January 2, 2026

The Complete Guide to Uterine Fibroids: Diet, Lifestyle & Functional Medicine Approaches

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Fibroids may be one piece of the puzzle impacting your overall health and wellbeing by presenting itself in various symptoms such as abnormal uterine bleeding (AUB), pelvic pain, frequent urination, back pain, and infertility. Working with a functional practitioner will help to address the root causes of your symptoms.

What are Uterine Fibroids?

Uterine fibroids are noncancerous solid tumors that grow in and around the uterus. They affect 1 in 5 women during childbearing years and incidence increases with age. They are hormone dependent and typically resolve with menopause. Fibroids are often estrogen dependent, but they can also be progesterone dependent.

Diagnosis

Most uterine fibroids are diagnosed with ultrasonography. Diagnosis should include number of fibroids, size, and location. Monitoring fibroid size can help determine treatment efficacy.

Symptoms

Symptoms depend on the number, size, and location of the fibroid(s). Many women with fibroids have no symptoms, however 25-50% of women may experience:

  • Abnormal uterine bleeding (AUB)
  • Pelvic pain, pressure
  • Painful intercourse
  • Urinary frequency
  • Difficulty emptying bladder
  • Back pain
  • Infertility and/or adverse pregnancy outcomes

Diet/Nutrition

Nutritional support: Iodine, Vitamin D, Vitamin A, Omega-3 fatty acids

Foods rich in omega 3 fatty acids include:

  • Anchovies
  • Chia seeds
  • Cod liver oil
  • Flaxseeds
  • Herring
  • Mackerel
  • Oysters
  • Salmon
  • Sardines
  • Soybeans
  • Walnuts

Diet high in plant foods, especially citrus fruits

Avoid red meat and alcohol

Stress Resilience

Stress management tools, such as breath work and meditation, are listed here. Chronic psychological stress can increase a woman’s risk for uterine fibroids.

Movement

Aerobic exercise regularly.

Sleep

Sleep is essential: aim for 7-9 hours of quality, deep sleep.

Other

  1. Limit exposure to environmental toxic compounds and endocrine disrupting chemicals (EDCs).
  2. Acupuncture for pain.
  3. Optimal outcomes may require surgical removal.
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BEHIND THE JOURNAL

Alah Elasmar

RD, LD, IFNCP · clinical herbalist

I'm a Functional Nutrition Registered Dietitian and the founder of Made with Barakah, a root-cause nutrition practice for women who are tired of being told their labs are "normal" while they feel anything but.

This journal is where I share the clinical knowledge, functional tools, and honest conversations I wish more women had access to.

Real healing begins when we look at the full picture.

Work with a Functional nutrition Dietitian

Your labs, your history, your body. Every woman I work with is unique and that's exactly why I don't believe in one-size-fits-all protocols. If you're ready to understand why you feel the way you do and get a plan built specifically around your body, I'd love to help.

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