Part 1 of the Women's Health Series

Endometriosis can show up like a gut disorder, and that confusion keeps many people stuck for years without answers. We map the overlap between endometriosis and IBS, explain what symptoms should raise suspicion, and share practical ways to build a care plan that supports both digestion and quality of life.

• Endometriosis prevalence, symptoms and why it is often missed
• IBS-like symptoms explained, including inflammation, adhesions, and visceral hypersensitivity
• Hallmark signs beyond pelvic pain, including heavy periods, pain with sex, and pain with urination
• Why diagnosis can be delayed and how updated guidance supports symptom-based evaluation plus imaging
• Fertility considerations, diminished ovarian reserve risk, and why early treatment can matter
• Low FODMAP as a short-term tool for GI symptoms, not a cure for endometriosis
• Mediterranean-style and anti-inflammatory eating patterns as a less restrictive foundation
• Stress, sleep, and gut-directed hypnotherapy as nervous-system support for pain and gut symptoms
• Gluten-free and dairy-free myths, plus why celiac screening matters before cutting gluten
• Supplement reality check, when to correct deficiencies, and why third-party testing matters
• The “dream team” approach, including medical doctor, dietitian, pelvic floor physical therapy and mental health support

This episode has been sponsored by Ardelyx.

References for this episode:

2023 narrative assessment on gluten and endometriosis

2025 meta-analysis on endometriosis and supplements

2023 UK survey dietitian support for endometriosis

Exploring the Nutrition‐Related Healthcare Experiences of Individuals With Endometriosis: Qualitative Interviews With Consumers and Dietitians

Rachelle’s delicious spaghetti & meatballs recipe

Find Rachelle Mallik on Instagram

Consumer Lab

You can also follow us on social media at the Gut Health Podcast, where we'd love for you to share your thoughts, questions, and experiences.

Learn more about Kate and Dr. Riehl:

Website: www.katescarlata.com and www.drriehl.com
Instagram: @katescarlata @drriehl and @theguthealthpodcast

Order Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.

The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.