estrogen dominance that has been found to be its cause. It really is difficult for me to answer your questions based on just a small piece of the bigger picture of your health and without knowing what stage of endometriosis you have. I’m sorry to hear about your struggles and challenges! I honestly feel it would be best to book a Natural Fertility Consultation to give our herbalists a clear holistic perspective on your situation to analyze and assess properly. It is helpful for her to know your lifestyle, health history, fertility challenges and detailed questions. You will be able to provide her with the necessary information through the Fertility Consultation intake form in order to gain this perspective.
      Be well!

  44. Avatar

    i hav endometriosis and my egss are only 3 to 5 and it grows upto 14mm and it ll not wat i should prefer for getting conciev naturally

  45. Avatar

    Thanks Dalene for the quick response. I have brought whole grain flour . I was wondering can i use it in lunch and then in dinner as well with the curry and if i bring rice flour next time could i use it same way as we use wheat flour on daily basis?

    • Elizabeth Willett, MA, CH

      You can use rice flour as often as you use wheat flour Suma. This should be fine!

  46. Avatar

    Thank you so very much for the detailed information. I don’t know if i have Endometriosis but i am get it checked as I have PCOS, and heavy and long periods .. I was wondering what could be the alternative of wheat flour as it is very common in our family , i used to eat it 2-3 times as a homemade bread (we call it Roti or Chapati) now i eat it only once at night …but still i would like to know what could be the alternative for it.. Rice flour or any other flour?? …again Thank you So much for each and every thing you guys are sharing 🙂

    • Hi Suma,

      There are recipes for bread using other flours that don’t contain gluten. Rice, potato and tapioca, though they don’t bake up or taste the same. I am not sure what is available to you in your country. Another option is spelt flour, it is most like wheat, but it is low in gluten. Thanks for reading!