Episode 219: Endometriosis & the Overlap of Hormone, Gut & Immune Health with Dr. Lara Briden

There’s a bit of a misunderstanding in the health world that endometriosis is just a hormone problem, but this line of thinking is incomplete. Hormones can absolutely contribute to the endometriosis picture, but they are not the cause of endometriosis. And part of treating endometriosis should include strategies to support the hormones, though that’s not where the support should end.

Today on the show Erin speaks with Dr. Lara Briden all about endometriosis and why it’s such a complex thing to treat. Tune in to hear Lara dive into the immune side of endometriosis, epigenetics, gut dysbiosis, and how all these things can be interconnected. Erin and Lara also discuss testing options and strategies to treat endometriosis, plus and natural remedies you can try at home and lifestyle factors to consider. This episode is important to hear if you’ve been struggling with endometriosis or suspect you might have it, have been diagnosed with IBS but think there may be more going on, or if you’re a practitioner looking to deepen your understanding on the complexities of endometriosis. 

In this episode:

Lara Briden is kind of a big deal [2:50]

The misunderstanding with endometriosis [4:02]

Looking at endometriosis as a disease of immune dysfunction [7:25]

Lara’s philosophy towards women’s physiology and women’s health [8:57]

What is endometriosis? [13:26]

Retrograde menstruation [16:20]

Autoantibodies associated with endometriosis [20:31]

The link between endometriosis and GI dysfunction [21:47]

The importance of the immune cells macrophages [23:14]

Focusing on bacteria as part of endometriosis treatment [25:30]

The overlap between SIBO, IBS & endometriosis [28:54]

Epigenetic involvement in endometriosis [31:11]

Visceral sensitivity [37:52]

How hormones like estrogen & progesterone can impact endometriosis [39:41]

Why the pill isn’t always the best option for endometriosis [44:34]

Progesterone resistance, and what it means for endometriosis [46:26]

Testing options, natural remedies and treatment strategies [48:46]

The role nickel allergy plays [55:13]

The regulating effects of vitamin A [59:20]

Reducing endometriosis lesions [1:00:22]

What to know about taking iodine [1:01:49]

Lara Briden is a naturopathic doctor and bestselling author of the books Period Repair Manual and Hormone Repair Manual — practical guides to treating period problems with nutrition, supplements, and bioidentical hormones.

With a strong science background, Lara sits on several advisory boards and is the lead author on a couple of peer-reviewed papers.

She has more than 20 years’ experience in women’s health and currently has consulting rooms in Christchurch, New Zealand, where she treats women with PCOS, PMS, endometriosis, perimenopause, and many other hormone- and period-related health problems.

Resources mentioned:

Your Hormone Revival™ (Only available within the Funk’tional Nutrition Collective)

The Funk’tional Nutrition Academy™

Learn more about Lara

Find Lara on Instagram

Lara Briden on YouTube: Endometriosis is a Disease of the Immune Dysfunction

Immunology of Endometriosis: Pathogenesis and Management (textbook)

Bacterial contamination hypothesis: a new concept in endometriosis (study)

Endometriosis and irritable bowel syndrome: a systematic review and meta-analysis (study)

Irritable Bowel Syndrome-Like Disorders in Endometriosis: Prevalence of Nickel Sensitivity and Effects of a Low-Nickel Diet. An Open-Label Pilot Study (study)

Ned Sleep Blend (get 15% off your order with code FUNK)

Organifi supplement powder (save 20% on your order with code FUNK)

Dry Farm Wines Natural, Organic, Paleo Wine (get an extra bottle for only a penny!)

LMNT Electrolyte Replenishing powder (Use code FUNK get a free sample pack with any purchase!)

Learn more about Hormones, Autoimmune Health & Gut Health

Related episodes:

168: Hormones, the Immune System & Autoimmunity

138: How Hormones Influence the Gut

134: Why You Need to Stop Self-treating Your Gut

181: SIBO & IBS - The Latest Research & Testing Options with Dr. Mark Pimentel

182: The Risks of Low Vitamin A & How to Increase Your Levels

202: When Your Doctor Doesn’t Believe Your Pain: Sexism in Healthcare

203: Bladder Dysfunction, Gut Problems & Pelvic Floor Health

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Episode 220: Hormone Lab Testing: A Non-Algorithmic Approach

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Episode 218: Hear From an FNA Student!