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Q&A Topics

Endometriosis


Yesheen (dr.) Singh Medical Doctor View profile

Dear N



Thank you for your question. There is a lot of new information coming out about what causes the development of endometriosis and the use of chronic synthetic contraceptives is no longer my first choice of therapy, especially because of the side effects associated with synthetic hormones. I appreciate though how effective something like Mirena can be in controlling the symptoms of endometriosis and allowing you to get on with life. But contraceptives work by putting a band-aid on the symptoms of the disease and affect no change on the underlying cuases that gives rise to the imbalance in the first place. This is when we find life-long use of contraceptions being prescribed because if you stop the contraceptive the problem simply reappears from uder the band-aid.



By going into the different pathways oestrogen follows through your body we are able to ellicit where the imbalance is that causes the inflammation that gives rise to endometriosis. This requires a careful history and a couple of special investigations. This allows us an opportunity to heal or reduce the severity of the cause of the endometriosis.



So to answer your question if you would like to continue with the contraceptive route then repeat the Mirena contraceptive because of all those available on the market it is the easiet to use and has a lower side effect profile. If you would like to try something alternate contact us through www.healthnation.co.za for more information. My approach uses a combination of nutritional, supplement, activity and stress modification tools to effect physiological change and because it is tailored to the individuals metabolism it is difficult to answer with the little information available in a forum like this.



Many thanks and warm regards

Yesheen Singh


Yesheen (dr.) Singh Medical Doctor View profile

Dear E



Thank you for your question. I have to admit that I think the use of synthetic hormones is not ideal in any circumstance, especially when the disease process is strongly related to an already imbalanced oestrogen:progesterone cycle. There are alternatives. Endometriosis is primarily an inflammatory problem, spurred on by abnormal cascades of oestrogen and progesterone metabolites. By calming the inflammation down you reduce the pain and by addressing the underlying oestrogen imbalance you begin to help the body to contain the disease and possibly heal itself.



But if you want to give the injection a try be aware that the side effects vary from woman to woman. Some will not experience mood swings, others will only do so in the beginning, and there are those that continue to have them for the time period that the medication stays in their systems.



If you would like to try the alternate approach I mentioned above feel free to contact me via www.healthnation.co.za for more information.



Many thanks and warm regards

Yesheen Singh

Angela Lombard Nursing Practitioner View profile

Dear Zama

Thank you again for your questions. I am so sorry that you have been this ill. Endometriosis can be an incredibly painful condition. Please stay with the advice of your medical doctor, and I stress the need for you to remain under the guidance of your specialist with this difficult condition. Bleeding is a common occurrence after endometrial surgery. Should your bleeding not stop, you must contact your doctor again, so as to be reassessed and treated.

Not having seen you or any of your results, it would be wrong of me to even so much as conjecture when a pregnancy would happen for you. This is not an easy condition to have when trying to fall pregnant, as it can in some instances inhibit pregnancy.

Your doctor's approach has been correct in asking you to go for a checkup in January 2011. Just rest, eat correctly, drink your water etc. etc. and recover prior to conception taking place please.

Warmest regards

Angela

Angela Lombard Nursing Practitioner View profile

I sincerely apologise for the delay, due to illness. I really appreciate you having given me the detail you have. With your side effects mentioned, I would describe you as being a rare situation of literally having ‘frog leaped’ from being healthy, into having health problems as a result of being on the Melodene contraceptive pill. My instinct is to suggest to you to come off Melodene with immediate effect! I would also prefer you not to be on an oral or injectable contraceptive for a minimum of 3 months, if possible. This will then give your body some time to release the chemical components out of all your systems, which is essential in your case, so as to encourage and promote healing. Endometriosis is seldom visible on a scan, but your clinical picture is so typical of this uncomfortable and often very painful condition. Just know that there is a world out there beyond Melodene! Your problem needs time and patience from your side, so as to promote healing. I would appreciate it if you could make a time to see me, so that I can assess you fully for a suitable healing approach. Do take care. Kind regards, Angela, Nursing Practitioner.

Chase (dr.) Webber Naturopath View profile

Menstrual problems such as endometriosis can be assisted with natural medicine, particularly the omega oils that assist in reducing the inflammation and herbal formula that stimulate particular hormones. I would recommend that you consult a Naturopath in your area, have a full hormonal profile to see what your current hormonal levels are then start a program of natural medicine. I would encourage that your gynaecologist work with the naturopath together to assist you in the best way. The herbal Vitex Agnus Castus, Omega 3 oils, vitamin C & E are most often used, but the dose is important so get your profile done first so that the naturopath can advise correctly. best regards Dr Chase Webber ND


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