While there has been some attention in the field of women’s (and AFAB folk) reproductive health to the psychological impact of conditions like Polycystic Ovary Syndrome (PCOS), awareness is now also growing around the mental health aspects of Endometriosis - particularly its influence on body image and eating concerns.
Endometriosis is a reproductive health condition in which tissue similar to the lining of the uterus grows outside of it, often causing inflammation, chronic pain, and other distressing symptoms such as bloating and digestive discomfort. These symptoms can create a sense of disconnection from the body, making everyday activities challenging. Coping with chronic pain, unpredictable digestion, and ongoing discomfort can significantly affect how people perceive and relate to their bodies, sometimes leading to attempts to regain control through food and eating behaviours.
The Psychological Impact of Endometriosis
Research has highlighted the toll that Endometriosis can take on self-esteem and body image. Some people describe feeling ‘broken’ or ‘inadequate’, or struggling with the sense that their body is outside their control. These experiences can create vulnerability to negative self-perception and self-criticism, reinforcing distressing emotional cycles.
There is no shortage of dietary advice aimed at managing Endometriosis symptoms. Unfortunately, much of this information lacks scientific backing and promotes restrictive eating patterns, which can increase body dissatisfaction and heighten preoccupation with food. Compounded by societal pressures around body image, exercise, and diet, people may feel further disconnected from their bodies - potentially navigating hormonal therapies, recurrent surgeries, fertility concerns, and challenges with sexual arousal and intimacy, and pain during intercourse.
A 2021 study explored why some people with Endometriosis experience higher levels of emotional distress. The findings pointed to negative body image and self-criticism as key contributors to psychological distress. One participant described it as “a vicious cycle of feeling like my body is constantly falling short,” which led to increased feelings of failure and self-blame.
We also know that fostering self-compassion, improving body acceptance, and developing emotional coping strategies can enhance mental well-being for those with Endometriosis. Building a supportive relationship with your body is important to manage the psychological aspects of chronic health conditions.
Endometriosis and Eating Concerns
Although research on the relationship between Endometriosis and Eating Disorders is limited, studies indicate that people with Endometriosis frequently alter their diets in an effort to manage pain and gastrointestinal issues.
Clinicians working with people who have Endometriosis often observe a desire to control food intake as a means of managing bodily discomfort, which can complicate a persons relationship with eating and body image. When dietary changes become overly rigid or restrictive, they may lead to disordered eating patterns or heightened distress around food.
What Can Help?
Prioritise a Healthy Relationship with Food and Body Image – While dietary modifications may help manage symptoms, it’s essential to focus on overall well-being rather than rigid food rules. Aim for balance and flexibility in eating rather than control or restriction
Seek Support from Knowledgeable Health Professionals – If considering dietary changes, consult a qualified Dietitian who understands both Endometriosis and eating concerns. Additionally, mental health professionals can help navigate the emotional impact of chronic illness
Emphasise Body Acceptance – Developing a more accepting relationship with your body can significantly improve well-being. Rather than focusing on perceived flaws, prioritise self-care and compassion for your body, and gratitude for it’s strengths and abilities
Cultivate Self-Compassion – Managing a chronic health condition is complex. Practising self-kindness rather than self-criticism can shift how you relate to your body. Working with a Psychologist can help develop strategies for fostering self-compassion and emotional resilience
How Mind Body Well Can Help
At Mind Body Well, our therapists understand the complex relationship between chronic illness, body image, and eating concerns. We provide client centered, evidence-based support to help people navigate the emotional and psychological challenges of living with Endometriosis. Our team of Psychologists and Dietitians are experienced in supporting people with reproductive health concerns.