Show #309 – Endometriosis with Alexandra Middleton, Naturopath

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And on this week’s show!

Are you or someone you know experiencing heavy, painful periods or suspecting/diagnosed with endometriosis? Today’s guest, Alexandra Middleton received so little care in her early journey that she quit investment banking and studied naturopathy to better understand and support her disease and then work to support other women in clinical practice. Endometriosis has been vastly underdiagnosed with hundreds and thousands of women complaining of debilitating symptoms and pain with nothing more than a suggestion of a pain killer and rest. In today’s show we discuss what’s at play, what some of the root causes can be that contribute to the development and progression of endometriosis, and how looking after ourselves and our environment is key as we heal and recover – with or without surgical intervention. Please share it far and wide with those who might benefit from the support and guidance.


Questions I asked Alexandra:

  • There are a lot of things human bodies need help with – what personally drew you to endo? 
  • Now that more light has been shone on the disease – what picture is emerging about how many women are affected/were perhaps overlooked/undiagnosed? 
  • What are the evidence-based underlying drivers of endometriosis that are not recognised by conventional medicine practitioners?
  • Why this gap? where is it in the science/how are naturopaths seemingly better placed right now to guide a client through, save for of course the surgical intervention sometimes required? Is there a hope fo more collaboration to best support women? 
  • What are the top environmental risk factors that could be driving a woman’s endo symptoms? Would be good to focus in particular on: mould, “clean beauty”, iron, pesticides, phthalates, parabens and things found in the water (microplastics, seafood, heavy metals, parasites, seafood, viruses like COVID-19, metabolites from drugs like the OCP and antibiotics) and dental materials (fluoride, amalgam).
  • How do environmental stressors impact the body, and how does this contribute to the development of endometriosis?
  • Why is it just as important to efficiently assess a women with endo’s internal environment as well as her external environment? – discussion around infections (gut, gynaecological, viral) that can drive endo that are regularly missed by conventional testing methods
  • The importance of detoxing from IVF drugs if you have endo or any disease that is influenced by poor oestrogen clearance (such as breast/uterine cancer, fibroids,etc)
  • Food and endo – are there any nutritional strategies or ways of eating that are preferred clinically or does it come down to bioindividual immunology/genetics profile of a person as to what’s going to work best? 

About Alexandra Middleton

Alex is an experienced naturopathic nutritionist with over a decades’ experience in helping women optimise their hormones, fertility & reproductive health. Her special mission is to show women with endometriosis how to conquer their pain, fatigue and infertility thru the combined powers of natural, environmental and conventional medicine.

Alex’s approach is grounded in the principals of both naturopathic and evidence-based medicine. She is passionate about incorporating the latest research into her clinical practice, including her own research work with the National Institute of Complimentary Medicine (NICM). She also works extensively with the Australian medical community to ensure the best possible outcomes for her clients.

Outside of her clinic, Alex is a passionate advocate for the natural medicine industry, supporting lobbying activities thru her work with the Australian Traditional Medicine Society (ATMS). On behalf of ATMS she also runs Australia’s largest Continuing Professional Education program for fellow clinicians who want to stay on top of the latest science.


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