Personally, I’m against hormonal birth control on a whole for a handful of reasons (that’s another post for another time, but a lot of my opinions are based on reading The Period Repair Manual by Lara Briden), but for people who are comfortable with hormonal interventions, it can be an elegant solution for treating endometriosis.
I won’t eat meat at all, but I don’t grill waiters when I go out to eat, I will eat any meat free dish that a friend or relative cooks for me to be polite, and I will even have a slice of birthday cake if it’s offered to me, but I do cook exclusively vegan food at home and then just focus on doing the best I can do outside of the house.
With that said, like meat and dairy, sugar basically feeds inflammation in your body, and that added inflammation really magnifies the pain associated with endo.
For me, focusing on gut health looks like taking daily prebiotics and probiotics, eating a lot of fermented foods like sauerkraut and kombucha, and following the diet tips mentioned above.