She has inflammatory bacteria in her endometrium more than likely and this is what is causing it.
Scientists are finding increasingly that five bacteria are found commonly in women with endometriosis that aren’t in women who don’t have endometriosis.
Your DD could start to take high levels of lactobacillus probiotics plus one with bifidobacteria. It will take time.
I would also recommend the Zoe Nutrition program because she needs to reduce the inflammation in her body generally. All biomes within the body are linked and the gut biome, with what you eat influences every other biome.
The problem with endo is getting pregnant at a later date can be very hard.
Most people want just a quick fix which I completely understand and changing hormone levels and new meds will alter the biome but it won’t solve the problem long term.
Those bacteria will still be there.
There’s a 16 S test that you can do to find out what bacteria is in your endometrium and then you can start to find a way to get rid of them. Sometimes it’s a two week course of antibiotics. But this early stage and not effective for everyone as there are biofilms in the body where the bacteria live and they can therefore return after you stop the antibiotics. That’s why probiotics and diet are crucial to try and squash the critters.
I can’t remember the name of the test. I’ll look it up if you’re interested.
https://www.thelancet.com/journals/lanmic/article/PIIS2666-5247(23)00221-5/fulltext#:~:text=A%20translational%20study%20has%20suggested,women%20of%20reproductive%20age%20worldwide.
This is the future of dealing with endo, like so many inflammatory diseases.