748. What Really Causes Endometriosis? Estrogen, Genetics, and Autoimmune Links

What actually causes endometriosis?

If you’ve been struggling with painful periods, fertility challenges, or symptoms that doctors brush off without testing your hormones, you are not alone. Endometriosis is one of the most under-researched and misunderstood conditions women face, even though it can be completely debilitating.

In this episode, I break down:

• Why research is so limited on endometriosis and how that impacts the care women receive.

• What we do know so far:

  • It’s estrogen-driven, and hormone processing plays a big role.

  • Genetics can increase your risk (especially if you’re a poor methylator or detoxer).

  • It’s often tied to your immune system and can behave like an autoimmune condition.

• How endometrial tissue behaves once it migrates outside the uterus—it can attach like scar tissue or a web, causing pain, inflammation, and even impacting organs like the bladder or bowel.

• Why your symptoms are unique: no two women experience endometriosis in the exact same way, which is why dismissive comments like “you can’t have it because you got pregnant” are just flat-out wrong.

I also share why the DUTCH Test is one of my favorite tools for uncovering the root hormone patterns behind endometriosis. Unlike standard bloodwork, it shows how your body is actually processing estrogen, cortisol, neurotransmitters, and more—giving us a real window into what’s going on and where to start.

Here’s the most important thing: you don’t have to guess anymore, and you don’t have to do this alone. If you’re ready to finally get answers and a plan that’s personalized to you, I invite you to apply for my 1:1 VIP Program. In this high-level coaching program, we combine advanced testing like the DUTCH test with a comprehensive strategy tailored to your body—so you can finally start feeling like yourself again.

When your body functions better, you feel better.

Apply here: https://drbethwestie.com/jumpstart-program/