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Endometriosis and Uterine Fibroids

Dr. Roxanne Pero, MD, FACOG, DIPABLM discusses the complexities of endometriosis and uterine fibroids, emphasizing the importance of lifestyle and nutritional foundations in managing these conditions. She shares her personal journey and professional insights to address common myths, risk factors, and the significance of patient advocacy. 

continuing education credit details

RDs Earn 1.0 CPEUs

Valid through 6/30/28

NDs Earn 1.0 CEs

Valid through 3/15/27

RNs Earn 1.0 CEs

Valid through 1/31/2028

Provider Details

This enduring activity (Type 741) awards 1.0 CPEUs in accordance with the Commission on Dietetic Registration’s CPEU Prior Approval Program.

Provider approved by the California Board of Registered Nursing. Provider # 1816, 1.0 Contact Hours.


Provider approved by the American Association of Naturopathic Physicians for 1.0 CEs. NDs in Oregon, please see FAQ

Meet the expert

Dr. Roxanne Pero, MD, FACOG, DIPABLM

Link to the Expert's Instagram in a separate page. Link to the Expert's website in a separate page.

Dr. Pero is a triple-board-certified OB/Gyn. She received her M.D. from Louisiana State University Health Sciences Center of New Orleans, and subsequently completed her residency at the University of Texas at Southwestern/Parkland Memorial Hospital in Dallas.

She completed 12 years of private practice in the field of Obstetrics, Gynecology, and Infertility, where she cared for thousands of amazing women and helped many resilient families through high-risk pregnancies. 

For the last four years, she has stepped out of the hospital and into the holistic space. She is a Diplomate/Fellow of the American College of Lifestyle Medicine, a medical specialty that uses therapeutic lifestyle interventions as a primary modality to treat chronic conditions. She is board-certified in Functional Medicine through the Institute of Functional Medicine and currently has a thriving practice in Dallas, TX at Alive&Well Dallas.

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Episode Highlights

  • The pathophysiology of endometriosis and uterine fibroids and why they are often misdiagnosed or dismissed
  • Risk factors and root causes including hormonal imbalances, inflammation, and environmental toxins
  • Common myths and misconceptions about treatment approaches
  • Evidence-based nutrition protocols focusing on anti-inflammatory eating patterns
  • The role of vitamin D, omega-3 fatty acids, and targeted supplementation
  • Lifestyle modifications including stress management, sleep optimization, and movement
  • How to reduce exposure to endocrine-disrupting chemicals
  • When surgery is necessary and how to integrate conventional and functional approaches
  • Practical pain management strategies

Learning Objectives

Upon completion of this continuing education activity, practitioners will be able to:

Identify the key pathophysiological mechanisms underlying endometriosis and uterine fibroids that impact nutritional interventions

Develop comprehensive nutrition and lifestyle protocols for clients with endometriosis and uterine fibroids

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References

Barnard ND, Holtz DN, Schmidt N, Kolipaka S, Hata E, Sutton M, Znayenko-Miller T, Hazen ND, Cobb C, Kahleova H. Nutrition in the prevention and treatment of endometriosis: A review. Front Nutr. 2023 Feb 17;10:1089891. doi: 10.3389/fnut.2023.1089891. PMID: 36875844; PMCID: PMC9983692.

Abulughod N, Valakas S, El-Assaad F. Dietary and Nutritional Interventions for the Management of Endometriosis. Nutrients. 2024 Nov 21;16(23):3988. doi: 10.3390/nu16233988. PMID: 39683382; PMCID: PMC11643425.

Krzyżanowski J, Paszkowski T, Woźniak S. The Role of Nutrition in Pathogenesis of Uterine Fibroids. Nutrients. 2023 Dec 1;15(23):4984. doi: 10.3390/nu15234984. PMID: 38068842; PMCID: PMC10708302.

Vafaei S, Alkhrait S, Yang Q, Ali M, Al-Hendy A. Empowering Strategies for Lifestyle Interventions, Diet Modifications, and Environmental Practices for Uterine Fibroid Prevention; Unveiling the LIFE UP Awareness. Nutrients. 2024 Mar 12;16(6):807. doi: 10.3390/nu16060807. PMID: 38542717; PMCID: PMC10975324.

Afrin S, AlAshqar A, El Sabeh M, Miyashita-Ishiwata M, Reschke L, Brennan JT, Fader A, Borahay MA. Diet and Nutrition in Gynecological Disorders: A Focus on Clinical Studies. Nutrients. 2021 May 21;13(6):1747. doi: 10.3390/nu13061747. PMID: 34063835; PMCID: PMC8224039.

Ivanova M, Soule A, Pudwell J, Bougie O. The association of vitamin D with uterine fibroids in premenopausal patients: a systematic review and meta-analysis. Journal of Obstetrics and Gynaecology Canada. 2024;46(11):102632. doi: 10.1016/j.jogc.2024.102632. Epub 2024 Aug 10. PMID: 39128544.

Snipe RMJ, Brelis B, Kappas C, Young H, Eisenblaetter M, O'Brien L, Pelly FE. Omega-3 long chain polyunsaturated fatty acids as a potential treatment for reducing dysmenorrhoea pain: systematic literature review and meta-analysis. Nutrition & Dietetics. 2024;81(1):94–106. doi: 10.1111/1747-0080.12835. Epub 2023 Aug 6. PMID: 37545021.

Anastasi E, Scaramuzzino S, Viscardi MF, Viggiani V, Piccioni MG, Cacciamani L, Merlino L, Angeloni A, Muzii L, Porpora MG. Efficacy of N-acetylcysteine on endometriosis-related pain, size reduction of ovarian endometriomas, and fertility outcomes. International Journal of Environmental Research and Public Health. 2023;20(6):4686. doi: 10.3390/ijerph20064686. Published 2023 Mar 7. PMID: 36981595; PMCID: PMC10048621.